LCSW/LMFT Full Time Position

NOW HIRING

Licensed Clinical Counselor (LCSW / LMFT)

In-Person & Telehealth  |  1099 Independent Contractor  |  Production-Based Compensation

About Us

Ashland City Clinic is a patient-centered Family Medicine practice located in Ashland City, Tennessee. We are expanding our integrated behavioral health services to better serve our community, which has significant unmet mental health needs. By embedding licensed counselors directly within our primary care setting, we provide patients with seamless access to mental health care — reducing stigma, improving follow-through, and delivering whole-person care under one roof.

The Opportunity

We are seeking an experienced Licensed Clinical Social Worker (LCSW) or Licensed Marriage and Family Therapist (LMFT) to join our practice as a 1099 independent contractor. This role combines in-person counseling at our Ashland City clinic with telehealth services for patients across our service area. You will work alongside our primary care providers in an integrated care model, receiving warm handoffs and collaborating closely on shared patients. Compensation is entirely production-based, rewarding your clinical productivity and giving you direct control over your earnings.

Key Responsibilities

• Provide individual, couples, and family therapy for a diverse patient population across the lifespan
• Conduct comprehensive biopsychosocial assessments, develop treatment plans, and provide evidence-based interventions
• Deliver services both in-person at the Ashland City clinic and via telehealth to patients in the broader service area
• Collaborate with primary care providers on integrated behavioral health care, including warm handoffs, care coordination, and shared treatment planning
• Provide brief interventions and crisis stabilization as needed within the primary care setting
• Maintain timely and thorough clinical documentation in the electronic health record (eClinicalWorks)
• Participate in care team meetings and contribute to quality improvement initiatives
• Coordinate referrals to community resources, psychiatric services, and higher levels of care when appropriate
• Maintain compliance with all Tennessee licensing requirements, ethical standards, and HIPAA regulations

Qualifications

Required

• Master's degree in Social Work, Marriage and Family Therapy, Counseling, or a closely related field
• Active, unrestricted Tennessee license: LCSW (Licensed Clinical Social Worker) or LMFT (Licensed Marriage and Family Therapist)
• Minimum of 2 years of post-licensure clinical experience providing outpatient psychotherapy
• Experience with evidence-based therapeutic modalities (e.g., CBT, DBT, motivational interviewing, solution-focused therapy)
• Comfortable providing both in-person and telehealth services
• Strong clinical judgment, professional boundaries, and ethical practice
• Excellent communication and collaboration skills for working within an integrated care team
• Proficiency with electronic health records and clinical documentation

Preferred

• Experience in integrated behavioral health or primary care settings
• Familiarity with eClinicalWorks (eCW) EHR
• Experience working with rural or underserved populations
• Experience with substance use disorders and co-occurring conditions
• Comfortable working with patients across the lifespan, including adolescents and older adults

Compensation & Arrangement

• Pay Structure: Competitive, production-based compensation paid per completed encounter
• Performance-Driven: Your earnings are directly tied to your clinical productivity 
• 1099 Contractor: This is a 1099 independent contractor position; you are responsible for your own taxes and benefits
• Hybrid Model: In-person sessions at our Ashland City clinic with the flexibility to also see patients via telehealth
• Practice Support: Office space, scheduling support, and EHR access provided
• Credentialing Support: We will coordinate credentialing with insurance panels as part of onboarding
• Built-In Referrals: Steady referral pipeline from our primary care providers through warm handoffs and integrated scheduling

Why Ashland City Clinic?

• Integrated behavioral health model with a built-in patient referral stream from primary care
• Make a meaningful impact in a rural community with significant unmet mental health needs
• Collaborative, supportive team environment with physicians who value behavioral health
• Flexibility to build your caseload with both in-person and telehealth patients
• Modern EHR technology and AI-enhanced clinical tools
• No overhead costs — office space, scheduling, and EHR provided
• Autonomy to practice with your preferred therapeutic approach in a supportive setting

How to Apply

Interested candidates should submit their resume/CV and a brief cover letter describing their clinical experience, therapeutic approach, and interest in integrated primary care. We look forward to hearing from you!

Ashland City Clinic

106 Duke Street, Ashland City, TN 37015