Therapist / Substance Use Counselor (LMHC, LISW, LMSW, CADC, IADC)
About Us
Bridgecrest Recovery is a substance use disorder (SUD) treatment center being built in Dubuque, Iowa, to serve individuals and families across Iowa and the Tri-State region. We will open with medically monitored detox (withdrawal management) and residential treatment, with partial hospitalization (PHP) planned as we grow. We are in the final stage of Iowa state licensure and will partner first with Iowa Medicaid's managed care plans, followed by commercial payers.
Our mission is to provide compassionate, evidence-based care for people affected by substance use and co-occurring mental health conditions, and to build a team culture grounded in safety, dignity, accountability, and long-term recovery.
Why Join Bridgecrest Recovery
Help Build the Program: Shape group curriculum, treatment planning, and clinical culture as a founding clinician.
Grow Your Career: Regular clinical supervision and professional development in a growing organization.
Team-Based Care: Work closely with medical, nursing, and recovery support staff in a truly integrated setting.
Role Description
Therapists and Substance Use Counselors provide individual, group, and family services to patients in detox and residential treatment. Clinicians complete assessments, develop individualized treatment plans aligned with ASAM criteria, lead evidence-based groups, coordinate discharge and continuing care, and document services to meet Iowa licensure, payer, and accreditation requirements. We welcome licensed mental health clinicians and certified alcohol and drug counselors.
Location: Dubuque, Iowa (on-site)
Reports to: Clinical Director
Clinical Care
Complete biopsychosocial assessments, ASAM multidimensional assessments, and diagnostic impressions within scope.
Develop and update individualized, person-centered treatment plans with patients.
Provide individual counseling and lead psychoeducational and process groups using evidence-based approaches (e.g., CBT, DBT skills, Motivational Interviewing, relapse prevention, trauma-informed care).
Engage families and support systems when appropriate and with consent.
Respond to crises and assess risk, including suicide risk, using established protocols.
Care Coordination & Discharge Planning
Begin discharge planning at admission and coordinate step-down to PHP, outpatient, MOUD providers, recovery housing, and community supports.
Coordinate with referral sources, courts, probation, and county or community partners with appropriate consent (42 CFR Part 2 and HIPAA).
Collaborate with utilization review to support continued-stay reviews.
Documentation & Compliance
Complete timely, accurate clinical documentation that supports medical necessity and meets state, payer, and accreditation standards.
Participate in clinical supervision, case reviews, and treatment team meetings.
Minimum Qualifications (one of the following)
Licensed Mental Health Counselor (LMHC) issued by the Iowa Board of Behavioral Science, or eligible for Iowa licensure; temporary licensees working under supervision considered.
Licensed Independent Social Worker (LISW) or Licensed Master Social Worker (LMSW) issued by the Iowa Board of Social Work.
Certified Alcohol and Drug Counselor (CADC), International Alcohol and Drug Counselor (IADC), or International Advanced Alcohol and Drug Counselor (IAADC) through the Iowa Board of Certification; temporary CADC (tCADC) considered for counselor roles.
Licensed Marriage and Family Therapist (LMFT) in Iowa, or another Iowa license qualifying to provide SUD treatment.
Master's degree in Counseling, Social Work, Psychology, Marriage and Family Therapy, or a related field for therapist roles; education meeting Iowa Board of Certification requirements for counselor roles.
Knowledge of substance use disorders, co-occurring mental health conditions, and ASAM criteria.
Preferred Qualifications
Independent licensure (LISW, LMHC, LMFT) and/or dual credentialing with IADC or IAADC.
Experience in detox, residential, PHP, or other higher levels of care.
Experience with co-occurring disorders, trauma-focused treatment, and family programming.
Experience with Iowa Medicaid MCO documentation and continued-stay reviews.
Certified Clinical Supervisor (CCS) or eligibility to provide clinical supervision.
Schedule
Full-time positions.
Compensation & Benefits
Competitive pay, commensurate with experience.
Comprehensive benefits package.
Final compensation will be based on experience, licensure, and overall fit for the role.
Equal Opportunity Employer
Bridgecrest Recovery is an Equal Opportunity Employer. We welcome applicants of all backgrounds and do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. People in recovery are encouraged to apply.