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Cascadia Healthcare

Skilled nursing and healthcare facility development

Counselor 3 - Integrated Team Based Care

Full-TimePosted on 10/22/2026
$65.7k - $70.4k
Mid
Master's
Portland, OR, USA
In PersonIn-person role; travel to multiple locations throughout the Portland Metro area is required.
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.
  • Demonstrate the competencies to become credentialed as a Qualified Mental Health Professional (QMHP) under Oregon Administrative Rules; certification must be current and compliant with those rules, and the candidate must meet MHACBO QMHP credentialing requirements.
  • Effective communication and active listening skills.
  • Demonstrated effective interpersonal and customer service skills.
  • Philosophy and values consistent with a patient-centered care model.
  • Ability to work proactively and effectively in a team and independently.
  • Basic knowledge of Trauma-Informed Care, Motivational Interviewing, and evidence-based practices.
  • Basic understanding of the recovery model, illness management, and strength-based philosophies.
  • Ability to operate computer hardware and software at a level needed to perform job functions.
  • Ability to travel to multiple locations throughout the Portland Metro area.
  • Ability to perform CPR and First Aid and effectively use AED equipment; CPR/First Aid certifications are required and must remain current.
  • Clinical experience within a safety-net organization is preferred.
  • Maintain all licenses, certifications, registrations, and other credentials required for the position in active, good standing.
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-prioritized goals and address social determinants of health.
  • Monitor and revise service plans based on client progress, changing needs, and interdisciplinary team input.
  • Provide individual and group counseling, including community-based interventions, consistent with service plans.
  • 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.
  • Apply Feedback Informed Treatment practices as part of the service delivery team and in alignment with current program implementation.
  • Partner with internal and external stakeholders to minimize care gaps and prevent duplication of services.
  • Coordinate, monitor, and evaluate services needed to meet clients' health, social, and other needs.
  • Collaborate with hospitals to support client discharge planning and continuity of care.
  • Offer clinical guidance and support to team members, promoting collaborative problem-solving and service quality.
  • Respond to client crises with assessments and interventions aimed at de-escalation and stabilization.
  • Connect clients in distress with appropriate staff or community resources for further support.
  • Comply with and implement applicable program regulations, policies, and procedures.
  • Assist in crisis situations by following emergency protocols and coordinating with the treatment team on trauma-informed interventions that support residents and staff.
  • Respect client rights and responsibilities and demonstrate professional boundaries and ethics.
  • Document and maintain clinical records in compliance with agency policies, local, state, and federal regulations, and billing requirements.
  • Maintain accurate and current documentation related to assessments, treatment, client progress, and other activities, completing electronic medical records using Cascadia software as required.
  • Take responsibility for the safety of those served.
  • Understand fire regulations and evacuation procedures, and participate in regular safety drills with residents in accordance with program policies and procedures.
  • Adhere to mandatory abuse-reporting laws and HIPAA requirements.
  • Complete annual employee training on time as required by facility licensing and agency requirements.
  • Participate in scheduled staff meetings, supervision sessions, and departmental and agency meetings.
  • Perform other duties as assigned.
Desired Qualifications
  • Clinical experience within a safety-net organization.

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