Frontier Behavioral Health’s presence in Spokane is more than 100 years strong, allowing our non-profit organization to understand the varied needs of our clients and the larger community. Our programs are designed to provide evidence-based treatment to adults, youth and seniors who are dealing with a wide range of behavioral health issues. As a Trauma-Informed Care Organization, we firmly believe in recovery and that our clients can lead fulfilling and meaningful lives, and we consider it an honor and a privilege to assist them in their journey. If you want to have a positive impact in the lives of others come join us!

WHY CHOOSE FRONTIER BEHAVIORAL HEALTH?

At Frontier Behavioral Health, we value our employees and recognize the importance of EVERY employee’s contribution to our mission.
Our behavioral health services make a positive difference in the lives of those we serve and contribute to the health, safety, and quality of life for everyone in Spokane County.
At FBH we have a variety of client services, including outpatient, inpatient, community outreach, crisis services, partnerships with schools, law enforcement and more.
Our evidence-based, culturally appropriate, trauma informed behavioral health services address the diverse needs of those we serve.

PACT is an intensive and highly integrated approach for community mental health service delivery. The multidisciplinary team shares a caseload of individuals who experience symptoms of the most serious forms of mental illness, predominantly but not exclusively the schizophrenia spectrum disorders. Many individuals also experience substance abuse, victimization and trauma, psychiatric hospitalizations, arrests and incarceration, homelessness, and additional significant challenges. The symptoms and complications of mental illnesses lead to serious functioning difficulties in several areas of life, often including work, social relationships, residential independence, money management, and physical health and wellness.

In collaboration with a psychiatric care provider, the team nurses assist with medication management and administration, through documentation as well as monitoring clients for medical problems or side effects. Nurses will communicate and coordinate services with other medical providers, engage in health promotion, prevention, and educational activities. The nurse will educate other team members to help them monitor psychiatric symptoms and medication side effect and work with clients to develop strategies to maximize the taking of medications as prescribed.

PACT operates from 8 a.m. to 5 p.m., 7 days a week. The PACT team participates in rotating weekend shifts to provide coverage for our clients during non-business days. If a weekend shift is worked by a PACT employee, the PACT employee will be able to take a different day off that same week.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

Provide symptom and medication assessment, evaluation, education, and management to individual with persistent mental illness. This includes consultation with Psychiatrist, MHCP, hospital, community providers, client, and client’s family/guardian for care.
Process and sign medication orders, complete medication refills and prior authorization for specific medications based on provider request.
Administer medications to consumers as directed by FBH Psychiatrist.
Ensure access to medications through timely refills, by obtaining sample medication per order and by appropriate use of FBH discretionary funds or patient assistance programs for medications.
Ensure pertinent medication related information is conveyed to hospital staff in the even of client hospitalization.
Participate in rotating weekend and holiday shifts as needed.
Assist in development and delivery of staff and/or consumer education in the form of group classes or trainings.
Identify and include the client’s support network and applicable involved community partners in care coordination.
Develop and implement care plans, measurable objectives, and obtainable goals, in collaboration with the client, evaluating client progress and adjusting as needed.
Assist clients in identifying and accessing resources and collaborate with community resources on behalf of clients.
Assist clients in the development of healthy coping mechanisms in individual or group settings.
Maintain client records and all other required documentation in a timely and confidential manner in accordance with agency policies and procedures
Conduct risk assessments, develop and implement safety plans, and provide crisis intervention and stabilization services as needed, including facilitating access to inpatient facilities for behavioral health care.
Represent the agency and its services to the community in a positive and professional manner.
Participate in required staff meetings, including regular supervision and daily clinical staff meetings.
Participate in any required training, consultation calls, and onsite visits or review when required by contract.
Accept delegation and follow through with specific expanded assignments and responsibilities within FBH system such as quality improvement teams, task groups, committees, consultations, mentoring or training responsibilities.
Establish and maintain collaborative working relationships with; clinical, administrative, support staff, community partners, clients, and family/natural supports.
Demonstrate teamwork and goal-oriented productivity.
Perform FBH charting requirements, correspondence, Workday and other paperwork in a complete and timely manner.
Operate as a member of multi-disciplinary team and ensure services are provided in the community and clinical setting in required by contract.
Requires travel to see clients in the community and travel between work sites either via FBH owned Vehicles and/or personal vehicle.
Other duties as assigned.

QUALIFIED CANDIDATES WILL HAVE:

REQUIRED:

RN licensed in the State of Washington.
Active BLS within 90 days of hire and must maintain active BLS.
Must have an unrestricted and valid driver’s license, be able to pass a motor vehicle screening and driving test, have active car insurance, and be willing to use their personal vehicle in the course of work.

