Licensed Addiction Counselor; LAC – Remote; Montana Licensed

Licensed Addiction Counselor (LAC) – Remote (Montana Licensed)
• Fully Remote
• MT
• Clinical Services

The Remote Licensed Addiction Counselor (LAC or ACLC) is a currently licensed clinician in the State of Montana who provides telehealth-based Intensive Outpatient Program (IOP) services. This role includes virtual group therapy facilitation, individual counseling, ASAM assessments, treatment planning, and required documentation in accordance with Montana regulations and RCM policies.

The Remote LAC/ACLC functions as a member of a multidisciplinary treatment team and ensures delivery of clinically appropriate, ethically sound, and regulation-compliant services through secure telehealth platforms.

This position is fully remote. The clinician must maintain Montana licensure and comply with all telehealth practice standards under Montana law.

• Conduct initial ASAM assessments and biopsychosocial evaluations via telehealth.
• Facilitate virtual IOP group therapy sessions in accordance with RCM programming standards.
• Provide individual counseling to assigned caseload at least once per week or as clinically indicated.
• Develop individualized treatment plans within agency timelines and review/updates them weekly or as required.
• Conduct continued stay reviews and discharge planning.
• Provide family education and/or family counseling sessions as clinically appropriate.
• Provide psycho educational presentations using virtual tools, screen sharing, and structured curriculum materials.
• Facilitate referrals to outside providers and community resources to ensure continuity of care.

• Complete all required documentation within 72 hours, consistent with RCM policies and regulatory standards.
• Ensure documentation supports medical necessity and ASAM level of care.
• Maintain accurate, timely charting in the electronic health record.
• Participate in clinical audits and quality assurance reviews as required.
• Participate in multidisciplinary treatment team meetings.
• Collaborate with case managers, peer support, medical providers, and leadership.
• Communicate changes in client status to appropriate departments.
• Attend required staff meetings, clinical meetings, and in‑services (virtual).
• Identify and respond to crisis situations via telehealth.
• Implement de‑escalation strategies and safety planning.
• Follow RCM emergency telehealth protocols.

• Current, active license in Montana as a Licensed Addiction Counselor (LAC).
• Experience facilitating group therapy is preferred, especially in an IOP setting.
• Experience with electronic health record systems.
• Strong written and verbal communication skills.
• Ability to manage group dynamics in a virtual setting.
• Ability to work independently in a remote environment.

• Prior telehealth counseling experience.
• Experience in ASAM 2.1 Intensive Outpatient Programming.
• Experience working with co‑occurring disorders.
• Familiarity with Medicaid documentation requirements.

• Successful completion of Criminal Background Check.
• Successful completion of Child Protective Services check (if applicable).
• Ability to maintain professional boundaries in a virtual environment.
• Commitment to trauma‑informed, client‑centered care.

• Ability to sit for extended periods.
• Ability to view computer screens for prolonged periods.
• Ability to communicate clearly via video platform.
• Must maintain a professional virtual presence.

• Reports to Clinical Director.

$55,000–$67,000 annually depending on experience