Alcohol and drug counselor work from home jobs - 683 jobs

The Year for Growth, Opportunity and Flexibility Are you ready for a career change in 2021? At American Income Life, we are searching for ambitious individuals who are ready to build a successful career while also having a positive impact on the communities around them. American Income Life currently provide supplemental insurance coverage to labor unions, credit unions and associations in 49 states, the District of Columbia, Canada and New Zealand. Why We Stand Out American Income Life provides supplemental insurance coverage to labor unions, credit unions and associations in 49 states, the District of Columbia, Canada and New Zealand. Requirements: Excellent communication skills Basic computer knowledge Work ethics Outgoing, fun & energetic with an upbeat personality Time management skills Pass a criminal background check Job Benefits: Full Benefits Paid weekly ($70,000 - $75,000 1st year average) Bonuses Health Insurance Reimbursement Life Insurance Flexible Schedule Retirement Plan American Income Life has served working class families since 1951 with life, accident, and supplemental health products to help protect members of labor unions, credit unions, associations, and their families. AIL representatives develop long-term relationships with clients and meet them where they are most comfortable: their homes Powered by JazzHR

We are seeking experienced attorneys to support a global F500 automobile manufacturer company near Detroit. This role offers a fantastic opportunity to gain hands‑on experience for a highly well‑known and respected corporation. Responsibilities Support business leaders on cross‑border transactions, organizational changes, third‑party arrangements, and a variety of commercial agreements used across the region. Provide guidance on privacy, data governance, and information‑handling practices, including the review of internal and external notices, data‑related obligations, and incident‑response requirements. Partner with compliance and operational teams to navigate regulatory frameworks, assess legal risk, and ensure adherence to applicable regional laws, including those relating to consumer protections, competition, and product‑related requirements. Support the development and implementation of policies and procedures to ensure consistent, compliant, and efficient clinical operations. Minimum Qualifications Licensed attorney in good standing with 10+ years of experience and working knowledge of privacy and data protection requirements applicable in regional markets. Background in corporate and commercial law with experience supporting businesses operating across the Middle East and North Africa; experience in the GCC is highly valued. Strong negotiation, communication, and advisory skills, with the ability to manage diverse stakeholders and balance multiple priorities. Fluency in English and Arabic is strongly preferred. Compensation, Benefits & Location This role offers a range of competitive compensation starting at $200,000 and a highly competitive benefits package in the alternative legal services marketplace that includes health benefits, 401(k) and more. Axiomites also get access to professional development resources and learning and development programs. Axiomites predominantly work remotely, with the exception that some clients require on‑site presence. Axiom is the global leader in high‑caliber, on‑demand legal talent. Covering North America, the UK, Europe, and APAC, we enable legal departments to drive efficiency and growth and meet the demands of today's business landscape with best‑in‑breed alternative legal services. Axiom is a leader in diversity, inclusion, and social engagement. Diversity is core to our values and we are proud to be an equal opportunity employer. We are proud to be named a best place to work for LGBTQ+ Equality, earning top marks in the 2021 Corporate Equality Index for the second consecutive year. Axiom's legal department is Mansfield certified and is committed to considering at least 50 % diverse candidates for leadership roles and outside counsel representation. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Learn more about working at Axiom. Equal Opportunity Employer Axiom ensures equal employment opportunity in recruitment and employment, without discrimination or harassment on the basis of race, color, nationality, national or ethnic origin, religious creed or belief, political opinion, sex, gender reassignment, pregnancy or maternity, age, disability, alienage or citizenship status, marital (or civil or other partnership recognized by law) status, genetic predisposition or carrier status, sexual orientation, military service, or any other characteristic protected by applicable law. Axiom prohibits and will not tolerate any such discrimination or harassment. Accommodation for Individuals with Disabilities Upon request and consistent with applicable laws, Axiom will provide reasonable accommodations for individuals with disabilities who require an accommodation to participate in each stage of the recruitment process. To request an accommodation to complete the application form, please contact us at ********************* and include “Applicant Accommodation” in the subject line. Axiom respects your privacy. For an explanation of the kind of information we collect about you and how it is used, our full privacy notice is available at **************************************** Employment with Axiom may be contingent upon successful completion of a background check, providing proof of identity, and possessing the necessary legal authorization to work. By submitting an application, you acknowledge that all information contained therein, and provided at any part of the application process, is correct and accurate to the best of your knowledge. #J-18808-Ljbffr

Are you an excellent communicator that wants to help parents find quality childcare for their children? Are you someone that is passionate about building meaningful relationships? If so, 4C for Children may be the perfect place for you! As a specialist for the EFMP Respite Care Program, you will be responsible for administering the local respite care program, which helps to provide respite care to the Navy and Department of Air Force (DAF) eligible families who have a member with special needs. Your responsibilities include training care providers, coordinating services for eligible families, and ensuring compliance with program guidelines. We are looking for talented people with: Bachelor of Arts/Sciences in Special Education or Early Childhood Education, or equivalent Knowledge and experience working with children with special needs preferred Knowledge and understanding of diverse populations of families preferred Ability to communicate and build strong relationships Ability to work occasional nights and/or weekends, and travel to sites when necessary Experience working in Microsoft Word, Excel, and Teams Why consider 4C as part of your future? 4C for Children is a nonprofit agency that was created to help ensure that all children have quality early learning experiences. We are the largest local provider of training and technical assistance for childcare providers in the region. More than 100,000 children in our community are impacted every year through our delivery of support and resources to families and childcare providers. As a member of the 4C team, you will receive a competitive benefits package and enjoy a flexible, casual work environment at our Cincinnati location. Our standard work week is 37.5 hours, and we work from home on Mondays. During your first year at 4C, you will earn 16 days of PTO, 12 days of sick time, and enjoy 11 paid holidays. If this sounds like something you'd enjoy, then please apply today and let's start getting to know each other.

The Optum family of businesses, is seeking a Behavioral Health Case Manager to join our team in Missouri. As a member of the Optum Behavioral Care team, you'll be an integral part of our vision to make healthcare better for everyone. The Behavioral Health Case Manager will provide telephonic and in-person support for both direct referrals and data identified referrals. This requires clinical expertise and the ability to negotiate the complexities involved with special needs conditions such as substance use, suicidality/homicide, major depression, ADHD, eating disorders, and severe mental illness. This position may require minimal field work to meet with members at local facilities in the future. Primary Responsibilities: Facilitate member education and involvement of caregiver in the delivery of interventions Provide advocacy and support to member and family members, including caregiver support & appropriate referral to applicable / needed resources Ensure that members understand treatment options and are effectively linked to treatment resources Promote health, wellness and optimal psychosocial functioning for member (identify caregiver gaps, facilitate education and respite support) Consider the member's needs holistically to identify gaps in care requiring intervention Exhibit excellent customer service in engaging providers in collaborative planning Create and maintain appropriate clinical records Participate as directed in clinical rounds with other members of the team and other external health care management organizations / vendors, as applicable. Also participate in advancing the Quality Improvement Program Conduct condition specific research to meet member needs Maintain success stories which can be utilized to promote program Provide case management support for individuals who meet diagnostic requirements including engagement of member and/ or family making available support throughout the entire continuum of treatment Explanation of authorization process Complete discharge follow-up & if needed, discharge planning / support You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Master's degree in Psychology, Social Work, Counseling, or Marriage and Family Counseling or Licensed Ph.D. Active, unrestricted clinical license to practice independently without supervision in the state of Missouri 2+ years of post-licensure experience in a related mental health environment 1+ years of case management experience Proven intermediate level computer skills including proficiency with MS Office Suite Access to high-speed internet (Broadband Cable, DSL, Fiber) and a dedicated workspace at home Reside in Missouri Preferred Qualifications: Hospital experience including intakes, assessments, discharge planning, and/or case management Community mental health experience including case management Experience doing chart reviews Experience consulting with facility and/or hospital staff to coordinate treatment plans Dual diagnosis experience with mental health and substance abuse Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients Experience with government funded programs Explore opportunities at Optum Behavioral Care. We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

About the company Recover is working to make addiction treatment and mental healthcare more effective, accessible, and affordable. We work with governments to use medicine to improve outcomes for people who need care. Our program is an outpatient and intensive outpatient treatment program for people with substance use and mental challenges. We use a harm reduction approach to treatment, and are focused on serving marginalized and underserved communities. We are a small team growing quickly, and looking for people to grow with us. Our team includes people from Yale Law, UCLA School of Medicine, Harvard Medical School, and White House alums. The opportunity As a counselor for Recover, you'll work directly with patients to treat a variety of substance use disorders and co-occurring mental health conditions. The majority of your time will be spent providing counseling to patients in one-on-one, group, and family settings. You will be expected to develop relationships with your patients and help guide them through their recovery journey. You will also collaborate regularly with the rest of the treatment team, including the medical director, physicians, nurse practitioners, and case managers, to develop and implement comprehensive treatment plans for patients. This position is best suited for someone comfortable working independently, takes ownership of patient care, builds rapport, and works well in a collaborative team environment. This role is part-time contract employee. You will report to Recover's Clinical Supervisor. Salary is commensurate with experience and qualifications. Role is less than 30 hours/week across 5 days. Requirements Need to have: CAADC / LAADC certification valid in California from one of the three state-recognized certifying organizations OR be an AMF / ASW / APCC in need of supervised practice hours 2+ years of experience in mental health and/or substance use treatment Nice to have: Availability for Evening hours Experience treating addiction Lived experience with substance use Fluent in Spanish Benefits Training & Development Work From Home Salary Range: $45-75 per hour

