Licensed Marriage and Family Therapist

DISCLOSURES 

The specific statements shown in each section of this job description are not intended to be all-inclusive. They represent typical elements and criteria necessary to perform the job successfully. Job responsibilities may be modified or expanded over time, and the company will inform the contractor of any such changes.

ABOUT THE COMPANY

Freedom Health Systems, LLC (FHS) is a mission-driven healthcare advisory and management consulting firm that partners with behavioral health and human services organizations to improve access, equity, and operational excellence. While we do not provide direct healthcare services, we support providers through program development, accreditation, compliance, and the implementation of clinical and operational best practices, strengthening organizational infrastructure and enabling sustainable service expansion. Our expertise includes revenue cycle management, prior authorization, virtual front office support, medical billing and coding, human resources, and compliance consulting. FHS is deeply committed to breaking down barriers in behavioral health, with a strong focus on serving marginalized and underserved communities, and we foster a collaborative, forward-thinking environment rooted in innovation, integrity, and community impact.

COMPANY WEBSITE: https://freedomhs.org/

COMPANY PHONE NUMBER: (667) 239-9572

HR DEPARTMENT PHONE NUMBER: (667) 400-6206 EXT 10

HR DEPARTMENT EMAIL ADDRESS: hr@freedomhs.org

POSITION TITLE: Fee-for-Service Licensed Marriage and Family Therapist

ALTERNATE TITLE(S): Licensed Marriage and Family Therapist

COMPANY: Freedom Healthcare LLC dba Community Wellness Outpatient Mental Health Center

DEPARTMENT: N/A

DIVISION: Operations

UNIT: N/A

ACCOUNTABLE TO: Operations Manager 2

ACCOUNTABLE FOR: Freedom Healthcare LLC dba Community Wellness Outpatient Mental Health Center is seeking a Licensed Marriage and Family Therapist to provide outpatient mental health services on a fee-for-service basis.

CLASSIFICATION: Fee-for-Service (FFS), with the following classification options available:

• Fee-for-Service W-2
• Fee-for-Service 1099

WORK SCHEDULE: This position offers flexible scheduling based on provider availability, client needs, referral volume, and agency requirements. The therapist may work evenings, weekends, weekdays, or a set recurring schedule depending on mutual agreement and client demand.

The provider may maintain a part-time or ongoing caseload and is expected to manage scheduling, attendance, documentation, and communication in accordance with agency procedures.

COMPENSATION STRUCTURE: This is a fee-for-service role. Compensation is based on completed, documented, and approved services.

Fee-for-service compensation may apply to:

• Initial assessments.
• Individual therapy sessions.
• Couples therapy sessions.
• Family therapy sessions.
• Group therapy sessions.
• Treatment planning services.
• Treatment plan reviews.
• Crisis intervention services, if approved and billable.
• Care coordination or consultation, if approved under agency policy.
• Other approved clinical services within the provider’s scope of practice.

Specific rates, payment schedule, documentation requirements, and contractor versus part-time employee classification will be determined during onboarding or agreement completion.

BENEFITS PACKAGE

• W-2 Fee-for-Service Employees:
  Eligible for company-sponsored benefits in accordance with agency policy and plan availability.
• 1099 Fee-for-Service Employees:
  Not eligible for company-sponsored benefits and are responsible for their own taxes, insurance, and benefits.

ANTICIPATED TRAVEL: N/A

SUMMARY OF POSITION RESPONSIBILITIES 

Freedom Healthcare LLC dba Community Wellness Outpatient Mental Health Center is seeking a Licensed Marriage and Family Therapist to provide outpatient mental health services on a fee-for-service basis. The therapist will provide individual, couples, family, and group therapy services to children, adolescents, adults, couples, and families experiencing emotional, behavioral, relational, and mental health concerns.

The Licensed Marriage and Family Therapist will be responsible for completing clinical assessments, treatment plans, therapy sessions, progress notes, family-based interventions, crisis support within outpatient scope, and care coordination. The role may include maintaining an ongoing caseload and supporting clients through evidence-based and family-systems-informed treatment.

This position is ideal for a clinician who is comfortable working independently, managing a flexible caseload, and delivering high-quality outpatient therapy services in a community mental health setting.

SCHEDULED  DUTIES AND RESPONSIBILITIES

Clinical Assessment and Intake Services

The Licensed Marriage and Family Therapist may be responsible for:

• Conducting initial clinical assessments and biopsychosocial evaluations.
• Gathering client, family, relationship, behavioral, trauma, developmental, and mental health history.
• Identifying presenting problems, family dynamics, relationship stressors, symptoms, strengths, risks, and treatment needs.
• Completing diagnostic impressions within scope of practice.
• Assessing for safety concerns, including suicidal ideation, homicidal ideation, abuse, neglect, domestic violence, substance use concerns, and other risk factors.
• Making appropriate recommendations for therapy, psychiatric evaluation, case management, higher level of care, community resources, or additional clinical services.
• Updating assessments as clinically needed.

