Bilingual Independent Mental Health Therapist- Texas, Remote

The Ascend Story 

Founded to transform mental health care access, Ascend Healthcare delivers integrated psychiatric and behavioral health solutions with a commitment to equity, compassion, and operational excellence. We partner directly with health centers to build fully integrated, sustainable behavioral health programs—bringing deep clinical expertise, operational support, and long-term stability. 

Our work environment fosters: 

• Collaboration and teamwork 
• Patient-First Mindset 
• Work from home opportunities 
• Career Growth and Professional Development Training 

Why Ascend? 

You’ll be joining a team delivering innovative, compassionate care to communities that need it most. At Ascend, your work drives real impact—and your career grows alongside it. We believe in a “no wrong door” treatment model that finds ways to say “yes” to any patient referral rather than a multitude of exclusionary criteria found elsewhere. 

Position Summary:

We are looking for a Bilingual Licensed Therapist or Counselor (LPC, LCSW, LMFT) to provide counseling and therapy treatment to our patients. Services will be provided remotely, through telemedicine, to patients of our Community Health Center partners. We are a "say yes" first clinical provider and look to treat patients where they are and guide them along their journey to recovery and stabilization.

*Clinician must be active or willing to obtain a license in Arizona, Oregon, or Washington in addition to holding an active license in state of primary residence

*Clinician must be bilingual (English/ Spanish)

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Key Areas of Ownership:

• Provides patient care modalities of evidence-based practices to best meet the clinical needs of the patients. Examples include; CBT, DBT, Solution-Focused Therapy, Psychoeducation (Symptom Recognition), Trauma Therapy, Addiction Therapy, Acceptance and Commitment Therapy, Bereavement/Grief Counseling, etc.
• These specific treatment modalities will be implemented in both the individual and group therapy setting, with a focus of engaging patients in their treatment plan.
• Review and signature of patient clinical Psychosocial assessment, diagnosis, treatment plan, and consents as needed for the patient in a timely manner. Maintenance of the clinic record, including documentation of activities performed as part of the service delivery process.
• Documents all services and patient activities appropriately. Ensures documentation complies with best clinical practices, contracts, regulatory and other legal
• Conducts crisis intervention for the individual and family based on the individual’s safety plan.
• Participate in regular case planning with the involved Multidisciplinary Team as new information is gathered to ensure the most clinically appropriate patient disposition.
• Participate in individual and group supervision as required. Participate in ongoing education, including in-services, training, and other activities to maintain and improve competency. Demonstrate competency through post-testing, skill observation, and performance as assessed by direct supervisor
• Provides case management services to promote recovery and community reintegration as needed.
• Performs other duties as assigned

Qualifications:  

• Active, unrestricted mental health license in state of primary residence and state of medical services being provided 
• Comfortable working in a remote environment 
• Bilingual English/Spanish (Required) 
• Patient-first mindset 

Physical Requirements: This is a fully remote position but may require in-person attendance as company needs arise. Please be aware the below physical requirements should be considered prior to applying to the position: 

• Prolonged Sitting: Ability to sit for extended periods during working hours. 
• Manual Dexterity: Good hand-eye coordination and manual dexterity for using a computer keyboard, mouse, and other office equipment. 
• Visual Requirements: Adequate vision for reading computer screens and documents. 
• Communication: Clear verbal and written communication skills for virtual meetings and correspondence. 
• Hearing: Sufficient hearing ability for participating in phone calls or virtual meetings. 
• Work Environment: Access to a quiet, dedicated workspace free from distractions with reliable internet connectivity.  

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• 401(k)
• 401(k) matching
• Dental Insurance
• 5, 8-hour or 4, 10-hour shifts
• Health insurance
• Life insurance
• Paid time off
• Professional development assistance
• Vision insurance