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Cascadia Healthcare

Skilled nursing and healthcare facility development

Counselor 3 - Forensic Intensive Clinical Coordination

Full-TimeUpdated on 10/23/2026
$65.7k - $70.4k
Mid
Master's
Portland, OR, USA
In PersonBased at the Mead building in SW Portland; some responsibilities are conducted in the community.
Medical, Clinical & VeterinaryMental & Behavioral Health

About the job

Requirements
  • A master's degree in a behavioral science field from an accredited college or university is required, along with competencies for Qualified Mental Health Professional credentialing under Oregon Administrative Rules and current compliance with those rules.
  • Must meet requirements for Qualified Mental Health Professional credentialing through MHACBO.
  • Must have a Certified Alcohol and Drug Counselor credential, or be able to obtain a Certified Alcohol and Drug Counselor-R credential within three months of hire.
  • Clinical experience within a safety net organization is required.
  • Must possess a valid driver's license, a one-year driving history, and a clean driving record; pass a motor vehicle check and complete Cascadia's online defensive driving course.
  • Must be able to perform CPR, First Aid, and use AED equipment effectively; CPR and First Aid certifications must remain current.
  • Must have effective communication, active listening, interpersonal, and customer service skills.
  • Must demonstrate a patient-centered care philosophy and values, and the ability to work proactively and effectively both independently and as part of a team.
  • Must have basic knowledge of Trauma-Informed Care, Motivational Interviewing, and evidence-based practices.
  • Must have a basic understanding of the recovery model, illness management, and strength-based philosophies.
  • Must be able to operate computer hardware and software needed to perform job functions.
  • Must comply with program regulations, policies, and procedures; maintain professional boundaries and ethics; respect client rights and responsibilities; and maintain compliant, accurate, up-to-date clinical documentation and electronic medical records.
  • Must demonstrate knowledge and application of the Risk, Needs, Responsivity model and knowledge of recidivism risk and needs tools and their use in treatment.
Responsibilities
  • Complete timely, comprehensive behavioral health assessments for new and ongoing clients.
  • Conduct diagnostic evaluations using DSM-5 criteria to inform individualized treatment planning.
  • Complete and implement treatment plans and other clinically indicated assessments, including annual reviews.
  • Engage clients and their support systems in developing person-centered service plans that incorporate client priorities and address social determinants of health.
  • Assist clients in developing and accessing natural community supports and services, and promote the inclusion of family or identified supports in treatment planning.
  • Monitor and revise service plans based on client progress, evolving needs, and interdisciplinary team input.
  • Provide individual and group counseling, including community-based interventions, consistent with service plans.
  • Advocate for clients to secure benefits, housing, medical care, and emergency services, and remove barriers to obtaining and maintaining housing.
  • Promote illness self-management and recovery throughout treatment.
  • Facilitate family or support-person sessions and conduct termination sessions as appropriate.
  • Recognize warning signs of crisis and implement prevention and intervention strategies to ensure safety.
  • Provide psychoeducation and link clients and families to external resources as needed.
  • Collaborate with hospitals on client discharge planning and continuity of care.
  • Partner with internal and external stakeholders to coordinate, monitor, and evaluate services addressing clients' health, social, and other needs while minimizing care gaps and preventing duplication.
  • Ensure comprehensive care by collaborating with medical, psychiatric, housing, and other service providers.
  • Connect clients with appropriate staff or community resources for additional support.
  • Offer clinical guidance and support to team members to promote collaborative problem-solving and service quality.
  • Respond to client crises with assessments and interventions aimed at de-escalation and stabilization.
  • Coordinate and collaborate on an ongoing basis with Mental Health Unit probation and parole officers.
  • Assist in crisis situations in accordance with emergency protocols, coordinating with the treatment team on interventions that support a trauma-informed environment for residents and staff.
  • Maintain clinical records and documentation in compliance with agency policies, local, state, and federal regulations, and billing requirements, using Cascadia's electronic medical record software.
  • Demonstrate responsibility for the safety of clients.

About the company

Cascadia Healthcare operates in skilled nursing and healthcare real estate development. It runs skilled nursing facilities to deliver patient care and also develops healthcare facilities as part of its real estate activities, generating revenue from both services and property operations. Its care model centers on providing high-quality nursing services within healthcare facilities, supported by ongoing training and an employee-centric, family-valued culture. The company emphasizes collaboration, frequent team discussions, and partnerships to monitor and improve care quality, with regional focus on the areas it serves. Cascadia’s goal is to deliver quality patient care while growing its network of healthcare facilities through honest hard work and strong partnerships.

Company Size

201-500

Company Stage

Debt Financing

Total Funding

$42.3M

Headquarters

Eagle, Idaho

Founded

2015

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Simplify's Take

What believers are saying

  • Sabra expects Cascadia's 22-property takeover to close in second-half 2026, expanding revenue.
  • Avamere's exit lets Cascadia absorb facilities with existing staffing and resident demand.
  • Cascadia says it will retain staff and keep specialty care unchanged across Oregon and Washington.

What critics are saying

  • Multnomah County filed a $51.01 million wrongful-death suit against Cascadia on July 20, 2026.
  • Oregon inspectors cited Creekside in May 2026 for three deficiencies, including unsafe resident care.
  • Avamere's 129-worker layoffs accompany 26 property transitions, signaling churn and integration pressure through late 2026.

What makes Cascadia Healthcare unique

  • Cascadia's Pacific Northwest footprint spans 61-plus long-term care facilities across five states.
  • Sabra's 2026 transition adds 22 Avamere properties, accelerating regional density fast.
  • White Oak's $42.3 million facility financed growth and working capital in August 2022.

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Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Paid Vacation
  • 401(k) Retirement Plan
  • Life Insurance
  • Disability Insurance
  • Pet Insurance
  • Professional Development Budget
  • Flexible Work Hours

Growth & Insights and Company News

6 month growth

19%

1 year growth

22%

2 year growth

22%
American Health Care Association / National Center for Assisted Living
Aug 7th, 2023
2023 Gold National Quality Awards Announced

Washington, D.C. - Two Cascadia Healthcare skilled nursing care and rehabilitation centers in Idaho have been recognized with the 2023 Gold - Excellence in Quality award for superior performance in quality care by the American Health Care Association and National Center for Assisted Living (AHCA/NCAL).

Business Wire
Sep 1st, 2022
White Oak Healthcare Finance Provides Financing to Cascadia Healthcare

White Oak Healthcare Finance LLC (“White Oak” or “WOHCF”) acted as sole lender and administrative agent on the funding of a $42.3 million asset-based