Individual Therapy

The therapist may provide individual therapy to clients presenting with concerns such as:

• Depression.
• Anxiety.
• Trauma-related symptoms.
• Grief and loss.
• Behavioral concerns.
• Stress management.
• Adjustment difficulties.
• Mood instability.
• Relationship problems.
• Self-esteem issues.
• Parenting stress.
• Family conflict.
• School, work, or social difficulties.
• Emotional regulation concerns.
• Life transitions.
• Anger management.
• Co-occurring family and relational stressors.

Couples and Relationship Therapy

The Licensed Marriage and Family Therapist may provide therapy services for couples and partners, including support with:

• Communication difficulties.
• Conflict resolution.
• Trust and intimacy concerns.
• Relationship transitions.
• Separation, divorce, or co-parenting issues.
• Parenting disagreements.
• Blended family concerns.
• Family-of-origin stressors.
• Emotional disconnection.
• Relational patterns impacting mental health.
• Premarital or commitment-related concerns, when appropriate.
• Relationship repair and stabilization.

Family Therapy

The therapist will use family-systems-informed approaches to help families address:

• Parent-child conflict.
• Sibling conflict.
• Behavioral problems in children or adolescents.
• Communication breakdowns.
• Family transitions.
• Co-parenting concerns.
• Blended family adjustment.
• Trauma impact on family functioning.
• Caregiver stress.
• School and home behavioral issues.
• Family roles, boundaries, and patterns.
• Support for families managing mental health diagnoses.
• Reunification or family stabilization goals, when clinically appropriate.

Group Therapy, If Applicable

The therapist may facilitate or co-facilitate groups based on agency needs, including:

• Parenting groups.
• Anger management groups.
• Coping skills groups.
• Family support groups.
• Relationship skills groups.
• Trauma-informed groups.
• Emotional regulation groups.
• Adolescent or adult therapy groups.
• Psychoeducation groups.

Treatment Planning

The therapist will be responsible for:

• Developing individualized treatment plans.
• Establishing measurable goals and objectives.
• Reviewing and updating treatment plans according to agency and payor requirements.
• Ensuring treatment plans reflect client needs, diagnosis, strengths, barriers, and clinical interventions.
• Incorporating family, caregiver, or partner involvement when appropriate and authorized.
• Documenting progress toward treatment goals.

Clinical Documentation

The therapist must complete accurate, timely, and compliant documentation, including:

• Intake assessments.
• Diagnostic assessments.
• Treatment plans.
• Progress notes.
• Family therapy notes.
• Couples therapy notes.
• Group therapy notes, if applicable.
• Risk assessments.
• Crisis intervention documentation.
• Discharge summaries.
• Coordination of care notes.
• Authorization-related documentation, if required.

Any other required documentation under agency, licensing, Medicaid, commercial insurance, or regulatory standards.

Crisis Support Within Outpatient Scope

The therapist may provide appropriate outpatient-level crisis support, including:

• Assessing client safety during sessions.
• Creating and updating safety plans.
• Consulting with clinical leadership when risk concerns arise.
• Making mandated reports when required.
• Referring to emergency services, crisis response, mobile crisis, inpatient care, or higher levels of care when clinically necessary.
• Documenting all risk-related interventions and referrals.

Care Coordination and Collaboration

The therapist may coordinate with:

• Clients and families.
• Parents, guardians, spouses, or partners when authorized.
• Psychiatrists and psychiatric nurse practitioners.
• Primary care providers.
• Schools.
• Case managers.
• Social workers.
• Hospitals or crisis teams.
• Child welfare or court-related systems when authorized or legally required.
• Internal administrative and clinical leadership.
• Other outpatient mental health providers.

Services the Licensed Marriage and Family Therapist May Provide

The therapist may provide services within their license, training, and scope of practice, including but not limited to:

• Individual therapy.
• Couples therapy.
• Family therapy.
• Group therapy.
• Diagnostic assessments.
• Biopsychosocial assessments.
• Treatment planning.
• Treatment plan reviews.
• Crisis intervention within outpatient scope.
• Safety planning.
• Parenting support.
• Psychoeducation.
• Relationship counseling.
• Family systems interventions.
• Trauma-informed therapy.
• Behavioral interventions.
• Discharge planning.
• Care coordination.
• Case consultation.
• Clinical documentation.
• Referrals for psychiatric evaluation, psychological testing, substance use treatment, or higher levels of care when clinically indicated.