PREFERRED:

One year of experience working with adults with severe mental illness.

KNOWLEDGE, SKILLS & ABILITES:

Knowledge of Washington Administrative Codes and statues pertaining to the treatment and delivery of mental health services, or ability to obtain within 3 months of employment.
Knowledge of service delivery models including groups, skills training brief/focused therapy, community-based interventions for adults with serious and persistent mental illness, or ability to obtain within 3 months of employment.
Ability to communicate and engage effectively with individuals of varied backgrounds, trauma experiences, cultures, education level, and socio-economic status.
Must possess excellent communication skills, including the ability to send and receive oral and written messages, in a clear, positive, prompt, and appropriate manner, while maintaining customer confidentiality.

PHYSICAL, SENSORY & ENVIRONMENTAL:

The demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

This position provided client services in community settings on a daily basis. Community settings include but are not limited to residences, group/congregate living settings, hospitals, shelters, the streets or anywhere in the community at large. Some environments may not be ideal in terms of cleanliness or being habitable.
Daily travel between locations is required.
The ability to drive a vehicle, traverse distances up to several city blocks and on various terrains, navigate stairs, get in and out of vehicles frequently is required. Daily use of a computer is required.
May be required to lift 10 - 20 pounds.

PAY RANGE (Salary/Exempt): $82,386.88 - $100,370.85

All pay is based on longevity at Frontier Behavioral Health; thus, the starting pay is $82,386.88 annually.

#IND1

Our Benefits and Perks are Amazing!

WE BELIEVE IN WORK LIFE BALANCE:

Paid Time Off – Employees accrue up to 26 days of PTO in the first year of employment!
Plus 9 Paid Federal Holidays!
Sick Leave – Extended Sick Leave and Paid Sick and Safe Time.
Some positions qualify for a Compressed Workweek option resulting in up to additional 26 days off per year.

BENEFITS: www.fbhwa.org/careers/benefits

Medical, Dental and Vision
Retirement – We offer an impressive 403b plan including standard 3% employer contribution plus an additional 3% employer match.
Flexible Spending Accounts
Life Insurance – Company paid coverage that starts the first of the month following 6 months from your date of hire.

PERKS:www.fbhwa.org/careers/perks

Signing Bonus!
No-cost licensure supervision for those pursuing clinical licensure.
Federal and State Loan Forgiveness Program for qualifying Programs.
Reimbursement of License/Certification application fee that is required for the position.
Free Employee Assistance Program
Staff Discounts at various FBH partners throughout Spokane!

Benefits described above are based on employees who hold .5 FTE positions or greater and/or some benefits vary based on FTE. PRN positions are not benefit eligible or eligible for a sign on bonus.

About the company

Frontier Behavioral Health provides a full spectrum of behavioral health care in Spokane County. It runs 24/7 crisis intervention and Crisis Response Services, including Involuntary Treatment Act evaluations, and operates 48 inpatient beds for Evaluation & Treatment and Stabilization. Most services are outpatient, and FBH serves Children and Youth, Adults, and Elders, with programs such as Peer Support, nursing home and school-based services, care for the homeless, a Clubhouse, and Vocational Rehabilitation/Employment services. With a staff of 700+ and more than 16,000 clients served each year, the goal is to deliver accessible, coordinated care across ages and life situations in the community.

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Get referred to Frontier Behavioral Health

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Simplify's Take

What believers are saying

Frontier won the Spokane 988 hub again in January 2026.
Its virtual behavioral health urgent care expanded regionwide on April 28, 2026.
The downtown CHAS clinic broke ground June 29, 2026, adding 4,000 annual patient capacity.

What critics are saying

The 2026 Teamsters petition signals frontline labor pressure inside crisis response operations.
The Spokane clinic needs $5.7 million Frontier financing, tightening balance-sheet flexibility.
If 988 hub contracts shift after June 2025, Frontier loses a core revenue anchor.

What makes Frontier Behavioral Health unique

Spokane’s 988 hub keeps Frontier central to regional crisis response in 2026.
Its behavioral response unit and outpatient network create vertically integrated local care delivery.
The new CHAS partnership clinic opens 2027, extending Frontier’s footprint into primary care.

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Benefits

Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Flexible Spending Accounts
Paid Vacation
Paid Holidays
Paid Sick Leave

Company News

Cowles Co.

Oct 8th, 2026

New Markets pipeline grows in Spokane.