JOB TITLE: CRISIS Mental Health Specialist III (QMHP) SUPERVISOR: Clinical Supervisor PAY GRADE: MHS IV - B12 ($73,900 - $111,600 annually) Exempt - Requires Doctorate or Licensure MHS III - B11 ($67,500 - $101,200 annually) Exempt - Masters Required MHS II - B09 ($56,700 - $82,700 annually) Hourly/ Non-Exempt - Must possess bachelors degree and be enrolled or willing to enroll in a Masters program within 4 months of hire. ( **Hourly Crisis staff receive a shift differential ranging from $1 to $2.50 for working nights and weekends ) *** $5,500 Hiring Bonus!! (2 year Commitment, Staggered-taxed Payout) Community Counseling Solutions provides a team-based Servant Leadership environment! Located in Eastern Oregon with year-round recreation based near the Columbia River and at the base of the Blue Mountains. Big city amenities in rural family-oriented communities. Apply Directly at ********************************** Our mission is to provide dynamic, progressive, and diverse supports to improve the well-being of our communities and we're looking for motivated employees to help us continue our vision! CCS has a benefit package including, but not limited to: Health, dental and vision insurance 6% initial 401K match Potential for tuition reimbursement Paid vacation tiers ranging from accrual of 1 day to 4 days per month (Annual rollover cap of 220 hours, additional hours can be paid out at 50% at the end of the fiscal year) 9 Paid holidays, Community service day Floating holiday & 2 mental health days provided after 1 year introduction Workplace Flexibility schedule options available (work from home hours vary by position & schedule) Exempt employees receive additional admin leave & work from home hours Relocation Benefit of up to $4,000 if moving over 100 miles, $ depending on distance. This is available to be included w/ job offer Student loan forgiveness (NHSC & Public Service) Paid licensure supervision. Employee Assistance, Wellness Benefits, Dependent Care & Long-Term Disability Insurance DESCRIPTION Provides culturally competent and appropriate behavioral health treatment to people served by Community Counseling Solutions. The position provides treatment in accordance with the Oregon Administrative Rules (OAR's) and the mission and values of CCS. This position provides prompt and thorough assessment, evaluation, and intervention via telephone or in person, and provides written and verbal communication where indicated. The position works closely with other involved community partners and is professional in all aspects of service delivery. Additionally, this position assists administration in meeting the behavioral health needs of the community. SUPERVISION Supervision Received This position is supervised by the Crisis Supervisor. Supervision Exercised This position does not supervise other employees. RESPONSIBILITIES Demonstrate ability to assimilate data from a wide range of observations and use various clinical techniques and skills in gathering the client's personal, family, medical, and psychiatric histories. Establish short-term goals with clients, provide follow-up services as needed, and make appropriate/expeditious referrals. Provide home visits and other outreach services to schools and other agencies/providers that are necessary and appropriate. Thoroughly screen referrals to assure proper utilization of Outpatient Services. Promptly and accurately complete clinical records and all collateral forms as necessary and required. Arrange for hospitalization of clients, either on a voluntary or involuntary basis, and thoroughly assess to assure that it is the least restrictive alternative. In facilitating a patient's admission, Crisis Worker must accurately assess for special needs and alert other staff and/or physician to the apparent needs of the patient. Crisis Worker will act expeditiously in assisting police and all community agencies, including hospital staff. Arrange emergency/temporary placement as appropriate. Will work as part of a mental health emergency response team and avail themselves to work various non-traditional work hours covering call-offs when feasible. Cooperate with all referral sources and will provide assistance, directions, and feedback as necessary and appropriate. Provide consultation services to hospital departments and other providers as necessary and appropriate. If varianced, provide clinical services to children, adults and families. This would include but is not limited to screening, assessment, individual and group therapy, consultation, and all other allowed clinical services. Actively participate in joint case planning and coordination with agency employees and relevant agency contractors. Act as a liaison between clients and other agencies. Act as a client advocate when appropriate. Actively participate in group and individual supervision sessions. Work with other staff and community representatives to initiate new programs, reviews, evaluates and revises existing programs as necessary. Perform joint case planning and coordination in areas of behavioral health with other community agencies including but not limited to: schools, group homes, police organizations, district attorney's offices, courts, community clinics and hospitals and other agencies in the Department of Human Services. Provide behavioral health and addiction education, prevention and information to various interest groups. Provide after hours emergency services on a 24 hour, rotating basis to adults. This includes telephone consultation and crisis intervention in the community. If varianced, provides same services to children. If varianced, initiate holds, provide civil commitment investigations, and work with the hospitals, case workers and the state and other individuals/agencies for all individuals in the civil commitment process. Complete all paperwork in a way that is professional, clinically sound and timely as prescribed by the OAR's and other pertinent guidelines. Required to ensure that all paperwork is present, and/or the client record is well maintained. Attend trainings, meetings, conferences, etc. as directed by administration and use the information gathered to benefit the agency and the customers. Assist other clinicians in the facilitation of groups as requested. If varianced, provide intensive children's treatment services. Utilize agency software/computer systems to prepare current client records of treatment and reports as necessary and required. Transports clients as required Administer forms for urinalysis testing (UA's), provide accurate information on the UA's to clients, in some cases observes the UA, and record all pertinent information. Must report all abuse to appropriate legal office, complete all necessary paperwork and investigations, and develop safety plans as required. Other responsibilities as assigned. Requirements QUALIFICATIONS Education and/or Experience MHS IV - Either a doctorate degree from an accredited college in social work, psychology or other human service-related field is required, or a master's degree with accompanying certification as an Licensed Professional Counselor (LPC), a Licensed Clinical Social Worker (LCSW), or a Licensed Marriage and Family Therapist (LMFT). MHS III - Requires a master's degree from an accredited college in social work, psychology or other human service related field. MHS II w/ Variance - Must possess bachelors degree and enrolled or willing to enroll in a Masters program within 4 months of hire. Certifications Must have or be able to obtain certification from the Department of Human Services as a Certified Mental Health Investigator. Must have or be able to obtain Certified Alcohol and Drug Counselor designation or Certified Gambling Addiction Counselor designation. Other Skills and Abilities Must possess, or have the ability to acquire, knowledge of symptoms and challenges faced by people with mental illness and addictions. Must have, or possess the ability to acquire, knowledge about relevant OAR's. Must have the ability to effectively communicate both verbally and in writing and have the ability to work independently and complete all designated tasks and/or assignments in a thorough and timely fashion. Understands the special needs of patients with co-occurring disorders (mental health and substance abuse), and utilizes appropriate assessment and intervention techniques. Must have skills to professionally work with the public and the ability to coordinate services across various agencies and community groups. Must be able to develop cooperative and respectful relationships with clients and their families. Must have knowledge, or the ability to acquire knowledge, about the recovery model. Must possess the ability to represent the interest of the customer and the agency in a favorable light in the community. Must have the ability to work well with teams and other groups of individuals. Must be computer literate and have the ability to type and utilize word processing and other software programs/systems. The position requires the handling of highly confidential information. Must adhere to rules and laws pertaining to client confidentiality. CRIMINAL BACKGROUND CHECKS Must pass all criminal history check requirements as required by ORS 181.536-181.537 and in accordance with OAR 410-007-0200 through 410-007-0380. In addition to a pre-employment background check, each employee, volunteer and contractor shall be checked on a monthly basis against the OIG and GSA exclusion lists, as well as other federal and state agency lists. If it is discovered that an employee, volunteer or contractor is excluded or sanctioned it will be the cause for immediate termination of employment, volunteering, or the termination of the contract. PERSONAL AUTO INSURANCE Must hold a valid driver's license as well as personal auto insurance for privately owned Vehicles utilized for CCS business such as client service purposes, travel between business offices and the community, to attend required meetings and trainings. Must show proof of $300,000 or more liability coverage for bodily injury and $100,000 or more in property damage, and maintain said level of coverage for the duration of employment at CCS. The employee's insurance is primary with CCS insurance being secondary. CCS reserves the right to deny any employee the use of a vehicle owned by CCS. PRE HIRE DRUG SCREEN REQUIRED PHYSICAL DEMANDS While performing the essential duties of this job, the employee is regularly required to use office automation including computer and phone systems that require find manipulation, grasping, typing and reaching. The employee is also regularly required to sit; talk and hear; use hands and fingers and handle, smell or feel. The employee is occasionally required to stand; walk; reach with hands and arms; stoop; kneel and/or squat when adjusting equipment or retrieving supplies. The employee may occasionally lift and/or move up to 30 pounds. Specific vision abilities required by this job include close vision, peripheral vision, distance vision and the ability to adjust focus. When serving in the on-call rotation, employee may be required to perform on less than optimal amounts of sleep. WORK ENVIRONMENT Work is performed in an office environment as well as in the community. The noise level in the office environment is usually moderate, but occasionally one may be exposed to loud noises. The noise in the community, including the homes of customers, is often difficult to predict. Some individuals in this position may be required to drive long distances routinely as a part of their regular job duties. Occasional out of area travel and overnight stays will be required for attendance at meetings and/trainings. However, the employee also will be required to work in the communities, homes and other living environments, of the clients we serve. Handicap access may not be available at all places where this position must go. There are some situations where this position may be required to respond to environments where a client is in crisis. The environments in these situations are difficult to predict and may be in uneven terrain. This position exposes the employee to the everyday risks or discomforts which require normal safety precautions typical of such places as an office. Community Counseling Solutions IS AN EQUAL OPPORTUNITY EMPLOYER MEMBER OF NATIONAL HEALTH SERVICES CORPORATION Salary Description $56,700-$111,600 hrly/slry, depending on education