Reporting Relationship

The Licensed Marriage and Family Therapist will be placed through Enterprise Management Solutions LLC and will provide services for Freedom Healthcare LLC dba Community Wellness Outpatient Mental Health Center. The therapist may coordinate with the clinical director, administrative staff, credentialing staff, billing staff, and other clinical team members as needed.

Compliance Expectations

The therapist must comply with:

• Applicable state licensing board requirements.
• HIPAA and confidentiality rules.
• Professional ethics for marriage and family therapists.
• Agency documentation policies.
• Medicaid and commercial insurance documentation requirements, if applicable.
• Mandated reporting laws.
• Informed consent requirements.
• Client rights and privacy protections.
• Scope-of-practice requirements.
• Timely completion of documentation.
• Professional conduct and boundaries.

PHYSICAL DEMANDS: 

• Prolonged periods of sitting, using a computer, reviewing clinical documentation, preparing psychological evaluation reports, and completing electronic health record entries.
• Frequent use of standard office and clinical equipment, including computers, telephones, testing materials, scoring tools, and secure documentation systems.
• Ability to communicate verbally and in writing with clients, families, clinical team members, administrative staff, and supervisors.
• May require occasional standing, walking, reaching, bending, or carrying testing materials, files, or office supplies.
• Must be able to maintain attention to detail during clinical interviews, psychological testing, scoring, report writing, and feedback sessions.

WORK CONDITIONS

• Outpatient mental health center setting with services provided through Community Wellness Outpatient Mental Health Center, operated by Freedom Healthcare LLC, with staffing placement coordinated through Enterprise Management Solutions LLC.
• Work may include in-person clinical services, psychological testing appointments, feedback sessions, documentation, report writing, care coordination, and administrative communication.
• The provider may work independently on a fee-for-service basis while coordinating with clinical leadership, supervisors, administrative staff, credentialing staff, billing staff, and other clinical team members.
• Work may involve interaction with clients experiencing mental health symptoms, emotional distress, behavioral concerns, trauma histories, family concerns, or complex clinical presentations.
• The role requires compliance with HIPAA, confidentiality standards, agency documentation policies, licensing board requirements, informed consent requirements, and professional ethical standards.
• Scheduling may vary based on provider availability, client need, testing referrals, office workflow, and agency requirements.

COMPETENCIES AND SKILLS

The ideal provider should demonstrate:

• Strong clinical judgment.
• Excellent communication skills.
• Ability to engage individuals, couples, and families.
• Ability to manage conflict in family or couples sessions.
• Strong documentation and time-management skills.
• Knowledge of diagnosis and treatment planning.
• Ability to work with diverse populations.
• Cultural humility and sensitivity.
• Trauma-informed approach to care.
• Ethical decision-making.
• Professional boundaries.
• Reliability and responsiveness.
• Ability to manage a caseload independently.
• Ability to follow agency policies and documentation timelines.
• Understanding of HIPAA, confidentiality, informed consent, mandated reporting, and professional ethics.

LEVEL OF EDUCATION / TRAINING / QUALIFICATIONS

Minimum Qualifications

Applicants must have:

• Active and unrestricted license as a Marriage and Family Therapist in the applicable state of practice.
• Master’s degree or higher in marriage and family therapy, counseling, psychology, social work, or a related behavioral health field accepted for LMFT licensure.
• Ability to provide outpatient mental health therapy within scope of licensure.
• Experience working with individuals, couples, families, children, adolescents, or adults.
• Knowledge of family systems, relational therapy, trauma-informed care, and behavioral health treatment planning.
• Ability to complete timely and compliant clinical documentation.
• Ability to work independently on a fee-for-service basis.
• Professional liability insurance, if working as an independent contractor.
• Ability to meet credentialing, onboarding, background check, and payer enrollment requirements, if applicable.

Preferred Qualifications

Preferred candidates will have experience with:

• Outpatient mental health centers.
• Community mental health settings.
• Medicaid and commercial insurance documentation standards.
• Children, adolescents, adults, couples, and families.
• Trauma-informed therapy.
• Family systems therapy.
• Parenting support and parent-child conflict.
• Couples and relationship counseling.
• Crisis assessment and safety planning.
• Electronic health record systems.
• Coordinating care with schools, psychiatric providers, primary care providers, and community agencies.

Education

• Master’s degree or higher in marriage and family therapy, counseling, psychology, social work, or a related behavioral health field accepted for LMFT licensure.

Licenses/Certifications

• Active and unrestricted license as a Marriage and Family Therapist in the applicable state of practice.
• Professional liability insurance, if working as an independent contractor.