Carolina Family Services is hiring a Mental Health Therapist to serve children, adolescents, and families in the Greenville and Spartanburg communities.
We are not looking for someone who wants to sit quietly in an office, check boxes, and disappear into a caseload. We are looking for a clinician who understands that therapy is not just a service. It is often the place where a child finally says the thing out loud, where a parent gets support instead of judgment, and where a family starts putting language around what has been hurting them for years.
CFS is a nonprofit behavioral health organization serving families across the Upstate of South Carolina, many of whom face barriers related to access, transportation, poverty, trauma, school challenges, family disruption, and limited support systems. Our work is clinical, yes, but it is also deeply human. We serve children and families who deserve high-quality care regardless of income, background, zip code, or how complicated their story may be.
This role is a good fit for a therapist who is clinically thoughtful, organized enough to keep up with documentation, and grounded enough to work with families who may be carrying more than they know how to name.
What You’ll Do
The Mental Health Therapist will provide outpatient and/or community-based mental health services to children, adolescents, and families. This includes completing assessments, providing therapy, developing treatment plans, coordinating with internal and external care teams, and maintaining clinical documentation that meets organizational, payer, and regulatory standards.
Primary responsibilities include:
- Provide individual, family, and/or group therapy services to children, adolescents, and families.
- Complete diagnostic assessments, treatment plans, progress notes, updates, and other required clinical documentation within established timelines.
- Develop treatment goals that are clear, clinically appropriate, measurable, and connected to the client’s actual needs.
- Provide trauma-informed, culturally responsive care to clients and families from a wide range of backgrounds.
- Work with clients experiencing concerns such as anxiety, depression, trauma, ADHD, behavioral challenges, adjustment issues, family conflict, mood disorders, and other mental or behavioral health needs.
- Collaborate with parents, caregivers, schools, case managers, medical providers, and other professionals when appropriate and authorized.
- Participate in supervision, staffing, team meetings, and internal communication as needed.
- Maintain compliance with Medicaid, MCO, CARF, and agency documentation expectations.
- Monitor client progress and adjust treatment approaches when the current plan is not working.
- Communicate concerns clearly and promptly, especially related to safety, risk, mandated reporting, documentation delays, or barriers to care.
- Represent CFS professionally with families, referral partners, schools, and community organizations.
Who We’re Looking For
We are looking for someone who can hold both compassion and accountability. Someone who understands that being a therapist is not just about being kind, and it is definitely not just about being credentialed. It requires clinical judgment, follow-through, humility, and the ability to sit with hard stories without needing to rescue, fix, or disappear.
Strong candidates will have:
- A master’s degree in counseling, social work, marriage and family therapy, psychology, or a related clinical field.
- Current South Carolina licensure or eligibility for licensure, such as LMSW, LISW-CP, LPC-A, LPC, LMFT-A, or LMFT.
- Experience working with children, adolescents, families, or high-needs populations.
- Strong written documentation skills.
- A basic understanding of clinical assessments, treatment planning, progress notes, risk assessment, and ethical practice.
- Comfort working with families who may be navigating trauma, poverty, school challenges, caregiver stress, DSS involvement, or other complex life circumstances.
- The ability to manage a caseload responsibly and communicate before problems become fires.
- A willingness to receive feedback and grow clinically.
- Respect for the dignity, culture, identity, and lived experience of every client and family served.
What Makes This Role Different
At CFS, you are not just filling appointment slots. You are part of a larger system of care that includes therapy, psychiatric services, assessments, community support, pediatric care, school-based partnerships, and family-centered services.
That means your work matters beyond the therapy room. A completed assessment helps a child access services. A strong treatment plan gives the team direction. A timely note supports billing, compliance, continuity of care, and the organization’s ability to keep serving families. The clinical work is the heart of it, but the follow-through keeps the doors open.
We are honest about the work: this field can be heavy. The families we serve may be carrying trauma, instability, grief, anger, fear, and systems that have failed them before they ever walk through our door. But we also get to witness progress, repair, courage, and the small moments that remind you why you chose this profession in the first place.
Preferred Experience
- Experience in outpatient therapy, community mental health, school-based services, family therapy, or child/adolescent behavioral health.
- Experience with Medicaid documentation and medical necessity standards.
- Experience using an electronic medical record system.
- Training or experience in trauma-informed care, CBT, TF-CBT, play therapy, family systems, motivational interviewing, or other evidence-based approaches.
- Bilingual English/Spanish skills are a plus, but not required.
Requirements
- Master’s degree in a clinical mental health field.
- Active South Carolina license or license eligibility.
- Ability to pass required background checks.
- Reliable transportation if the role requires travel between offices, schools, or community locations.
- Ability to complete documentation accurately and on time.
- Commitment to ethical, client-centered care.
Benefits
Benefits may vary based on full-time or part-time status and eligibility. Available benefits may include:
- Health insurance
- Dental and vision insurance
- Paid time off
- Paid holidays
- Clinical supervision or consultation support
- Professional development opportunities
- Flexible scheduling options
- Supportive team environment
- Meaningful work with children, families, and underserved communities
About Carolina Family Services
Carolina Family Services is a Greenville-based nonprofit organization providing behavioral health and pediatric healthcare services to children, adolescents, and families across South Carolina. Since 2006, we have worked to provide accessible, family-centered care to communities that are too often overlooked, underserved, or told to wait.
We believe families deserve care that is competent, practical, compassionate, and rooted in real life. We serve children and families across the Upstate with the goal of helping them heal, stabilize, grow, and move forward.
How to Apply
Please submit your resume through Indeed. A cover letter is not required, but you are welcome to include a brief note telling us why this role interests you and what kind of clinical work matters most to you.
Carolina Family Services is an equal opportunity employer. We welcome applicants who are committed to serving children, families, and communities with dignity, professionalism, and respect.
Pay: $50,000.00 - $65,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Parental leave
- Tuition reimbursement
- Vision insurance
Work Location: In person