New Markets pipeline grows in Spokane. Organizations position themselves for a share of a $5B federal program. October 8, 2026 Organizations behind a growing pipeline of projects across Spokane - including a behavioral health center, a mixed-use childcare development, and an expanding transitional pediatric health facility - are actively positioning themselves for a federal tax-credit program to help their projects move forward, says Steve MacDonald, director of community and economic development for the city of Spokane. The activity comes as the U.S. Treasury opens applications for a new $5 billion round of New Markets Tax Credits through its Community Development Financial Institutions Fund. The New Markets Tax Credit financing program is designed to spur private investment in economically distressed communities by providing tax credits to investors who finance qualifying development projects. New Markets Tax Credit projects typically require a minimum total project cost of $10 million to be economically viable. Applications from Community Development Entities are due Nov. 10. New Markets Consultants - advocates hired by organizations who evaluate projects and gauge their New Markets Tax Credit eligibility - are working to get Spokane-area projects into those organizations' pipelines, MacDonald says. "The New Markets Consultants that have been connected to some of those projects are all trying to make sure the timing is right, that their project is in the pipeline within the Community Development Entity's application," he says. Three Spokane organizations have hired consultants to help them attract and secure an investment from a Community Development Entity. Spokane-based Maddie's Place, a neonatal transitional facility, is a strong fit for the program, MacDonald contends. The organization, located at 1004 E. Eighth, is planning a $15 million campus expansion aimed at increasing clinical capacity, strengthening family support services, and enhancing long-term program sustainability. "That's a later 2027 project, but nonetheless, we're asking that it be put in some (Community Development Entity) applications and making sure people are aware of this project because it's a high-impact project," MacDonald says. "They're a perfect case for New Markets. There are groups out there that focus on that kind of issue; they're really going to like that project." Frontier Behavioral Health, in partnership with Community Health Association of Spokane, has also hired a consultant and is seeking an allocation for its new building at 130 E. Sprague. The 10,000-square-foot clinic will connect patients of Frontier Behavioral Health to primary care providers and connect CHAS patients to mental health treatment. The project drew attention from several Community Development Entities, banks, and tax-credit investors in May at CohnReznick's 25th Annual New Markets Tax Credit Summit, MacDonald explains. "We're hopeful on that one," he says. Another project that drew interest at the conference is the Northeast Public Development Authority's plan to build a $12.5 million workforce housing project in Spokane's Hillyard neighborhood. As reported by the Journal, the project, centered on a half-acre of property at 3011 E. Wellesley, is envisioned as a three-story structure with 30 residential units on the second and third floors and a childcare center on the ground floor. Other organizations are also showing interest in pursuing New Markets Tax Credits, a sign of growing momentum in a program that the region failed to leverage for over a decade, MacDonald says. While he can't disclose those organizations yet, he says he is looking forward to an industrial project on the West Plains that will bring 60 jobs to the area. The New Markets Tax Credit program was authorized by Congress in 2000. Since its inaugural round in 2002 through the end of 2025, the program has awarded $91 billion to Community Development Entities. Those entities subsequently invested those tax credits into economically distressed communities, creating and/or retaining 950,000 jobs, supporting the construction of 106.2 million square feet of manufacturing space and 111.3 million square feet of office space, building nearly 15,000 affordable housing units, and generating $8 of private investment for every $1 of federal funding, according to the U.S. Treasury. When MacDonald stepped into his role at the city a few years ago, he noticed that Spokane County had not closed any New Markets Tax Credit deals since 2011. He estimates that the lack of participation in the program conservatively cost the region between $50 million and $100 million in direct federal subsidy, and several times that amount in total project investment. Over the last couple of years, he has made it his mission to educate the business community about the program. Those efforts have paid off. In September, Portland, Oregon-based Craft3, a nonprofit community lender and designated Community Development Entity that helps finance projects in underserved communities, finalized two tax-credit investments in Eastern Washington valued at $35.5 million. "Having Craft3 get another award is going to help Spokane," MacDonald says. Unlike a traditional grant program, businesses and nonprofits don't apply directly to the federal government for funding, MacDonald says. Instead, the tax credits attract private sector investment by incentivizing banks to invest in qualified projects through Community Development Entities, which are specialized lenders that have been awarded the tax credits by the U.S. Treasury. Banks receive a 39% tax credit over seven years in exchange for their investment in distressed areas, he says. The value of an allocation also differs from the amount of money a project ultimately receives. A $10 million New Markets Tax Credit allocation, for example, can result in roughly $2 million in net financing benefit to a project that doesn't have to be repaid. MacDonald says he hopes the growing pipeline of projects marks a shift. He's planing to attend the next national New Markets Tax Credit conference in October, where he and consultants representing Spokane projects will meet with Community Development Entities and tax-credit investors and pitch projects in the city. "I'm going to try to really pitch the projects here in Spokane," he says. "We'll really have the opportunity to tell the Spokane story and tell the story about all these projects."

Frontier Behavioral Health

Registered Nurse Outpatient - Program for Assertive Community Treatment

About the job