Demo

Residential Crisis LMHP/LMHP-R

TANDEM COUNSELING & CONSULTING LLC
Bedford, VA Full Time
POSTED ON 5/31/2026
AVAILABLE BEFORE 7/31/2026

About the Role

As our Licensed Mental Health Professional, you’ll provide clinical leadership and hands-on therapeutic care in a DBHDS-licensed Residential Crisis Stabilization Unit (RCSU) serving adults experiencing acute behavioral health crises. This is a 12 bed male/female facility. This is a role for a clinician who is equally comfortable across the desk from a client in distress and across the table from a treatment team that looks to them for direction.

You’ll co-own the clinical picture from admission to discharge with the Nursing Supervisor as your counterpart. You will be conducting assessments, building individualized service plans, facilitating or Co-facilitating therapy, guiding unlicensed staff, and making sure every service we provide is trauma-informed, recovery-oriented, and fully compliant with Virginia Medicaid and DBHDS standards. 

 

Why You’ll Want This Job

  • Real impact, every shift. You’ll see the difference your work makes, not in a quarterly report, but in the person who walks out stabilized and connected to ongoing care.
  • Clinical autonomy with support. You’ll be the non-medical clinical lead on shift, trusted to make the call, backed by an interdisciplinary team and a Clinical Director who has your back.
  • Growth that’s built in. LMHP-R? We support clinicians working toward full licensure. Looking to lead? Supervisory experience is valued and developed here.
  • A team that shows up. You’ll work alongside peer recovery specialists, QMHPs, case managers, and medical staff who pull in the same direction.
  • Clinical Care & Crisis Intervention

  • Conduct crisis assessments at admission to determine level of care, diagnoses, and individualized needs.
  • Facilitate crisis intervention services, including de-escalation and risk/safety assessments (e.g., suicide risk, aggression).
  • Deliver individual, group, and family therapy focused on stabilization, coping skills, and crisis resolution.
  • Serve as the non-medical clinical lead on shift and on call — reviewing client status and addressing urgent concerns as they arise.
  • Treatment Planning & Care Coordination

  • Develop and oversee Treatment Plans / Individualized Service Plans (ISPs) within required timelines and in line with DMAS/DBHDS standards.
  • Complete  Initial and Continued Stay Authorization requests and provide additional documentation as requested.
  • Collaborate with medical staff, peer recovery specialists, case managers, and other interdisciplinary team members.
  • Participate in team meetings and contribute to ongoing treatment planning and discharge readiness reviews.
  • Coordinate discharge planning with outpatient providers, case managers, family, and other supports to ensure continuity of care.
  • Clinical Oversight & Supervision

  • Provide clinical oversight of care delivered by QMHPs and other unlicensed staff.
  • Supervise, coach, and support designated staff and residents under your care.
  • Ensure services remain trauma-informed, recovery-oriented, and person-centered at every step.
  • Documentation & Compliance

  • Maintain accurate, timely documentation assessments, progress notes,  and ISP updates
  • Maintain compliance with DBHDS, the Office of Human Rights, OSHA, and all applicable federal, state, and local regulations.
  • Report incidents of low engagement, behavioral concerns, or suspected abuse/neglect to the appropriate personnel.
Qualifications:

What We’re Looking For

Required

  • Master’s degree in Social Work, Counseling, Psychology, or a related field.
  • License or license-eligible in Virginia (LMHP or LMHP-R). LCSW, LPC, LMFT, or Resident equivalent.
  • Minimum 1 year of experience in behavioral health or substance use disorder treatment.
  • Working knowledge of Virginia Medicaid guidelines, DBHDS regulations, and clinical documentation standards.
  • Current CPR, First Aid, and Behavior Modification certifications (or willingness to obtain).
  • Valid Virginia driver’s license with a current, acceptable DMV driving record.

Strongly Preferred

  • Full licensure (LCSW, LPC, LMFT, or equivalent).
  • Supervisory or team-lead experience.
  • Experience in crisis stabilization, residential, or acute behavioral health settings.

The Skills That Make You Thrive Here

  • Calm under pressure, you can de-escalate a tense situation and think clearly while you do it.
  • Sharp clinical judgment in assessment, treatment planning, and documentation.
  • A natural leader who can supervise, coach, and motivate a team.
  • Organized and detail-driven, able to multitask without dropping the ball on documentation.
  • Strong, clear communicator who handles confidential information with discretion.
  • Comfortable with Microsoft Office, Google Workspace, and standard email/fax systems.

 

Benefits:

  • 2 weeks PTO
  • 2 Paid mental Health Days
  • 7 Paid Holidays
  • Free Licensure Supervision
  • Free CEUs (unlimited)
  • Annual License Renewal Reimbursement
  • Opportunities for Advancement
  • Health Insurance
  • Retirement Plan

Pay:

$60k-$80k Depending on Licensure Level and Experience

Sign-On Bonus May be negotiated

 

Salary : $60,000 - $80,000

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