On- Call Therapist
- Driver's license
How this pay compares
This posting states $40 an hour. Open mental health therapist jobs in Montana post a median of $50.75 an hour, the middle half $38.50–$56.50, across 8 jobs that state their pay, so this one is within the middle half of what they post. Mental health therapists employed in Montana earn a median of $28.36 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 Montana: pay by town and employer
The Mental Health & Social Work job market: pay, applicant demand and hiring, researched nightly
Mental health and social work jobs in our research
- How long these jobs stay listed: Still listed at 7 days 76.6%
- Applicant demand per open job on this site (1.00x is the average job): Index 0.61x · Clicks 32
- How often these jobs state their pay: Jobs stating any pay 59.0% · Stating an hourly rate 43.4%
From every open job we read and every apply click on this site, as of 5 Nov 2026. Every figure for Mental health and social work jobs
About the job
On-Call/Non-Exempt/Helena - Crisis
10:00 PM - 8:00 AM
Therapist (LCPC or LCSW)
Position Overview: Performs professional counseling work with behaviorally and emotionally disturbed individuals experiencing a behavioral health crisis in a crisis facility setting. Provides crisis assessment, intervention, safety planning, and disposition within a 24/7 crisis facility. Works collaboratively with MRWH team members, medical staff, law enforcement, and community partners to stabilize clients and transition to the least restrictive level of care. Has the ability to work rapidly with limited information and expertise in crisis de-escalation, safety planning and discharge processes.
Job Duties
- Clinically responsible for the delivery of evaluative, diagnostic and treatment services to clients.
- Conduct suicide risk evaluations using validated tools (e.g. C-SSRS or other designated MRWH screenings).
- Completes diagnostic screenings, care plans, and clinical documentation no later than 2 hours following discharge.
- Provides brief therapeutic interventions (CBT, DBT skills, motivational interviewing) utilizing trauma-informed de-escalation or other evidence-based practices.
- Supports coordination of warm hand-offs to other MRWH services, hospital, residential, outpatient, and/or community services to include all required discharge documentation for billing and follow-up care.
- Maintains complete clinical records on all clients in accordance with Many Rivers policy.
- May perform operation or facility tasks as needed (i.e. – laundry, dishes, vacuuming) for upkeep of facility.
- Must complete and pass medication training test within initial probation period.
- Provides consultation with other staff members as requested and participates in staffing of cases.
- Provides consultation and education services to individuals, agencies, institutions, and groups assigned.
- Perform emergency services both during and after normal work shift including holidays.
- Participate in in-service training, attend outpatient staff meetings, employee meetings as directed by immediate supervisor.
- May assist with developing contractual service agreements with other agencies.
- Required to complete hours for CEUs annually to maintain licensure and that of crisis programming.
Minimum Qualifications
- Graduation from a college or university with a master’s degree in counseling and Montana licensure as a LCSW or LCPC is required or a PIT SWLC or PCLC.
- Two to four or more years’ experience in psychiatric social work or equivalent.
- Crisis experience is preferred.
- Must have a MT valid driver’s license, personal vehicle and valid vehicle insurance as travel is required. May transport clients.
On-Call Differentials
Weekday Overnights (10:00PM-8:00AM): $125.00/day and $40.00/hour if called into work
Weekends (Friday 10:00PM-Monday 8:00AM) $125.00/day and $40.00/hour if called into work
Holidays (12:00AM-11:59PM) $150.00/day and $60.00/hour if called into work
Christmas & Thanksgiving (12:00AM-11:59 PM) $200.00/day and $60.00/hour if called into work
About Us
Since 1976, we have been dedicated to 13 counties in Montana and seek to serve a variety of both individuals and groups in all settings. We define resilience as the process of adapting well in the face of adversity, trauma, tragedy, threats or significant sources of stress - such as family and relationship problems, serious health problems, or workplace, school place and financial stressors - alongside those of chronic, severe disabling behavioral health conditions. with an integrated team of specialists and a personal approach to wellness. Today, we are focused on becoming Montana's healthcare provider of choice.
We are committed to recruiting qualified employees, continually striving for advancement, and above all, working as a team to meet the health needs of clients living in our 13 counties. Our vision is to be the healthcare provider of choice for clients and employer of choice for employees and providers. We will achieve this vision by committing to a culture of integrity, safety, evidence based exceptional care, compassionate customer service, and great work environment.
Our Mission:
The Center for Mental Health partners with people and communities to serve the whole person body, mind, spirit by providing wellness expertise in mental health and substance abuse services.
Our Values:
Ambassador of the Center, Own it, Individuals Matter, Create Joy, Embrace Change, Show Up. Step In.
About Helena:
Helena is the capital of Montana, and a great base for adventure. There are 75 miles of trails that start in Helena for biking and hiking. Two stunning National Parks are close enough for a day trip. Closer to home, Helena is a fisherman’s dream come true as you’re based near the Missouri, Blackfoot, and Clark Fork Rivers as well as many smaller streams and tributaries. Helena offers something for those more inclined to city pleasures, too. The city features a wealth of museums, theatre, live music, food, shopping, and more. Kids of all ages can enjoy the city’s many parks, water parks, skate parks, indoor rock climbing, ice rink, and so much more.
EQUAL OPPORTUNITY EMPLOYER:
Many Rivers Whole Health is an Equal Opportunity Employer (EOE/AA/M-F/Vet/Disability). We encourage all qualified individuals to apply for employment. We do not discriminate against any applicant or employee based on protected veteran status, race, color, gender, sexual orientation, religion, national origin, age, disability, or any other basis protected by applicable law.
From Center for Mental Health'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 Center for Mental Health
Center for Mental Health hires mental health staff, nurses and front-office staff in Great Falls and Helena in Montana.
Hires in MontanaPay on its listings: 61.5% of its open jobs state an hourly rate
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