Location: Calamity Rose Ranch, Muscatine, Iowa
Job Type: Full-Time
Setting: In-Person Only – On-Site at Local Nursing Homes
Practice: Calamity Rose Ranch
About Calamity Rose Ranch
Calamity Rose Ranch is a privately owned mental health practice based in Muscatine, Iowa, offering compassionate and accessible care in non-traditional settings. Founded by psychiatric nurse practitioner Kayla Carlsten, the practice specializes in rural and underserved populations with a unique, healing-centered approach.
We are currently expanding services to meet the growing emotional and behavioral health needs of geriatric patients living in nursing homes. Our goal is to bring dignity, comfort, and support to elders who face depression, grief, isolation, and adjustment challenges in long-term care.
Position Summary
We are seeking a licensed, full-time therapist to provide in-person therapy to elderly clients in nursing homes and long-term care facilities in and around Muscatine. This role offers the opportunity to build meaningful therapeutic relationships with aging adults, supporting mental health in the later stages of life.
You will be an integral part of our mobile care team, helping bridge the gap between traditional mental health care and the needs of those often overlooked in institutional settings.
Responsibilities
- Conduct in-person individual therapy with geriatric patients in nursing home settings
- Assess, diagnose, and treat emotional and behavioral health conditions (e.g., depression, anxiety, trauma, cognitive changes)
- Create and implement personalized treatment plans based on client needs
- Collaborate with nursing home staff, caregivers, and the Calamity Rose Ranch team for coordinated care
- Maintain accurate and timely clinical documentation in accordance with ethical and legal standards
- Provide consultation and psychoeducation to facility staff and families when appropriate
- Support the mission of reducing mental health crises and unnecessary hospitalizations in long-term care
Qualifications
- Master’s or Doctoral degree in Counseling, Social Work, Psychology, or related field
- Current, unrestricted Iowa license (LISW, LMHC, LMFT, PsyD, or PhD)
- Experience working with older adults or in nursing home settings strongly preferred
- Skilled in trauma-informed, culturally competent, and age-appropriate care
- Excellent interpersonal and documentation skills
- Must have reliable transportation to travel to nursing home facilities in the Muscatine area
- Comfortable working independently with clinical support available as needed
What We Offer
- Competitive compensation (W2 or 1099 model available)
- Flexible schedule within a full-time role
- Mileage reimbursement for travel between facilities
- Administrative support for scheduling, billing, and records
- Autonomy and flexibility within a mission-driven, rural mental health practice
- Supportive, values-based environment focused on real community impact
To Apply:
Please send your resume, cover letter, and proof of Iowa licensure to:
office@calamityroseranch.com
In your cover letter, please include:
- Your experience with geriatric or nursing home populations
- Why you’re passionate about providing in-person care to aging adults
- Your availability and preferred start date
Calamity Rose Ranch is an equal opportunity employer. We welcome therapists of all backgrounds, experiences, and identities. Our commitment is to inclusive, community-based care that treats every client with dignity and respect.