Full-Time
Mental Health Clinician
Posted on 9/11/2026
New Narrative
No salary listed
Portland, OR, USA
In Person
The role requires travel in the community and may require staying on site until a crisis is resolved.
Master's
Category
 Medical, Clinical & Veterinary (1) |
|---|
Required Skills
CPR
First Aid
Care Coordination
Pharmacology
HIPAA
Requirements
- A master’s degree in Social Work, Counseling, Psychology, or a related behavioral health field, with the ability to obtain a Qualified Mental Health Professional credential through the Mental Health and Addictions Certification Board of Oregon within two weeks of hire.
- Experience working with individuals with serious mental health concerns and complexity.
- Experience in community mental health, residential, or crisis services.
- A valid driver’s license, CPR certification, and First Aid certification.
- Ability to use a company vehicle and/or a personal vehicle to support participant access to appointments and activities.
- Ability to complete required agency training and remain current with training.
- Ability to follow organizational policies, procedures, and safety protocols.
Responsibilities
- Conduct comprehensive clinical assessments of participants’ mental health symptoms, functional abilities, strengths, and support needs.
- Review clinical records, prior evaluations, collateral information, and historical diagnoses to inform assessment and diagnostic formulation.
- Develop and document provisional, differential, and ongoing diagnoses using clinical judgment and current diagnostic criteria, considering co-occurring mental health, substance use, trauma-related, developmental, and medical conditions.
- Evaluate and clarify diagnoses received from external providers, healthcare systems, schools, or legal entities.
- Complete risk and safety assessments related to suicidality, self-harm, violence, and other safety concerns.
- Determine medical necessity and appropriate levels of care for treatment and services.
- Collaborate with participants to develop, implement, and update person-centered, goal-driven service and support plans.
- Incorporate evidence-based practices into care, including Motivational Interviewing, Cognitive Behavioral Therapy for psychosis, Trauma-Informed Cognitive Behavioral Therapy, Dialectical Behavior Therapy skills, and Acceptance and Commitment Therapy.
- Facilitate therapeutic groups and individual sessions.
- Implement feedback-informed treatment approaches to support participant engagement and treatment effectiveness.
- Provide skills training for daily living, community navigation, healthcare access, and compliance with legal or program requirements.
- Maintain knowledge of pharmacology, signs of substance use, and medication impacts on mental health symptoms.
- Travel into the community, as clinically indicated, to meet participant needs.
- Coordinate care with county partners, medical providers, substance use treatment providers, housing providers, legal teams, other treatment providers, and community partners.
- Connect participants with benefits, entitlements, insurance, and system resources.
- Coordinate and support participant engagement with court dates, hearings, and other legal requirements.
- Make and facilitate referrals for specialty care, medical care, substance use treatment, housing supports, and other community-based services.
- Provide direct support and transportation to community appointments and activities.
- Coordinate with insurance providers and care management entities regarding authorization processes, continuity of care, and medically necessary services.
- Support transitions between levels of care, including hospital discharge, residential or respite entry, outpatient step-down, and community reintegration.
- Participate in a team-based care model with peers, case managers, residential staff, medical team members, and program leadership.
- Use trauma-informed and person-centered approaches to reduce reliance on emergency or crisis services.
- Serve as the Director’s Designee to initiate hospital holds when clinically necessary in Multnomah County.
- Coordinate with first responders, crisis teams, and law enforcement during emergent clinical situations.
- Coordinate respite or hospital admissions and remain involved during hospitalization to support safety, engagement, and continuity of care.
- Carry the on-call clinical phone as scheduled for after-hours care coordination.
- Respond to emergent clinical situations and remain on site until crises are resolved when required.
- Maintain professional boundaries while supporting individuals experiencing significant distress.
- Complete ethical, accurate, and timely clinical documentation consistent with regulatory and organizational standards.
- Ensure compliance with informed consent procedures and participant rights.
- Follow HIPAA best practices and organizational policies and workflows.
- Participate in internal agency-wide training.
- Act as a mandatory reporter and coordinate with Adult Protective Services or Child Protective Services as necessary.
- Complete continuing education required by the clinician’s credential or license.
- Provide outpatient coverage, consultation, and urgent clinical response as the Clinician of the Day when assigned.
- Attend daily huddles and briefings when assigned to outpatient services.
- Participate in clinical screenings and admissions for potential residential participants.
- Complete residential service plans that include residential supports and risk mitigation.
- Coordinate with .370 teams to support stabilization and step-down planning.
- Provide ongoing risk monitoring in a 24/7 residential environment.
- Conduct forensic evaluations requested by the Psychiatric Security Review Board.
- Serve as a case monitor in accordance with Psychiatric Security Review Board requirements.
- Coordinate with the Psychiatric Security Review Board and testify as needed.
- Conduct home visits, urinalysis, and contraband checks in accordance with conditional release plans.
- Approve passes, level changes, and certain expenditures in coordination with payee systems.
- Complete monthly summary documentation related to conditional release.
- Coordinate with the Department of Human Services, education systems, and state partners in youth services.
- Engage family systems and school personnel in treatment planning.
- Provide developmentally appropriate, family-centered clinical interventions.
- Deliver intensive case management services in the community with fidelity, typically through two to three contacts per week or as clinically indicated.
- Provide assertive outreach and engagement to support continuity of care.
- Assist with onboarding new staff and orient them to workflows, expectations, and team practices.
- Provide guidance and collaborative problem-solving to support staff decision-making and service delivery.
- Lead or co-facilitate team meetings and huddles, ensuring structure, clarity, and follow-through.
- Model and reinforce organizational values and support a cohesive, accountable team culture.
- Implement and communicate organizational changes and support staff through transitions.
- Maintain the security of organizational interests.
Desired Qualifications
- Licensed or provisionally licensed in Oregon as a Licensed Clinical Social Worker, Licensed Professional Counselor, Licensed Marriage and Family Therapist, or equivalent.