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Careers

Build a career where the work matters.

Tributary employs ~640 people across clinical, administrative, billing, and information technology roles in Kentucky, West Virginia, and Ohio.

Why Tributary

  • 35+ years of mission-driven nonprofit work in Appalachian communities
  • Competitive pay and full benefits — medical, dental, vision, 403(b) match
  • Generous PTO and 11 paid holidays
  • Continuing education stipend ($1,500/year for licensed clinical staff)
  • NHSC loan repayment available at qualifying sites
  • Hybrid options for non-clinical and IT roles
  • Clinical supervision provided for pre-licensed clinicians

Open positions

Licensed Therapist (LCSW or LPC)

Charleston, WV Behavioral Health Services Posted April 14, 2026

Provide individual, group, and family therapy to adults and adolescents at our Charleston outpatient site. Caseload of 28–32 clients/week.

$58,000 – $72,000

EHR Systems Analyst

Lexington, KY (HQ) Information Technology Posted April 12, 2026

Support our EHR platform across 12 sites — configure clinical workflows, build reports, support integrations with state HIEs and labs, troubleshoot end-user issues. Reports to the Lead System Administrator.

$62,000 – $78,000

Care Coordinator

Athens, OH CCBHC / Care Coordination Posted April 15, 2026

Coordinate care across services for a panel of 35–40 clients in our outpatient and CCBHC programs.

$44,000 – $54,000

Crisis Counselor

Lexington, KY Crisis Services Posted April 8, 2026

Provide crisis assessment, stabilization, and brief intervention as part of our 24/7 mobile crisis team and walk-in services.

$52,000 – $65,000

School-Based Mental Health Therapist

Owensboro, KY School-Based Services Posted April 7, 2026

Provide on-site mental health therapy in Daviess County Public Schools. 10-month contract.

$54,000 – $66,000

Substance Use Counselor

Huntington, WV SUD Treatment Posted April 1, 2026

Deliver individual and group counseling for clients in outpatient and IOP substance use programs.

$46,000 – $56,000

Bilingual Therapist (Spanish)

Bowling Green, KY Behavioral Health Services Posted March 30, 2026

Provide Spanish-language therapy to adults and adolescents at our Bowling Green site, serving the Latinx community across south central Kentucky.

$58,000 – $72,000

Revenue Cycle Specialist

Lexington, KY (HQ) Revenue Cycle Management Posted March 15, 2026

Manage claims submission, denial review, and payer communications for KY and WV Medicaid lines of business.

$48,000 – $60,000

How to apply

Send your resume and cover letter to careers@tributarybh.org. Reference the position title and location in the subject line. We review applications on a rolling basis.

Tributary Behavioral Health Services is an Equal Opportunity Employer and is committed to building a diverse workforce that reflects the communities we serve.