Who is Navita Health? Navita Health is a next-generation behavioral health company committed to transforming the way people experience recovery from substance use disorder (SUD) and mental health challenges. Our name, meaning “new life,” is exactly what we aim to create for every person we serve. Through compassionate care, real-time access, and innovative technology, we deliver a personalized, holistic, and coordinated support system. Whether it's through assessments, peer-led services, outpatient care, or digital tools, Navita Health offers an integrated platform that simplifies the path to healing and empowers individuals to rebuild their lives with confidence. We don't just treat symptoms-we restore hope, build sustainable resilience, and help people embrace a healthier future. Position Summary: The Licensed Independent Chemical Dependency Counselor (LICDC) Assessor is an independent contractor position. The LICDC is responsible for conducting Biopsychosocial assessments and evaluations for individuals experiencing substance use disorders. This role involves utilizing clinical expertise to identify client needs, develop individualized treatment plans, and provide recommendations for appropriate care. The LICDC Assessor collaborates with a multidisciplinary team to ensure holistic, client-centered treatment approaches. Key Responsibilities: Clinical Assessment: Conduct in-depth clinical assessments to evaluate the nature and severity of substance use and co-occurring disorders. Utilize structured interviews, evidence-based tools, and collateral information to inform diagnosis and care planning. Diagnostic Evaluation: Apply current diagnostic criteria (e.g., DSM-5) to identify substance use disorders and co-occurring mental health conditions, ensuring clinical accuracy and compliance with professional standards. Treatment Planning: Develop individualized treatment plans based on assessment outcomes, client history, and presenting needs. Collaborate with internal and external providers to create integrated care strategies. During quarterly treatment plan reviews, 1:1 counseling, assess client progress and current clinical diagnosis to determine the appropriate point for initiating discharge planning. Identify and document readiness for discharge, anticipated supports, and continued care needs to ensure a smooth transition from services. Documentation and Compliance: Maintain timely, accurate, and confidential clinical documentation, including assessments, diagnostic impressions, treatment recommendations, and progress notes, in accordance with organizational, legal, and ethical guidelines. Report any necessary compliance concerns for all service lines to the Navita Quality department. Client Counseling and Engagement: Provide brief interventions, psychoeducation, and motivational support to clients and families during the assessment process. Support clients in understanding substance use, treatment options, and recovery pathways. Referral and Coordination: Provide referrals to appropriate services including medical care, mental health treatment, detoxification, peer support, and community-based resources. Communicate effectively with care teams to support continuity of care. Professional Development: Stay current on emerging trends, best practices, and regulatory changes in the fields of addiction counseling and behavioral health through ongoing education and training. Qualifications: Licensure: Active and unrestricted LICDC license (or equivalent) as required by state regulations, in OH. Education: A Master's degree or higher that meets the behavioral science degree requirements or Nursing from an accredited school or university. Master's degree in nursing, counseling, psychology, social work, or a related behavioral health field. Experience: Demonstrated experience in substance use assessment, diagnosis, and treatment planning preferred. Preference given to those clinicians with experience working with Peer Supporters and/or Supervisory credential to oversee Peer Supporters. Knowledge and Skills: Strong understanding of addiction, behavioral health disorders, and treatment modalities. Proficiency in clinical documentation and diagnostic assessment tools. Excellent interpersonal, verbal, and written communication skills. Ability to work collaboratively with multidisciplinary teams. Bilingual in Spanish a plus Working Conditions: Contractor position, remote, work from home. Must be located in Ohio. May require flexible scheduling to accommodate client needs, including occasional evenings or weekends.

Role: Certified Substance Abuse Counselor/Therapist FLSA: Full Time | Hourly | Non-Exempt Location: Remote in Virginia, specifically within the Hampton Roads area (Chesapeake, Norfolk, Virginia Beach, Portsmouth, Suffolk, Hampton, Newport News, Yorktown) Why Join Virtual Peace of Mind (VPM)? Transforming Access to Youth Mental Health through Virtual Care Virtual Peace of Mind (VPM) is a fast-growing, fully remote private mental health practice dedicated to providing compassionate, evidence-based care across multiple states. Our mission is to empower clinicians with the flexibility, resources, and support they need to deliver exceptional care - while advancing equitable mental health access for all. Role Overview: The Certified Substance Abuse Counselor (CSAC) Therapist is responsible for providing comprehensive assessment, counseling, and case management services to individuals struggling with substance use and co-occurring behavioral health disorders. This role involves developing individualized treatment plans, facilitating individual and group therapy sessions, and supporting clients through all phases of recovery. The CSAC Therapist collaborates closely with multidisciplinary teams, including medical and mental health professionals, to ensure coordinated and effective care. Additional responsibilities include maintaining accurate clinical documentation, monitoring client progress, and providing education on relapse prevention and coping strategies to promote sustained recovery and wellness. Ideal Candidate Profile: We are seeking compassionate, skilled clinicians who are: Deeply passionate about improving youth mental health outcomes Comfortable working in a virtual care environment Committed to collaboration, clinical excellence, and measurable results Key responsibilities include but limited to: Direct Client Care Deliver individual tele-therapy sessions for K-12 students referred by participating schools, specific with substance abuse. Utilize short-term, evidence-based modalities such as CBT, DBT, and solution-focused therapy Address a range of concerns including anxiety, grief, trauma, academic stress, and family or peer conflict Provide services to diverse student populations, including multilingual learners and those without insurance Collaboration & Communication Coordinate with school counselors, family resource managers, and administrative teams Engage in family outreach when appropriate to promote continuity of care Participate in case consultations, supervision, and ongoing professional development Maintain responsive and professional communication with both school and internal VPM partners Documentation & Compliance Complete all clinical documentation (intake, progress, and discharge notes) within 48 hours Ensure compliance with all licensure board requirements, HIPAA, FERPA, and program-specific standards Contribute to quarterly outcomes reporting through standardized metrics and case summaries Other duties as assigned. Qualifications & Preferred Experience: Licensure Active License by the Virginia Board of Counseling - CSAC Experience Minimum of 5 year's of clinical experience working with children, adolescents, or school-aged youth Prior experience in school-based therapy, community mental health, or tele-health required; specifically with those dealing with substance abuse. Completion of specific coursework or training hours in addiction studies. Skills & Competencies Proficiency in evidence-based interventions (CBT, DBT, solution-focused, narrative therapy) Strong time management, organization, and documentation skills Commitment to culturally responsive, strengths-based, and trauma-informed care Self-directed with strong virtual presence and professionalism in remote settings Compensation & Benefits: Compensation Salary Range: $62,000 - $80,000 FT; based on licensure, experience, and caseload Part-Time / Contract Roles available with prorated compensation Benefits: Retirement: 401(k) with up to 3% employer match Health: Individual Coverage HRA (ICHRA) stipend up to $300/month toward health insurance premiums Paid Time Off: 10 days of PTO annually 6 paid holidays 3 wellness/sick days per year What Makes VPM Different - Our Values! Mission-Driven Impact: Join a pioneering, VDOE-endorsed initiative transforming school-based mental health delivery across Virginia - ensuring access, equity, and positive outcomes for every student. Leadership & Growth: Contribute to shaping and scaling an innovative, state-supported care model. Licensed clinicians may take on leadership or consulting roles as the program expands. Flexible Remote Environment: Enjoy a fully remote, flexible work model that allows you to balance meaningful clinical work with personal well-being. Collaborative, Supportive Culture: Be part of a multidisciplinary, mission-driven team that values integrity, empathy, and shared learning. Professional Development: Access ongoing CEU opportunities, leadership training, and exposure to state and national initiatives advancing youth mental health. Equal Employment Opportunity (EEO) Statement: VPM is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive, equitable environment for all employees. Employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, national origin, age, disability, veteran status, or any other legally protected characteristic. ADA Accommodation Statement: VPM is committed to providing reasonable accommodations for qualified individuals with disabilities and applicants with disabilities. If you require an accommodation to complete the application process, participate in an interview, or perform essential job functions, please contact HR at ************************************* to request assistance. All accommodation requests are handled confidentially and in accordance with applicable law. If qualified for a role, our talent acquisition team will contact you. Please only reach out if accommodation with the application/interviewing process is required. Employment Eligibility & Compliance: All offers of employment are contingent upon the successful completion of a background check, verification of licensure (as applicable), and eligibility to work in the United States without company-sponsorship. VPM complies fully with all applicable federal, state, and local laws governing nondiscrimination, confidentiality, and data privacy, including HIPAA, FERPA, and state-specific clinical/employment regulations.

