Big Bear Behavioral Health Inc

Nationally Accredited by the Joint Commission for Behavioral Health Excellence    800.840.2528 Ext 1


Mental Health Counselors / PSR Specialists/ Targeted Case Managers

Areas of Need
1. We are looking for licensed and registered-interns in all areas in which we operate (Central Florida; Brevard; Volusia; Tampa Bay; Sarasota; Lake; Hernando)
2. We are looking for LICENSED clinicians in the Central Florida area to work with our FLORIDA BLUE clients! 
3. We are looking for LICENSED clinicians in the Sarasota area.
4. We are looking for clinicians in Brevard County.

Expectations: Big Bear team members must:
  • Be committed to meeting productivity standards based on each individual caseload; minimum of 5.00 billable hours per week
  • Maintain timekeeping piece and EMR notes accurately; and on time.
  • Be responsible, dependable, timely with documentation and able to work and learn unsupervised in the field
  • Be able to contact all new cases within 48 business hours, and open new cases within 14 days.
  • Be team players, willing to take cases that are outside their preferred area if necessary, especially when first forming a caseload.
  • Be willing and comfortable providing in home, in office, and in school counseling.
  • Meet with the Clinical Director as requested.
  • Have access to a computer and be able to work with our Electronic Medical Records System. 

Professional REQUIREMENTS:
Therapists MUST:
  • Hold a completed Master’s Degree or higher in human services field. Disclaimer - a PhD/PsyD degree is NOT an automatic qualification for employment and is NOT given any preference among applicants
  • ​Have a​t least 2 years experience as a therapist/counselor​
  • Be currently licensed or registered intern, or agree to register as an intern in FL within 3 months of hire
  • Successfully pass a Level 2 background check through AHCA/DCF
  • Represent Big Bear professionally and ethically in all areas
  • Are strongly encouraged to present proof of professional liability insurance within 90 days of hire (CNA, HPSO, etc). 

PSR Specialists/ TCMs MUST:
  • Hold a completed Bachelor's Degree or higher in human services field
  • Have at last 2 years experience with the target population 
  • Successfully pass a Level 2 background check through AHCA/DCF
  • Represent Big Bear professionally and ethically in all areas

Preferred Applicants Are
  • Bilingual (Spanish & Creole preferred)
  • Licensed in Florida
  • Medicaid providers in good standing
  • Experienced in working with the Medicaid population

We operate on a Fee-For-Service Schedule (see info on the left).
You'll also get a modest hourly rate for any required meeting.
Compensation rates are "W2-rates", not 1099.

Clinical Intake Therapists - (1099 Status)
Areas of Need
All areas in which we operate.

​​​Professional Requirements:
Independent Contractors MUST:
  • Be licensed in the state of FL as LMFT, LMHC or LCSW
  • Have 2+ years experience in the mental health field

  • Complete Intakes
  • Complete all clinical documentation within our EMR system
  • Work independently.
  • Meetings are not required.
  • Independent Contractors are not allowed to be case-carrying.

Preferred Applicants are:
​Bilingual - able to work effectively in English & Spanish

  • Independent Contractors paid on a 1099-Fee-For-Service Schedule.
  • Average intake is paid at approx. $110.00
  • No taxes are deducted as a 1099 Contractor.


You must have a PC in order to work with our EMR system. The computer needs to have 4+ GB of RAM and must operate on Windows 7, 8, or 10 only. You "may" use a MAC, however, it is not recommended, since the process is very complicated & you will have to incur costs of approx. $150 to get additional needed software. Effective 10/2/17 we are no longer using PIMSY.


Support from your Supervisor. Your supervisor (Regional Clinical Director) is there to:
-- help you with any problem or issue related to your job
-- discuss cases and give you recommendations on clinical issues
-- encourage and motivate you to maintain your minimum billable-hour requirements
-- help you maintain an accurate caseload
-- encourage you to document notes in a “Medicaid-compliant” way
-- motivate you to become an effective clinician or case manager
-- share feedback, suggestions, and successes, as they know exactly what the aspects of being a field-clinician are like.


