Employment Information

We are always looking for great people!

SEND RESUMES TO > employment@bigbearcounseling.org 


You must have access to a computer and smartphone, as our easy-to-use WellSky's EHR system captures electronic signatures and is web-based. 


We are here 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.


Revised 2019:

  • Independent Contractor (1099) Work.
  • We operate on a fee-for-service model (FFS). This simply means you get paid based on how many billable hours or services you complete and turn-in, not based on time.
  • If you perform service "X", you get paid "Y" amount.
  • Most of the services will be Medicaid-therapy sessions, where offer 3-tiers, depending on the clinician's education/license.
  • We work with most Medicaid Plans, and each may have different Auth-requirements; this is something that you may need to become familiar with, since having the proper authorization for the services you provide is essential in making sure your note is payable.
  • Payment for other payers (non-Medicaid) are based on a set schedule.
  • We also offer a "Plus" rate, where, if you submit over 28+ billable hours per cycle, you automatically qualify for an approx. $2.00 rate increase for that payroll cycle on most sessions you do.
  • 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.
  • Payments via Direct Deposit.
  • 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.​​


You are required to get it. 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.


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.

MEETINGS - (If you are a 1099 Contractor, any meeting is optional and you are not required to attend). 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.

​TIMEKEEPING - (If you are a 1099 Contractor, this does not apply to you). For W2 employees, we have a system (Paycor 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 Paycor system also tracks eligibility for benefits as mandated by the Affordable Care Act.