Telehealth Substance Use Disorder Counselor (Remote - New Mexico Licensed) Make a meaningful impact in recovery-without burning out. Affect is seeking compassionate, licensed Substance Use Disorder (SUD) Counselors in New Mexico to provide fully remote, evidence-based care to Members across the U.S. This role is ideal for clinicians who are passionate about recovery and are looking for a sustainable, flexible, and mission-driven telehealth environment. Important: This is a state-specific role. Applicants must hold an active New Mexico license. If you're licensed in another state, we encourage you to explore additional openings on our website or submit a general application for future consideration. About Affect Affect is transforming addiction treatment through an innovative, evidence-based digital care model. We specialize in treating substance use disorders including opioid, stimulant, alcohol, and cannabis use disorders. By combining mobile technology, addiction counseling, and coordinated medical care, we empower our Members to build lasting recovery-anytime, anywhere. Why Counselors Choose Affect 100% remote clinical work Predictable schedules and realistic caseloads Strong clinical support and collaboration Mission-driven work without the chaos of traditional settings Opportunity to help build the future of accessible addiction care What You'll Do Conduct intake assessments and evaluate Member readiness for care Facilitate virtual individual and group counseling sessions using Affect's evidence-based curriculum Provide crisis support and coordinate referrals when needed Maintain timely and accurate documentation in our EMR Collaborate with clinical supervisors on treatment planning and discharge Ensure compliance with HIPAA and applicable state regulations Required Qualifications Active, unrestricted New Mexico license (LCSW, LPCC, LMFT, LISW, or LADAC) Experience working with substance use disorder populations Comfort providing care via telehealth platforms Strong documentation and organizational skills Private, HIPAA-compliant workspace with reliable internet Compensation & Benefits Salary range: $55,000-$70,000 (commensurate with license and experience) Medical, dental, and vision insurance Employer-paid life and disability insurance 401(k) plan Paid parental leave Paid vacation, sick time, and company-observed holidays Continuing education and professional development opportunities Fully remote work environment Who Thrives at Affect Clinicians who value evidence-based, recovery-oriented care Providers seeking meaningful work with better work-life balance Professionals who enjoy collaboration, structure, and growth Counselors excited to be part of a modern, inclusive care model Be part of the Affect mission. Help us reshape the future of substance use disorder care.

REPORTS TO: Campus Support Team Supervisor DEPARTMENT: LI Residential CST SCHEDULE: Full-Time / Onsite $1,000 Hiring Incentive AGENCY BACKGROUND: MercyFirst is a not-for-profit human and social service agency that has been serving children and families in need since we were founded by the Sisters of Mercy/Hermanas de las Misericordia in 1894. Today our agency continues to address the emotional and physical needs of children and families in Brooklyn, Queens and across Long Island through innovative treatments and life-changing interventions. We provide community-based prevention and family foster care services, group homes in the community for struggling children and families within the child welfare and juvenile justice systems, and short-term residential services for unaccompanied migrant children. Each year, MercyFirst helps more than 3,000 children, teenagers and families overcome enormous obstacles, re-imagine their futures, and develop their full potential. PROGRAM BACKGROUND: Enhanced Hard-to-Place (HTP) Group Home program, providing specialized residential services to adolescents, between the ages of 13 to 18, in 2 gender-specific homes, with a maximum capacity of 8 in each house. The group home offers community-based, home-like atmosphere while providing a structured and therapeutic environment to meet the residents' needs. The program is designed for individuals with a history of behavioral difficulties that cannot be successfully maintained in their family home setting, a history of multiple unsuccessful placements, as well as victims of abuse/maltreatment and trauma. The program provides individual, group, and family therapy with 24-hour supervision within a highly structured therapeutic milieu POSITION SUMMARY: Under the supervision of the Enhanced Support Team Supervisor, the Crisis Intervention Specialist supervises clients, provides a safe and secure environment and applies agency-approved methods of behavior modification including the point system, verbal de-escalation techniques, and physical intervention if needed. Shifts assigned may vary and change according to Agency needs. REQUIRED QUALIFICATIONS: High School Diploma or Equivalent or a Bachelor's Degree in a related field. If no Bachelor's degree, 1+ years experience in residential care with children and / or adolescents. Must have and maintain a valid NYS Driver's License with a satisfactory driving record. RESPONSIBILITIES: Maintain a safe and secure environment for clients on campus and in group settings. Respond to crises. Assess situation and make determinations of safest alternative according to TCI protocol. Use verbal de-escalation techniques. Use safe and approved physical interventions, when necessary. Communicate with AOD. Demonstrate knowledge of human development stages. Report behaviors believed to be symptomatic or emotional, physical, or psychological disturbances. Document clients' behaviors and activities in CST/group home log. Complete critical incident reports. Maintain appropriate boundaries. Complete CFTSS documentation for individual and group sessions. BENEFITS/PERKS: • A comprehensive health insurance package including medical, dental and vision plans for you and your family (fulltime required) • 403B retirement benefits • Employer-paid life insurance and long-term disability insurance • Generous paid time off (vacation, personal, 12 paid holidays for fulltime employees, sick leave based on hours worked) • Free employee assistance program through National EAP • Insurance discounts for our staff and their families • Trainings to support professional and personal development • Employee wellness program • Employee recognition activities Hourly Rate: $24.00/Hour Hiring Incentive of $1,000 after 500 worked hours. MercyFirst is an inclusive, anti-racist, multicultural organization and an Equal Opportunity Employer who welcomes prospective employees from diverse backgrounds for all levels at the agency. We strive for a workforce that is reflective of the communities we serve, and do not discriminate on the basis of actual or perceived race, color, national origin, alienage or citizenship status, religion or creed, sex, sexual orientation, gender identity and/or expression, disability, age (18 and over), military status, prior record of arrest or conviction, marital status, partnership status, care giver status, pregnancy, genetic information or predisposition or genetic characteristic, unemployment status, status as a victim or witness of domestic violence, sex offenses or stalking, consumer credit history, or any other status protected by federal, state, and/or city law. This includes, but is not limited to, employment actions against and treatment of employees and applicants for employment.