W2 Clinical Staff gets paid on a Fee-For-Service Model (FFS) - 

  • You get paid based on how many billable hours or services you complete and turn-in  
  • We also pay you an extra small amount for required monthly staff meetings. 
  • Since we operate on a FFS basis, you must know that there is a three-week gap, from the end of the work-period, to the direct deposit date. Please plan accordingly.
  • Under a FFS Mode, if you perform service "X", you get paid "Y" amount.
  • Everything is paid according to our FFS Schedule.
  • However, for Medicaid-therapy sessions, we offer 3-tiers, depending on the clinician's education/license.
  • LEADS are paid an additional amount (higher rate) for those extra "Lead" Duties.
  • We also offer a "Plus" rate, where, if you submit over 14+ billable hours a week (28 over a 2-week payroll cycle), you automatically qualify for an approx. $2.00 rate increase for that payroll cycle on most sessions you do; therefore, if your rate is $34.00, it would automatically be paid at $36.00).
  • One important policy that we remind everyone, is that for your billable-work to be payable on a timely basis, it must be turn-in by you on-time and approved (by your Supervisor or Quality Assurance Manager) on-time. If an item is not turned-in or approved on-time, it will become part of the next payroll cycle. We require all staff to strive to turn-in their documentation on-time.

Overtime. Overtime is not allowed for Case Management staff. For Clinicians who are Registered Intern or Licensed, you are exempt from overtime requirements/regulations.

Draws/Advances. In order to keep up with federal requirements, you must log-in all worked hours in the ADP system (see # 4 below). On those weeks in which you log-in work hours but you don't have any (or enough) billable notes turned-in, we will pay you a draw (or advance) to cover your Minimum Wage amount. You supervisor can inform you about this procedure at a later time during orientation.

Payment Calendar. Since we operate on a Fee-For-Service basis, you must know that there is a three-week gap, from the end of the work-period, to the direct deposit date. Please plan accordingly.​​ For 99% of clinicians, this does not pose a problem after understanding, that eventually if you do your work, you will get a steady paycheck every two-weeks. Of course, this varies depending on how many cases you have, if your are working PT or FT, etc.


  • LIABILITY INSURANCE - You are not required to get it. However, it would be a very bad idea NOT to do so. All counselors and case managers are strongly encouraged to obtain a personal policy to cover themselves. The truth is, that if BBBH gets sued because of YOUR actions, the company is covered. But if you don't have your own personal policy, and someone sues YOU directly, you could find yourself in a bad situation.
  • QUALITY - All billables (progress notes) are reviewed and approved before being invoiced to our insurance plans. Our Quality Assurance Coordinator will work together with you in the beginning to make sure you know exactly how to write a perfect insurance-compliance note. Furthermore, our Q.A. Coordinator also makes quality calls and checks signature verification sheets, as well as other things, to look out and prevent fraud. You should know, our agency takes fraud very seriously.
  • HIRING PROCESS - You can send your resume to HR. Human Resources will forward it to the appropriate Clinical Director. He/She will then call you for a short pre-screening interview over the phone. Should both parties decide to move forward, a face/face interview is scheduled after that. If recommended for hiring, you will need to come to our Maitland, FL office for a general orientation.
  • REQUIRED MEETINGS - In order to maintain great quality of service, and to promote togetherness, we do ask you that you attend a staff meeting every other month. Additionally, you may have to attend supervision meetings with your Clinical Director. If you are licensed, the number of meetings are less. And yes, we do pay you extra for meetings, as long as they are recorded in the ADP system. (If you are a 1099 Contractor, any meeting is optional and you are not required to attend).
  • TIMEKEEPING - You will be a W2 employee (in most cases).  For W2 employees, we have a system (ADP Timecard) which allows for you to track all your hours worked for us. This timecard is only used for reporting purposes as mandated by Federal Law, and it serves as a safety net for you in case you have a week in which all your clients cancel and you can't reschedule (in those cases, the safety net ensures that you haven't worked for free, as you will be compensated for some of those costs incurred such as driving, etc). The ADP system also tracks eligibility for benefits as mandated by the Affordable Care Act.