Virtual Licensed Therapist - Foster Care (Missouri)

Job Description

Virtual Licensed Therapist – Foster-Impacted Youth and Families (Medicaid- Missouri)

Reports To: Clinical Supervisor, Here Now Health

Employment Type: Part-Time (Minimum 15 hours per week; potential to expand to full-time)About Here Now Health

Here Now Health is the first virtual behavioral health company built exclusively for children and families impacted by the child welfare system. We serve Medicaid members eligible due to their foster status, often including children in foster care, adopted youth, young adults aging out, and those in family preservation or juvenile justice.

Our care model delivers trauma-informed, high-touch mental health services that prioritize consistency, trust, and accessibility in systems where those qualities are too often missing.

Our mission is to make consistent, early, and preventative care the standard for youth and young adults currently or formerly involved in child welfare—reducing crisis escalations, improving family stability, and creating measurable value for states and Medicaid partners. You will have the opportunity to collaborate with a passionate team founded on both lived and professional expertise.Role Summary

As a Virtual Licensed Therapist with Here Now Health, you will provide compassionate, trauma-informed mental health care to Medicaid-covered youth and families impacted by foster care and related systems. You will support clients navigating instability, system involvement, and complex trauma, often across multiple placements.

Our care model centers relational continuity, caregiver support, and evidence-informed clinical practice. You will join a collaborative, mission-driven team focused on transforming how care is delivered to system-impacted youth.Key Responsibilities

Provide virtual one-on-one therapy to youth and caregivers using evidence-informed, trauma-focused modalities

Conduct clinical assessments and create collaborative, measurement-based care plans

Build relational continuity across transitions, serving clients through placement or life changes

Collaborate with non-clinical care advocates to ensure clients can access needed services

Offer caregiver support sessions to improve family stability and outcomes

Maintain thorough and timely clinical documentation aligned with Medicaid and telehealth standards

Attend weekly supervision, team meetings, and ongoing training sessions

Provide support during moments of escalation or crisis in alignment with trauma-informed care practices

Engage in peer consultation and cross-functional collaboration with other clinicians and care team membersWhat Sets This Role Apart

Manage a low caseload designed to prioritize depth, trust, and engagement

Serve youth often excluded from traditional care models, including those without consistent caregivers or stable placements

Work in an environment where lived experience in foster care, kinship care, or system involvement is valued and welcomed

Contribute to an integrated care model that connects behavioral health with care coordination, healthcare navigation, and advocacyWhat You Need

Master’s degree in social work, counseling, psychology, or marriage and family therapy

Active, unrestricted clinical license (LCSW, LMFT, LPC, or equivalent) in your state of residence and in VA or MO; multi-state licensure is a plus

Minimum of two years of experience providing mental health care to children, adolescents, or families

Experience with or strong interest in foster care, adoption, or juvenile justice systems

Familiarity with trauma-informed and culturally responsive care

Comfort working virtually and using telehealth platforms

Ability to build trust and consistency with youth navigating instability or mistrust

Must successfully complete background checks required by Medicaid and/or child welfare systems

Approval to provide Medicaid-covered services or prior experience billing Medicaid is strongly preferred

Bilingual in Spanish and English is strongly preferred; other languages are a plusLicenses

Willingness to obtain additional state licenses within Here Now Health’s service areas is an important part of this role. Here Now Health covers all associated licensing costs to support your professional growth and expand your impact across the families we serve.Work Environment, Hours, and Compensation

This role is fully remote and offers flexible scheduling, with required availability during after-school hours (after 3 PM Monday through Friday). Saturday availability is a plus. You must have access to a private, quiet workspace with reliable high-speed internet.

The position may start as either a part-time W-2 employee or a 1099 independent contractor, based on therapist preference and licensure considerations. There is strong potential to grow into a full-time role as Here Now Health scales.Minimum Availability

Minimum of 15 hours per week, with required afternoon, evening/weekend availability

Compensation Options

W-2 Hourly Employee

$40 to $55 per hour based on years fully licensed and relevant expertise

Guaranteed same rate of pay for all hours worked, including administrative, training, and clinical time

Eligible for future benefits as the role expands

OR

1099 Contractor

$65 to $85 per clinical hour based on years fully licensed and relevant expertise

$30 per hour for administrative work, meetings, and no-show appointments

Pay based on documented clinical hours and approved administrative time

Language Incentive

Additional pay consideration is provided for Spanish-speaking or multilingual clinicians.

We’d Especially Love to Hear From You If

You have lived experience in the foster system or as a system-impacted parent or caregiver

You thrive in a mission-driven, startup-style environment

You are passionate about building equitable systems of care for children and families who have been overlooked

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Part-time

Fully remote