About us Pomelo Care is the national leader in evidence-based healthcare for women and children. We deliver personalized, high-quality clinical interventions from reproductive care and pregnancy, infant care and pediatrics, to hormonal health through perimenopause and menopause, with long-term preventive care and condition management. Our model delivers 24/7 multispecialty care to address the medical, behavioral, and social factors that most significantly impact outcomes for women and children. We partner with payers, employers, and providers to expand access to quality healthcare across the system. We extend that same personalized model to support women through the midlife transition. We provide expert guidance for symptom management, long-term health planning, and navigating the physical and emotional changes of menopause. Role Description Your North Star: Redefine the midlife experience for women by providing expert mental health guidance. Your key responsibilities will include: Provide one-on-one virtual care visits for Pomelo patients Establish individualized care plans to meet specific health needs based on evidence-based standards Complete behavioral health screenings, ensuring appropriate responses including diagnostic, therapy, and behavioral health interventions to midlife patients Perform ongoing psychosocial assessment of patients, providing reassurance and building rapport Identify and address barriers that have been identified by patients Reduce care gaps (missed appointments, medication management, etc.) by frequent engagements with patient Collaborate with all involved teams and support services to ensure that patient and family needs are met Document all care/interactions in a timely fashion and escalating to appropriate multidisciplinary teams, as needed Provide high quality care in accordance with industry and Pomelo standards Ensure continuous compliance with all relevant licensing board requirements to maintain an active clinical license Participate in continuous quality improvement efforts to improve our ability to provide the highest quality care to patients Support group care, as needed Who you are Possess an active LMHC or LICSW license in the state of Massachusetts and willingness to obtain licenses in all US states 5+ years of experience in women's mental health care Expertise in interventions that support women navigating midlife transitions, including sleep hygiene for insomnia, cognitive strategies for brain fog, and evidence-based non-hormonal symptom management (e.g., CBT-M, CBT-I) Completed all clinical supervision hours required for independent licensure in Massachusetts Passed the NCMHCE (for LMHC) or ASWB Clinical Exam (for LICSW) Residence in MA or a Counseling Compact state (for LMHC only) Passionate about comprehensive women's health, including perimenopause and menopause, with a strong desire to support patients through all stages of midlife care Experience using data to drive patient engagement, activation, and clinical outcomes Experience working with an interdisciplinary successful teams, with track record of outstanding collaboration and teamwork A growth mindset with the ability to approach process change and ambiguous situations with enthusiasm, creativity, and accountability Facility using multiple tech platforms, with an eagerness for advising about platform improvements and adapting to new systems Eager to thrive in a fast-paced, metric-driven environment Phenomenal interpersonal and communication skill Bonus points if you have any of the following Menopause Society Certified Practitioner (MSCP) or similar certification Telehealth and/or remote monitoring experience Schedule Options Daytime Shift, Monday through Friday, 9:00 AM to 6:00 PM Eastern Time Evening Shift, Monday through Friday, 1:00 PM to 9:00 PM Eastern Time Why you should join our team By joining Pomelo, you will get in on the ground floor of a fast-moving, well-funded, and mission-driven startup where you will have a profound impact on the patients we serve. And you'll learn, grow, be challenged, and have fun with your team while doing it. We strive to create an environment where employees from all backgrounds are respected. We value working across disciplines, moving fast, data-driven decision making, learning, and always putting the patient first. We also offer: Competitive healthcare benefits Generous equity compensation Generous PTO policy At Pomelo, we are committed to hiring the best team to improve outcomes for all patients, regardless of their background. We need diverse perspectives to reflect the diversity of problems we face and the population we serve. We look to hire people from a variety of backgrounds, including but not limited to race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status. Our salary ranges are based on paying competitively for our company's size and industry, and are one part of the total compensation package that also includes equity, benefits, and other opportunities at Pomelo Care. In accordance with New York City, Colorado, California, and other applicable laws, Pomelo Care is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including qualifications for the role, experience level, skillset, geography, and balancing internal equity. A reasonable estimate of the current salary range is $73,000 - $85,000 annually. We also believe that your personal needs and preferences should be taken into consideration, so we allow some choice between equity and cash. #LI-Remote Potential Fraud Warning Please be cautious of potential recruitment fraud. With the increase of remote work and digital hiring, phishing and job scams are on the rise with malicious actors impersonating real employees and sending fake job offers in an effort to collect personal or financial information. Pomelo Care will never ask you to pay a fee or download software as part of the interview process with our company. Pomelo Care will also never ask for your personal banking or other financial information until after you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All official communication with Pomelo Care People Operations team will come from domain email addresses ending ******************. If you receive a message that seems suspicious, we encourage you to pause communication and contact us directly at ********************** to confirm its legitimacy. For your safety, we also recommend applying only through our official Careers page. If you believe you have been the victim of a scam or identity theft, please contact your local law enforcement agency or another trusted authority for guidance.

Lines for Life Remote Crisis Intervention Specialist Status: Full time/Non-Exempt Reports To: Crisis Lines Shift Supervisor Compensation: $23.00 hr - $25.00 hr. The starting wage for the Remote Crisis Intervention Specialist position is $25.00/hr. for individuals with graduate degrees in a related field and $23.00/hr. for individuals with bachelor's degrees. Oregon Premium Differential : Employees who live and work from the state of Oregon are eligible for a 2% differential over their base rate of pay for hours worked in Oregon. Start Date: March 9, 2026 About the Organization: Lines for Life is a regional non-profit that is dedicated to preventing substance abuse and suicide. We offer help and hope to individuals and communities and promote mental health for all. Our work addresses a spectrum of needs that include intervention, prevention, and advocacy. We educate, train, and advocate to prevent issues of substance abuse, mental illness, and thoughts of suicide from reaching crisis levels. But when a crisis arises or support is needed, we are available 24/7/365 to intervene with personalized help. Remote Crisis Intervention Specialist Position Summary: Remote Crisis Intervention Specialists answer incoming crisis contacts to all Lines for Life crisis and referral helplines with care and compassion, and within the scope of each helpline program. Remote Crisis Intervention Specialists receive extensive clinical skills training in alignment with current best practices in suicide prevention and intervention. Remote Crisis Intervention Specialist Responsibilities: Demonstrate the culture of Lines for Life by modeling behavior that supports the organization's goals and philosophies. Answer crisis helplines with compassion in accordance with the organization's training expectations and scope. Remote Crisis Intervention Specialists receive crisis contacts on over 30 different crisis lines including but not limited to: the National Suicide Prevention Lifeline, veterans and military crisis lines, its YouthLine, its Senior Loneliness Line, an alcohol and drug helpline, hospital mental health crisis lines and behavioral health scheduling calls, as well as county mental health crisis lines. Document crisis contacts in an accurate and timely manner with relevant clinical information in an electronic health record system. Place follow-up calls to crisis contacts as scheduled by the shift supervisor. Assist with placing rescue calls as needed when other crisis lines staff or volunteers are on acute crisis contacts requiring emergency assistance. Triage crisis contacts and collaborate with coworkers to manage crisis contact flow and ensure that the lines remain available for contacts in escalated crisis. Complete mandatory trainings and workshops to continue learning the latest policies and protocols and stay up to date on crisis intervention tools & techniques. Communicate with peers and supervisors via phone and/or chat effectively Perform other duties, such as administrative and organizational tasks as needed. Remote Crisis Intervention Specialist Required Qualifications: Able to meet Qualified Mental Health Associate requirements (************************************************ Crisis intervention knowledge Strong empathy, communication, teamwork and interpersonal skills Able to handle high levels of stress Proficient in web-based computer environment and multi-line phone system Understanding of and ability to apply mental health assessment, treatment and service terminology Able to implement skill development strategies and to identify, implement and coordinate the services and supports identified in Individual Service and Support Plan (ISSP) Able to independently triage crisis contacts so that lines remain available for crisis contacts in escalated crisis Strong attendance & punctuality - able to consistently show up on time, work the full scheduled shifts, and provide at least 2 weeks' notice for time off requests or as soon as possible in the event of an emergency Remote Crisis Intervention Specialist Preferred Qualifications: Graduate degree in psychology; social work; or a behavioral science field OR CADC/Bachelor's degree in psychology; social work; or a behavioral science field AND relevant crisis intervention experience Veterans preferred ASIST certification CADC certification strongly preferred Experience in a call center environment Remote Crisis Intervention Specialist Training Lines for Life requires extensive Crisis Lines Onboarding training, which can be completed remotely. New hires must attend 5 weeks of paid crisis lines onboarding training. The next training begins March 9th and consists of 3 weeks between 8:30am - 5:00pm Pacific Time, Monday through Friday, plus 2 weeks of additional precepting training. The schedule for precepting can vary as we are a 24/7, 365 day a year operation, so flexibility in your availability is needed to complete the precepting portion of the training. We want to make sure that all candidates understand that while you do get a scheduled lunch break, even missing half hour portions of these trainings can result in training expectations not being met. Due to the trainings being group trainings, there is generally no flexibility for each candidate to be able to take their breaks at different times. Training requires participation, full engagement without distractions, and being on camera over Zoom. Equipment is provided. The provided PC is Windows based. You must have private high speed internet and a confidential place to take crisis contacts to meet security and technical requirements. Remote Crisis Intervention Specialist Interview Interviews are conducted via Zoom with a Lines for Life supervisor and HR team members and are recorded so that members of the Hiring Committee who are unable to attend the live interview are able to watch the recording and give feedback afterwards. Remote Crisis Intervention Specialist Location: Lines for Life is seeking to hire Remote Crisis intervention Specialists throughout the 50 United States. We currently cannot support outer territories. There is also an option to work directly in our Portland office. Remote Crisis Intervention Specialist Work Schedule: Our crisis lines are operated 24/7. This position requires working some holidays and working weekends. We want all candidates to know that there is the possibility of occasionally needing to stay a little later after your scheduled shift has ended due to wrapping up calls and documentation. The work schedule will be determined at the time of offer and is based upon Lines for Life's crisis contact volume trends. All full time employees are required to work at least 1 weekend shift per week. We are currently hiring for these shifts which are all in Pacific time. (Please note due to overtime laws, we can only offer Alaska, California, and Nevada candidates shifts that are 8 hours or less) Saturday -Wednesday 3:30pm-12:00am Pacific time (40 hours) Thursday -Monday 3:30pm - 12:00am Pacific time (40 hours) Remote Crisis Intervention Specialist Physical Requirements: Work is primarily conducted in a home office environment and requires the ability to sit or stand and work on a computer for long periods of time. This position requires high energy, patience and controlling one's emotions, as well as the ability to think analytically. Remote Crisis Intervention Specialist Remote Work: Daily tasks require a stable and consistent internet speed of 10 Mbps for both Upload and Download speeds, as well as Jitter below 20. Packet Loss should be 0%. You may test if your network requirements are met by doing a speed test here: ***************************** Private highspeed internet is required for a HIPAA compliant workspace Telecommuting requires passing a clinical and technical evaluation, having a HIPAA compliant workspace at home, and meeting technology requirements. Supervisors provide support to telecommuters by listening in on acute crisis contacts and using an internal messaging system (Microsoft Teams) to communicate. Lines for Life utilizes Windows based PCs Quality Assurance: We want to let you know that all crisis contacts are recorded - inbound and outbound. We review them regularly to ensure safety and quality assurance and for training and supervisory purposes. What this means is that you will have crisis contacts randomly picked for review and you will receive clinical feedback on how you are doing. This happens every few weeks and is one way that we ensure professional growth of our team. Another aspect of this technology is that while you are taking crisis contacts, supervisors can listen in to provide support if a crisis contact is particularly challenging or high risk. This supports our Crisis Intervention Specialists so they are not alone and ensures safety for our crisis contacts. Remote Crisis Intervention Specialist Compensation Package: The starting wage for the Remote Crisis Intervention Specialist position is $25.00/hr. for individuals with graduate degrees in a related field and $23.00/hr. for individuals with bachelor's degrees. Employees who live and work from the state of Oregon are eligible for a 2% differential over their base rate of pay for hours worked in Oregon. There is a $2/hr. overnight shift differential when working between the hours of 10 pm - 5 am Pacific Time and time and a half holiday pay when required to work holidays. Lines for Life offers a great benefits package valued at over $14,750 per year, including $11,400 in premium coverage for employee health, vision and dental coverage, full coverage of short and long-term disability and life insurance premiums; a matching 401K plan equivalent to 3% of the annual salary during the first 2 years of employment after passing the match eligibility date; as well as a flexible spending plan; an employee assistance program; and a free Fitbit. If you need reasonable accommodations to participate in the application process or interview, including any pre-employment testing, please inform us by contacting *******************. This job description is not meant to be an all-inclusive list of duties and responsibilities but, constitutes a general definition of the position's scope and function in the company. EEO: Lines for Life strives to create a diverse, inclusive environment to better represent the communities that we serve. We are an equal opportunity employer. Lines for Life shall not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, or national origin. However, it shall not be a violation of this clause for Lines for Life to extend a publicly announced preference in employment to Indians living on or near an Indian reservation, in connection with employment opportunities on or near an Indian reservation, as permitted by 41 CFR 60-1.5 All Lines for Life employees must be approved to work by the Oregon Department of Human Services' Background Check Unit. Background checks are completed after a conditional offer of employment has been extended.

Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they're met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported. Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection-between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we're expanding access to meaningful care and driving better outcomes from the comfort of home. As a rapidly growing organization, we're reaching more communities every day and building a team that's redefining what behavioral health treatment can look like. If you're ready to use your skills to drive lasting change and help more people access the care they deserve, we'd love to meet you. JOB SUMMARY: Intro to the Crisis Prevention and Response (CPR) Team Our Crisis Response and Prevention team envisions and enables our mission of A World Without Suicide. It is our goal that all of our clients find unwavering support and hope. Rooted in our core values of Connection, Commitment, and Congruence, we strive to transform crises into opportunities for growth and healing. With cutting-edge best practices and compassionate care, our team empowers individuals to seek help fearlessly. Our clients never give up, and neither do we. Together, we are driving the democratization of mental health treatment each and every day. Why is the CPR Team important? Immediate Intervention: Prompt assistance during moments of acute distress or emotional upheaval. Safety and Stabilization: Ensuring the well-being and stability of participants during critical situations. Continuity of Care: Ensuring support during acute moments whilst in treatment ensuring continuity from the group experience to the individual/family experience. Preventing Relapses and Hospitalizations: Reducing the risk of relapses and the need for hospitalizations. Suicide and Self-Harm Prevention: Identifying warning signs and intervening to prevent self-harm or suicide. What does a Crisis Intervention Specialist do? A part time Crisis Intervention Specialist at Charlie Health plays a crucial role in ensuring the safety and stability of our clients during acute mental health crises. They are responsible for immediate screening and intervention when clients exhibit severe emotional distress or harmful behaviors. Crisis Intervention Specialists collaborate with the clinical team to screen risk of highly acute clients, develop crisis intervention plans, de-escalate dysregulated clients, and connect patients with appropriate resources to facilitate their recovery and well-being within the IOP setting. DUTIES & ESSENTIAL JOB FUNCTIONS: Monitors crisis queues for clients receiving individual therapy, family therapy, and participating in group sessions Responds to inbound crisis calls providing real-time risk assessment, de-escalation, and safety planning Screen risk and collaborates on stabilization planning for clients at risk of harm to themselves or others Completes all required documentation in alignment with compliance standards and Charlie Health's best practices Serves as key point of contact for crisis triage during client group sessions in collaboration with Senior Care Coaches and Care Coaches Conducts case consults with Care Team members as needed Supports all Care Team members (i.e., Primary Therapists, Care Coaches, Group Facilitators, etc.) in collaboration regarding the client's care Other care coordination tasks as needed Other tasks and duties as assigned by the Director of Crisis Response and Prevention or the Chief Clinical Officer REQUIREMENTS: Independently licensed clinician Previous experience in crisis preferred Ability to work a minimum of 20 hours per week with flexibility to meet the needs of the team and clients Motivated individual who is passionate about mental health, able to perform in a high-paced environment, and eager to play a formative role in shaping a growing business. Excellent interpersonal and communication skills required. Familiarity with cloud-based communication and relevant software-Gmail, Slack, Dropbox, Zoom, EMR. Benefits Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here. POSITION CLASSIFICATION: W2 Part-Time The above job description is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor. Note to Colorado applicants: Applications will be accepted and reviewed on a rolling basis. Please note that this role is not available to candidates in Illinois . Based on the nature of this role, you will need to complete several state background checks for clearance to see clients. Florida requires a fingerprint based background check, with more information found here. Please note that the cost for this background check will be paid for in full by Charlie Health. Our Values Connection: Care deeply & inspire hope. Congruence: Stay curious & heed the evidence. Commitment: Act with urgency & don't give up. Please do not call our public clinical admissions line in regard to this or any other job posting. Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: ******************************************************* Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent *********************** email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services. Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals. At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people. Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation. By clicking "Submit application" below, you agree to Charlie Health's Privacy Policy and Terms of Service. By submitting your application, you agree to receive SMS messages from Charlie Health regarding your application. Message and data rates may apply. Message frequency varies. You can reply STOP to opt out at any time. For help, reply HELP.

Department: H2H Connect Contact Center Reports to: Crisis Shift Supervisor Schedule: Full-time; Mornings, Evenings, Overnights, and Weekends Vibrant Emotional Health's groundbreaking solutions have delivered high quality services and support, when, where and how people need it for over 50 years. Through our state-of-the-art technology-enabled services, community wellness programs, and advocacy and education work, we are building a society in which emotional wellness can be a reality for everyone. Position Overview: Crisis Counselors provide evidence-informed crisis intervention, suicide prevention, information & referral, and brief supportive counseling to individuals who a designated program in emotional distress, particularly those at high risk for suicidal and/or homicidal thoughts and behaviors. Crisis Counselors interact with clients through SMS text messaging, web chat and/or calls. Duties/Responsibilities: Provide evidence-informed information and referral, brief supportive counseling, crisis intervention and suicide prevention support to callers and/or chat/text visitors who are in emotional distress. Provide follow-up to high-risk callers reporting suicidal and/or homicidal thoughts and behaviors. Participation in at least two Lifeline continuing education webinars per fiscal year. Adhere to policies & procedures for each service offered by the program. Conduct assessments in accordance with program policies & procedures. Utilize resource referral databases to provide information and referral assistance to callers seeking mental health and substance abuse services. Accurately and efficiently document client interactions. Utilize SMS texting, and/or web chat to interact with clients. Other duties as assigned. Required Skills/Abilities: Proficiency with motivational interviewing skills. Active listening skills to establish working alliance with callers and/or chat/text visitors. Efficiency with information-gathering, and problem-solving to facilitate resolution of inquiries. Superior communication skills to convey information clearly and concisely. Ability to maintain professional demeanor when handling crises and other difficult contacts. Efficiency with balancing pace and flow of conversation and call time. Required Qualifications: Bachelor's degree in Psychology, Social Work, Mental Health Counseling, Forensic Psychology, or related field required. Minimum of 1-2 years experience working in behavioral health and/or call center. Experience working in behavioral health with call center experience strongly preferred. Fluency in the English language both oral and written. Must be able to attend a 5-week training class without interruptions Physical Requirements: Must be able to remain in a stationary position for at least 50% of the time. Will frequently communicate over video calls with internal and external stakeholders as well as team members. Will constantly operate a computer and other office productivity machinery, such as a calculator, copy machine, and computer printer. We determine base pay through a comprehensive review of skills, experience, education, certifications, geographic location, and other relevant factors. The range listed reflects the compensation parameters for the role and does not represent the full compensation package. A complete overview of compensation and benefits will be provided by the Talent Acquisition team during the hiring process. Full time employees will be eligible for excellent comprehensive benefits, including medical, dental, vision, supplemental income insurance, employer paid disability insurance, employer paid life insurance, pre-tax FSA for medical and dependent care, and 401K available. Studies have shown that women and people of color are less likely to apply for jobs unless they believe they are able to perform every task in the job description. We are most interested in finding the best candidate for the job, and that candidate may be one who comes from a less traditional background. Vibrant will consider any equivalent combination of knowledge, skills, education and experience to meet minimum qualifications. If you are interested in applying, we encourage you to think broadly about your background and skill set for the role. Vibrant Emotional Health is an equal opportunity employer. Applicants are considered for positions without regard to veteran status, uniformed service member status, race, creed, color, religion, gender, gender identity, sex, sexual orientation, citizenship status, national origin, marital status, age, physical or mental disability, genetic information, caregiver status or any other category protected by applicable federal, state or local laws. Please be aware that fictitious job openings, consulting engagements, solicitations, or employment offers may be circulated on the Internet in an attempt to obtain privileged information, or to induce you to pay a fee for services related to recruitment or training. Vibrant does NOT charge any application, processing, or training fee at any stage of the recruitment or hiring process. All genuine job openings will be posted on our careers page and all communications from the Vibrant recruiting team and/or hiring managers will be from *************** email address.

