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Milieu Jobs in Virginia (NOW HIRING)

Lifepoint Health

Therapist

Lynchburg, VA · On-site

$63K - $85K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Therapist Part-time Centra Behavioral Health Hospital is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to ...

ODYSSEY BEHAVIORAL GROUP

Recovery Care Specialist

Glen Allen, VA · On-site

$18 - $21/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Recovery Care Specialists are responsible for managing the daily milieu of the facility, ensuring the safety of clients, and maintaining a therapeutic environment. RCSs are expected to familiarize ...

PGS NH Care

Part-Time Therapist

Richmond, VA · On-site

$45 - $60/hr

  • Retirement

Job Title: Therapist(Psychologist or LicensedClinical Social Worker) Job Type: Part-time Company: PsychoGeriatricServices(PGS) Location(s): Midlothian and/or Richmond, VA Schedule: FlexibleMonday ...

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All JobsMilieu JobsMilieu Jobs in Virginia

Milieu information

See Virginia salary details

$35.2K

$63.4K

$111K

How much do milieu jobs pay per year?

As of Aug 18, 2026, the average yearly pay for milieu in Virginia is $63,395.00, according to ZipRecruiter salary data. Most workers in this role earn between $47,600.00 and $68,900.00 per year, depending on experience, location, and employer.

What is a milieu?

A Milieu job typically involves working in environments that support individuals with behavioral, emotional, or mental health challenges. Professionals in this role create structured and therapeutic settings, often in schools, residential facilities, or healthcare institutions. They assist with crisis intervention, behavioral management, and daily support to promote a safe and supportive atmosphere. Milieu workers often collaborate with therapists, counselors, and other professionals to help individuals develop coping skills and improve their overall well-being.

What does a milieu do?

A typical day in a Milieu role involves monitoring and interacting with clients to ensure a safe, supportive, and structured environment. Responsibilities often include leading or assisting with group activities, de-escalating crises as needed, documenting behavior observations and incidents, and collaborating closely with clinicians and other staff members on therapeutic plans. Team meetings and ongoing communication with colleagues are also common to discuss client progress and adjust interventions. While every shift can bring new challenges, Milieu staff play a critical role in maintaining the daily structure that supports clients’ progress and well-being.

What are the key skills and qualifications needed to thrive in the milieu position, and why are they important?

To thrive in a Milieu position, particularly within mental health or residential treatment settings, individuals need knowledge of behavioral interventions, crisis management, and a relevant educational background in psychology or social work. Familiarity with documentation systems, incident reporting tools, and sometimes CPI (Crisis Prevention Intervention) certification is important. Strong observation skills, emotional resilience, and excellent teamwork are crucial soft skills in this role. These qualities enable Milieu staff to effectively maintain a therapeutic environment, ensure client safety, and support interdisciplinary care plans.

What are the most commonly searched types of Milieu jobs in Virginia?

The most popular types of Milieu jobs in Virginia are:

What are popular job titles related to Milieu jobs in Virginia?

For Milieu jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Milieu jobs in Virginia look for?

The top searched job categories for Milieu jobs in Virginia are:

Milieu jobs near you
Infographic showing various Milieu job openings in Virginia as of August 2026, with employment types broken down into 2% As Needed, 80% Full Time, 16% Part Time, 1% Temporary, and 1% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $63,395 per year, or $30.5 per hour.

