Clinical Therapist - Outpatient
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How this pay compares
This posting does not state an hourly rate. Open mental health therapist jobs in Iowa post a median of $21.50 an hour, the middle half $21.25–$56.50, across 12 jobs that state their pay. Mental health therapists employed in Iowa earn a median of $29.27 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).
Mental health therapists in Iowa: pay by town and employer
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About the job
Clinical Therapist – Outpatient
Thrive Now Recovery Centers
Des Moines, Iowa
Full-Time | Outpatient
Anticipated Opening: Late 2026
Join Thrive Now
Thrive Now Recovery Centers is preparing to open a new outpatient substance use disorder and behavioral health program in Des Moines in late 2026.
We are seeking a compassionate, skilled Clinical Therapist to join our opening team and provide individual, group, and family therapy to patients receiving outpatient treatment.
This role is ideal for a therapist who enjoys building strong relationships with patients, collaborating with an interdisciplinary team, and helping shape a new outpatient program from the ground up.
Because outpatient programming often includes evening groups and expanded scheduling as the program grows, this position requires flexibility and a willingness to work some evenings and occasional weekends based on patient and program needs .
About Thrive Now
Thrive Now Recovery Centers provides compassionate, evidence-based care to individuals affected by substance use disorders and co-occurring behavioral health needs.
Our approach is patient-centered, recovery-focused, and built around individualized treatment, strong clinical relationships, accountability, and collaboration across disciplines.
What You’ll Do
- Provide individual, group, and family therapy to patients receiving outpatient substance use disorder and behavioral health treatment.
- Complete comprehensive clinical assessments and contribute to appropriate level-of-care recommendations.
- Develop individualized treatment plans in collaboration with patients and the interdisciplinary treatment team.
- Facilitate evidence-based and recovery-focused therapy groups.
- Provide treatment for substance use disorders and co-occurring mental health conditions within scope of practice.
- Monitor patient progress and adjust treatment goals and interventions as clinically appropriate.
- Complete timely, accurate, and thorough clinical documentation in the electronic health record.
- Document services in a manner that supports clinical quality, continuity of care, medical necessity, and payer requirements.
- Participate in multidisciplinary treatment team meetings, case consultations, and care coordination.
- Collaborate with Nurse Practitioners, care coordinators, case managers, peer recovery professionals, and other members of the treatment team.
- Assist patients with relapse-prevention planning, coping skills, recovery support, and transition planning.
- Identify changes in patient condition, safety concerns, relapse risk, or higher-level-of-care needs and communicate concerns promptly.
- Complete appropriate risk assessments and safety planning when clinically indicated.
- Coordinate with community providers, families, referral sources, and other supports when appropriate and authorized by the patient.
- Maintain professional boundaries and uphold ethical clinical practice.
- Participate in clinical supervision, training, quality improvement, and professional development activities.
- Maintain patient confidentiality in accordance with HIPAA, 42 CFR Part 2, and company policy.
- Help build and strengthen Thrive Now’s outpatient clinical programming as the Des Moines program grows.
- Maintain scheduling flexibility to support evening groups, expanded outpatient programming, and occasional weekend services as program needs develop.
Who You Are
You are a therapist who believes strong clinical relationships can change lives.
You are comfortable working with patients experiencing substance use disorders, mental health concerns, relapse, trauma, and complex life circumstances. You are compassionate while also maintaining structure, accountability, and healthy professional boundaries.
You are collaborative, dependable, and comfortable working in a growing environment where schedules and programming may evolve as the patient population grows.
Qualifications
- Master’s degree in Social Work, Counseling, Marriage and Family Therapy, Psychology, or a related behavioral health field required.
- Current Iowa behavioral health license or ability to obtain Iowa licensure prior to start required.
- LISW, LMSW, LMHC, LMFT, or other applicable Iowa clinical credential considered based on qualifications and scope of practice.
- Experience providing therapy in behavioral health, substance use disorder treatment, or a related clinical setting preferred.
- Experience facilitating therapy groups strongly preferred.
- Experience treating substance use disorders and co-occurring mental health conditions preferred.
- Knowledge of evidence-based treatment approaches and trauma-informed care.
- Familiarity with ASAM criteria and substance use disorder levels of care preferred.
- Strong clinical assessment, treatment-planning, and documentation skills.
- Strong interpersonal, communication, and teamwork skills.
- Ability to maintain required licensure, continuing education, and professional credentials.
- Ability and willingness to work a flexible schedule, including some evenings and occasional weekends, as outpatient programming and group schedules grow.
Why Join Thrive Now?
This is an opportunity to join a new outpatient program from the beginning and help build a strong clinical culture in Des Moines.
You will have the opportunity to help shape programming, develop groups, collaborate closely with the clinical leadership team, and create an environment where patients feel supported, challenged, and empowered in their recovery.
What We Offer
Thrive Now offers competitive compensation and a comprehensive benefits package, including:
- Medical, dental, and vision insurance
- Paid time off
- Paid holidays
- Life insurance options
- Professional development opportunities
- Opportunities for continued growth within an expanding behavioral health organization
Equal Employment Opportunity
Thrive Now Recovery Centers is an Equal Opportunity Employer. We provide equal employment opportunities without regard to race, color, religion, sex, pregnancy, national origin, age, disability, genetic information, veteran status, sexual orientation, gender identity, or any other status protected by applicable federal, state, or local law.
From Ascension Recovery Services's job posting, checked 5 Nov 2026. The employer's own page is the final word on requirements and availability.
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About Ascension Recovery Services
Ascension Recovery Services hires mental health staff, nurses and advanced practice providers in Iowa, Indiana, West Virginia, Oklahoma and New Hampshire.
Hires in Iowa, Indiana, West Virginia, Oklahoma, New HampshirePay on its listings: 22.7% of its open jobs state an hourly rate
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