Sunflower is on a mission to create 1 trillion days sober, one day at a time. Our product has historically been a mobile app that helps people stay sober through time tracking, an AI Sponsor, journaling exercises, educational content, and community. We grew from 0 to over 100,000 monthly users in less than 6 months, and are now launching a tele-therapy clinic to help our users connect with licensed therapists. We are hiring therapists that want to work with us to build what the future of addiction care looks like in a world where we combine the “human expert” with a 24/7 AI companion, to help people stay sober and become less likely to relapse. This role is 100% remote. We welcome LPCs or LCSWs + LCDCs and equivalent to provide talk therapy online. What we're looking for: LPC or LCSW + LCDC license or equivalent in Pennsylvania At least 2+ years of experience providing addiction focused talk therapy A history of excellence your practice of therapy as demonstrated through patient outcomes Excited about building the future of how AI will show up in the care of addiction What you'll get: Cash comp between $70,000 - $90,000 DOE. We like to think a super fun fully remote work environment, work from anywhere you can effectively deliver care remotely! Ability to completely focus on the treatment of your patients without having to worry about operations or finding new patients. To apply please provide a resume. Strong bonus points if you can point to any reviews or patient testimonials.

Education (one of the following required): Bachelor's Degree from an accredited 4 year college or university. Experience: Minimum of 1 year direct experience in behavioral health, counseling, or social services Benefits Comprehensive medical, dental, and life insurance 401(k) program with company match Company-matched student loan repayment program Short- and long-term disability (STD/LTD) Employee Assistance Program (EAP) Accrued PTO (earn up to 4 weeks in your first year) Opportunities for professional growth and advancement Compensation & Incentives In addition to base hourly pay, our crisis counselors are eligible for the following incentives: + $1.00/hour - Employees who voluntarily commit to both Saturday and Sunday on their recurring schedule receive a $1.00 increase to their base pay post-training. + $1.00/hour - for working a full 40-hour schedule in the workweek post-training Shift Differentials: Hourly shift differentials ranging between two and six dollars may be applied on an hourly basis, depending on your shift and tenure with the organization. These details will be provided at the time of offer to help you prepare for schedule confirmation with the Scheduling Team. Who We Are Protocall Services is a nationally recognized leader in behavioral healthcare and crisis intervention, supporting organizations across the U.S. and Canada. For five consecutive years, we have been awarded “Top Workplace” honors for our strong culture, mission-driven work, and commitment to employee well-being. We serve a wide range of nearly 700 different organizations nationwide, including Community Mental Health Centers, Certified Community Behavioral Health Clinics, Managed Behavioral Healthcare Organizations, University counseling centers, and Employee Assistance Programs following our brief immediate support model. As a remote-first organization headquartered in Portland, Oregon, our staff operate with excellence, compassion, and integrity while providing 24/7 telephonic support to individuals with various degrees of need. Qualifications About the Role As a Crisis Counselor, you will be a telephonic first responder, delivering compassionate emotional support, risk assessment, crisis intervention, and stabilization services. You will engage with callers experiencing a broad range of emotional, behavioral, and situational challenges. This role requires emotional resilience, exceptional communication skills, and a strong ability to multitask while maintaining clarity and professionalism. While many calls involve acute needs, not all calls are crisis calls; some are administrative or supportive in nature. Regardless of the call type, you will ensure each caller receives professional, solution-focused care and a high-quality service experience. Primary Responsibilities Provide empathetic, ethical, and professional telephonic support to individuals experiencing distress or seeking guidance. Build rapport, actively listen, and foster client engagement. Assess emotional and behavioral health concerns, including levels of risk and urgent safety issues. Provide resources, coping strategies, referrals, and safety planning. Intervene appropriately in emergent situations. Maintain accurate, timely, and clinically sound documentation. Multitask effectively while navigating multiple software systems. Ensure a secure, HIPAA-compliant home workspace with a locking door and a wired, stable internet connection. What You Can Expect Six-Week Paid Virtual Training Cohort: Monday-Friday, 8:00 AM to 4:30 PM PST A structured onboarding program including skills development, role-playing, mentored live call work, and crisis-care foundations. Successful completion is required for continued employment. Remote Scheduling: Upon graduation from training, you will transition to your regular schedule, developed in collaboration with our Scheduling Department. Regular availability on weekends and holidays is required. Protocall Services Inc. is an Equal Opportunity Employer. We believe deeply in diversity of race, gender, sexual orientation, religion, ethnicity, national origin, and all of the other fascinating characteristics that make us different

Banyan Treatment Centers is seeking a clinically skilled Telehealth Gambling Addictions Therapist to provide direct therapeutic services within our Intensive Outpatient Program (IOP) for individuals experiencing gambling addiction and co-occurring behavioral health concerns. This role is responsible for delivering high-quality, evidence-based care through a virtual platform, including comprehensive clinical assessment, treatment planning, individual and group therapy, family engagement, crisis intervention, and coordination of care throughout the patient's treatment episode. The Telehealth Therapist manages an assigned caseload and collaborates closely with interdisciplinary treatment teams to deliver ethical, patient-centered services that support sustained recovery while maintaining compliance with all regulatory and accreditation standards. Position Details Reporting To: Clinical Supervisor Schedule: Full-time | To be further discussed Location: Remote; ability to work CST or EST hours is required. Key Responsibilities Clinical Assessment & Treatment Planning Conduct comprehensive clinical assessments, including ASAM criteria, biopsychosocial evaluations, and other required diagnostic tools within established timeframes. Develop, implement, and regularly update individualized, measurable treatment plans in collaboration with patients and the multidisciplinary treatment team. Present assessment findings and treatment progress clearly during treatment team meetings and case reviews. Complete required ASAM documentation for admission, continued stay, transfers, and discharge, as applicable. Telehealth IOP Therapeutic Services & Patient Care Provide virtual individual, group, and family therapy services in accordance with IOP program standards, including scheduled individual sessions and structured therapeutic groups. Facilitate IOP group sessions that are therapeutic, psychoeducational, and skills-based, supporting recovery-focused progress and improved functioning. Utilize evidence-based interventions appropriate for gambling addiction, such as CBT, relapse prevention, motivational interviewing, and coping skills development. Assist patients in identifying triggers, urges, and high-risk behaviors, adapting therapeutic approaches to meet diverse clinical and cultural needs. Support patient engagement and progress through appropriate levels of care, including readiness for discharge and step-down planning. Family Engagement, Care Coordination & Continuity Maintain regular communication with families and support systems, including family sessions and collateral contacts, as clinically indicated. Maintain appropriate communication with referral sources and external providers to support continuity of care. Collaborate with case management and aftercare services to develop comprehensive discharge and continuing care plans addressing legal, financial, vocational, and psychosocial needs. Crisis Intervention, Safety & Ethics Apply sound clinical judgment in crisis situations, including suicide risk assessments, safety planning, and de-escalation interventions within a remote treatment environment. Maintain professional boundaries, reinforce program expectations, and support accountability in a respectful and clinically appropriate manner. Demonstrate adherence to ethical standards, patient confidentiality laws, and organizational policies. Documentation, Compliance & Quality Complete clinical documentation accurately and within required timeframes in accordance with organizational policies, licensure requirements, and accrediting body standards. Maintain secure clinical records and ensure documentation clearly reflects patient progress toward treatment goals. Participate in supervision, quality improvement activities, and ongoing professional development. Qualifications Master's degree in Social Work, Mental Health Counseling, Marriage and Family Therapy, or another related human services field that qualifies the individual to pursue professional clinical licensure. Minimum of one (1) year of clinical experience providing therapy for gambling addiction (3+ years preferred). Active clinical license in the state of Florida (LCSW, LMFT, LMHC, or equivalent), strongly preferred. Experience working in intensive out-patient levels of care, strongly preferred. Experience delivering therapy via telehealth/virtual platforms strongly preferred. Knowledge of state and federal confidentiality regulations. Familiarity with Joint Commission standards and clinical documentation requirements. Strong clinical assessment, documentation, communication, and problem-solving skills. Ability to manage a clinical caseload and work effectively within a multidisciplinary treatment team. Familiarity with electronic medical record (EMR) systems (Kipu preferred). Why Join Banyan Treatment Centers? Banyan Treatment Centers is a nationally recognized leader in addiction and mental health care, accredited by The Joint Commission. As a Telehealth Therapist, you will: Join a mission-driven organization committed to ethical, compliant, and compassionate care. Provide meaningful, recovery-focused clinical services to patients during critical stages of treatment. Collaborate with experienced clinicians, medical providers, and interdisciplinary teams. Play a key role in treatment planning, family engagement, and continuity of care. Access ongoing training, supervision, and professional growth opportunities. Enjoy comprehensive benefits for eligible team members, including medical, vision, and dental insurance; life insurance; short- and long-term disability coverage; a 401(k) with employer match; paid time off and holidays; wellness incentives; and employee assistance and referral programs. Apply Now! If you are passionate about delivering high-quality behavioral health care and supporting patients on their recovery journey, we encourage you to apply and join Banyan Treatment Centers. EOE