PRN Residential Specialist

Phoenix House of the Mid-Atlantic Inc

Arlington, VA • On-site

$20 - $25/hr

Part-time

Re-posted 5 hours ago

Job description

Job Type
Part-time
Description
SUMMARY: National Capital Treatment & Recovery-formerly Phoenix House-is a nonprofit behavioral health organization with a long-standing commitment to supporting individuals in recovery from substance use and co-occurring disorders. We are currently seeking a dedicated and reliable Residential Specialist to join our Adult Co-Ed Residential Treatment Program in Arlington, VA. Arlington Recovery Center is a residential program that offers medically monitored and clinically managed intensive residential treatment services for adult men and women. This intensive residential program helps break the cycle of drug and alcohol abuse and equips men and women with the tools needed to be successful at the next appropriate level of care.
Daytime Weekday and Weekend (Saturdays & Sundays 7pm-7am & 7am-7pm) PRNs needed.
At least 3 shifts per month are required to be worked to stay active.
This position is in a structured, therapeutic setting that supports adult men and women in early recovery. As a Residential Specialist, you will play a key role in maintaining a safe, supportive, and substance-free environment during the overnight hours. This role is ideal for someone who is calm under pressure, has a strong sense of personal and professional boundaries, and is passionate about supporting others through recovery. If you're looking for meaningful work in a mission-driven environment and want to be part of a team helping individuals change their lives, we encourage you to apply.
Compensation:
  • $20-$25/hour, with an opportunity to earn more based on experience, education, and relevant credentials

Key responsibilities include:
  • Monitor therapeutic milieu and patient activities
  • Conduct random and regular walk-throughs of the program
  • Respond to patient crises and emergencies as needed
  • Demonstrate empathy, compassion, and respect for patients in all interactions
  • Maintain objectivity toward all patients and make decisions based on accurate information
  • Maintain observation of all patient areas (dining room, living room, group rooms, patio, bedrooms) to monitor patient activities
  • Transport patients to outside activities, night AA meetings, and appointments as needed
  • Monitor patients leaving for and returning from pass
  • Organize transportation for patients as necessary, including Taxi Voucher/Medicaid Cab procedures
  • Communicate with staff in meetings regarding patient participation and progress
  • Provide patient milieu information in staff log
  • Document behavioral changes and any behavioral management issues in Welligent and shift log as appropriate
  • Meet at least monthly with supervisor for supervision
  • Attend morning shift report to give and receive patient milieu updates
  • Attend residential staff and clinical problem-solving meetings as scheduled
  • Document significant patient issues in staff log and patient health record (Welligent) and complete Incident Reports in Welligent as needed
  • Monitor and facilitate patient recreation, free time, job functions, and mealtimes
  • Present and facilitate Life Skills training and 12-Step Education
  • Provide information on AA/NA to patients through 12-Step education
  • Conduct orientation for new patients based on program handbook
  • Maintain urine testing schedule and follow procedures for monitoring, documenting, and transporting urine to urinalysis facility
  • Document in Urine Log and prepare specimens for labs; take stat urine as needed
  • Conduct random search of possessions of patients returning from pass
  • Conduct random weekly urinalysis of residents as directed by Residential Manager/Supervisor/Coordinator
  • As applicable, administer medications and conduct medication pass; count medications at shift change (only if 32-hour Medication Aid Training is completed)
  • For applicable programs, distribute medication to patients for self-administration according to procedure
  • Carry out any additional responsibilities as needed to ensure the effective functioning and therapeutic milieu of the treatment programs

Equal Opportunity Employer providing equality of opportunity to all who are protected against discrimination by law, regulation or executive order, including veterans and individuals with disabilities. EEO is the Law: Applicants and employees are protected under Federal law from discrimination. Click http://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf to learn more. National Capital Treatment & Recovery, formerly Phoenix House, conducts as needed, job-related background checks, fingerprints, drug testing, physical exams, medical exams, TB testing, verification of employment history and/or reference checks prior to employment.
Requirements
EDUCATION/CREDENTIALS:
  • High School diploma or equivalent
  • Certification as a substance abuse counselor (CSAC-A, CAC, CSAC) required within 6 months of employment

EXPERIENCE:
  • Minimum one (1) year experience working in a substance abuse treatment setting preferred

KNOWLEDGE/SKILLS/ABILITIES:
  • Knowledge of addiction treatment and of 12 Step recovery process preferred
  • Certified in First Aid and CPR, Medication Management a plus
  • Bilingual (Spanish/English) preferred

Apply