Many Rivers Whole Health

It runs as a CCBHC: physical health, mental health, and SUD care under one roof, with 24/7 crisis response, care coordination across systems, and a small primary care clinic and MAT added through grant funding. Day-to-day work depends on the team. On Crisis, you give symptom education and coordinate care with an APRN. On PACT, you complete psychiatric assessments, manage medications with a psychiatrist, carry case management, join ITT treatment planning, and take on-call crisis backup. In the outpatient clinic you triage intakes, take vitals, keep med lists current in the EMR, handle labs and patient assistance programs, and do phone triage with an APRN or MD. Postings describe Monday-to-Friday Crisis schedules and a flexible full-time PACT option. Helena’s cost of living sits roughly 4% below the national level, and roles here are often framed around outdoor access as much as clinic walls. The organization has publicly thanked its nurses during Nurses Week and has been hiring into an expanding Lewis and Clark County crisis continuum after successive CCBHC grants. What you will not find in current materials is a described nurse residency, tuition benefit, or formal ladder—so growth paths are something to ask about directly when you apply.

Community wellness focus since 1976; CCBHC aim of timely access (urgent same day, routine within 14 days), 24/7 crisis care, and coordination with law enforcement, schools, and hospitals.