The Assignment Ready Counselor (ARC) will provide coverage in short-term, surge and on demand situations resulting from the Military needs such as a post-deployment event or to cover an existing assignment for counselors who are absent. The Summer ARC counselor position covers assignments during the May 15th through September 15th time period, coinciding with the school summer break. With minimal guidance and oversight, provides the full breadth of Adult or Child and Youth Behavioral (CYB) counseling services to military service members and their families at military installations. These services may include non- medical counseling, training/health and wellness presentations, consultation with parents, personnel at child daycare centers and schools, and consultation to installation command regarding behavioral health issues affecting military personnel and their family members. ARC CYB counselors may be assigned to DoDEA schools and community schools and will need to have experience working in a school setting to qualify for ARC role in backing up a school position. CYB counselors may also be assigned to youth programs, summer camps, and on demand assignments. ARC adult counselors may be assigned to support MFLC services in a variety of military community and readiness centers, as well as on-demand and surge assignments. The counselors work closely with the installation and military branch Points of Contact (POC) to assure that the program is provided within scope and meets the needs of the installation. Provides non-medical, short term, solution focused, counseling directly to adults, children, and youth of service members. Services include assessment, brief counseling and consultation, action planning, referral to resources (assuring linkage as appropriate), and follow-up as indicated. CYB counselors will also have a focus on supporting the staff and personnel of CDCs, DoDEA and community schools, youth programs and summer camps as well as providing parent training and guidance. Provides training and health and wellness presentations, participate in health fairs and other base/installation activities. Enters counselor activity data daily through smart phone or web application assure that reporting is accurate from assigned installation while maintaining confidentiality and anonymity of service / family member. The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description. Other Job Requirements Responsibilities Master's Degree from an accredited graduate program in a mental health related field, or social work. With short notice, willing to accept assignments of undefined periods to include weekends. Can cover, on a full-time basis, assignments of varying length from a weekend to two weeks. Quickly builds rapport with service personnel clients, family members, students, parents and co-workers. Adaptable to new working conditions, varying location rules, etc.; adjusts working style to align with each work environment. Able to work effectively with minimal instruction and guidance. Listens carefully to instructions provided. With minimal notice, participates in regular in-services/training, Quality Improvement committees or other contract activities as assigned. Requires ability to quickly engage and communicate with military members, spouses or children as assigned, in order to accomplish job functions, and to respond quickly to emergent situations in any physical location on a military installation and/or within a school setting, which includes the need to traverse short and/or long distances within the base to both indoor and outdoor locations, to maneuver through rugged, outdoor or uneven locations (e.g., steep inclines, stairs, grass), and work in outdoor weather and other military base conditions. Due to the nature of working on military installations or related worksites, counselors may need to comply with various site-specific requirements to work at designated locations. For example, for some assignments, counselors will need to have certain current immunizations or vaccinations and provide record of receipt. Ability to prove US Citizenship and must be fluent in English. Advanced knowledge of brief therapy and solution-focused counseling methods. Prior military service/military family member and/or strong familiarity with military culture desired. For CYB positions must meet the Magellan MFLC CYB criteria for experience with children and youth and specialty in child and adolescent development/psychology. Creates a presence on the installation in which the service and family members feel comfortable approaching the counselor and recognize the program to be confidential; for CYB counselors -- creates a presence in child and youth settings, is available to children, youth, and staff. When working with children, counselor must abide by line of site protocol. Establishes and maintains working relationships with community resources and provides appropriate linkages. Partners with POC to provide Adult and CYB services in a manner that addresses the needs of the installation/facility. Develops an excellent working relationship with the installation/facility POC. Manages duty to warn and restricted reporting situations according to DoD protocol and staffs the cases with Regional Supervisor/Regional Director. Communicates with Regional Supervisors and participate in regular individual and group supervision, sharing information regarding trends and issues on the installations and in facilities to which they are assigned for substitute or on call services. Responds to critical incidents and special requests as directed by the POC and approved by the OSD program manager. General Job Information Title Military and Family Life Counselor - Short Term Assignments or On Demand for On Site Grade MFLC ARC Work Experience - Required Clinical Work Experience - Preferred Education - Required Master's - Behavioral Health, Master's - Social Work Education - Preferred License and Certifications - Required Current licensure required for this position that meets State, Commonwealth or customer-specific requirements - Care MgmtCare Mgmt, DL - Driver License, Valid In State - OtherOther, LPC - Licensed Professional Counselor - Care MgmtCare Mgmt, Must be an independently licensed behavioral health clinician - Care MgmtCare Mgmt License and Certifications - Preferred Salary Range Salary Minimum: $59,922 Salary Maximum: $100,280 This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing. Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

The Center for Community Outreach at East Tennessee State University is seeking a Family Focused Solutions Counselor to support families participating in Families First and TANF programs. This position works closely with the Director of Family Services and Families First case managers to help individuals overcome barriers to employment and self-sufficiency. The counselor connects clients with community, private, and DHS resources, assesses individual needs, and determines appropriate referrals, including disability or SSI applications when warranted. Through counseling, guidance, follow-up, and ongoing communication, the counselor supports clients as they work toward stability, employment, and long-term success. The role also includes maintaining confidential records, preparing assessment materials, coordinating documentation for service providers, and performing related administrative and support duties essential to effective service delivery. Knowledge, Skills, and Abilities Knowledge of brief solution-focused therapy, motivational interviewing, the 2 Gen approach, trauma informed care. Knowledge of referral sources. Ability to provide individual, group and/or family therapy. Ability to communicate effectively. Ability to assess and evaluate client needs for short or long-term treatment and/or to be in a training program. Ability to help clients reduce barriers to work. Ability to serve as an advocate for needed resources. Required Qualifications Master's degree in social work, counseling, marriage and family, or related field Preferred Qualifications Three (3) years of counseling experience Training in alcohol and drug assessment Previous experience working with an adult population Training in brief solution focused therapy Compensation & Benefits Job Family - Social Services Professional 2 Market Range - 7 (Salary Schedules) For information on benefits please visit *************************************** Application Instructions Exempt positions are only required to be posted for a minimum of fourteen (14) calendar days. The closing date for this posting is subject to change without notice to applicants. University Overview East Tennessee State University (ETSU) is an institution with over 14,000 diverse students highly ranked graduate and undergraduate programs. Located in the Southern Appalachian Mountains of Northeast Tennessee, ETSU serves as a hub for community, discovery, and service. Aligned with the institution's mission, we value efforts to engage in teaching, scholarship, creative activities, and service that involve community partners and address significant societal needs in our region and beyond. Recognized in 2024 as a Great College to Work For, recent strategic initiatives prioritize the institution's focus on community engagement. Disclaimer: The Job Summary is intended to describe the general nature and level of work individuals perform in this classification. It is not intended to be a complete list of all responsibilities, duties, and skills required. Management reserves the right to revise the job or require different tasks to be performed as assigned to reflect changes in the position. Employees must be able to perform the position's essential functions satisfactorily with or without reasonable accommodations.