Counselor III (Integrated Team Based Care)

Cascadia Health•Portland, OR
•$65,731 - $70,436•Onsite

About The Position

The Counselor III works within Cascadia’s Integrated Team-Based Care program, a collaborative multidisciplinary model combining behavioral health, substance use disorder services, psychiatry, peer support, and other services. Care teams coordinate through daily huddles, weekly case consultations, and shared accountability for client outcomes, with an emphasis on timely, person-centered care, continuity, quality improvement, and data-informed decisions. The Counselor III provides and coordinates behavioral health assessments, service planning, individual and group interventions, and case presentations for people experiencing severe mental illness and addiction. The role promotes integrated care and trauma-informed, person-first approaches, and helps create an accepting work environment. It is designed for in-person work at Garlington Health Center and other locations in the Portland Metro area, including community settings. The schedule is Monday through Friday, 8:30 a.m. to 5:00 p.m.

Requirements

  • Master’s degree in a behavioral science field from an accredited college or university.
  • Demonstrate competencies for QMHP credentialing under Oregon Administrative Rules; certification must be current and compliant with those rules.
  • Meet requirements for credentialing as a Qualified Mental Health Professional (QMHP) through MHACBO.
  • Effective communication and active listening skills.
  • Effective interpersonal and customer service skills.
  • Values and philosophy consistent with a patient-centered care model.
  • Ability to work proactively and effectively both as part of 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 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 and First Aid certifications are required and must remain current.
  • Ability to work in environments that may involve unpredictability, interruptions, potential violent behavior, exposure to disease or biohazards, noise, and contaminants.
  • Ability to exercise sound judgment and use a flexible approach to time management.

Nice To Haves

  • Clinical experience within a safety net organization.

Responsibilities

  • Complete and implement 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 reflect client priorities 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 connect clients and families with external resources as needed.
  • Apply Feedback Informed Treatment practices in alignment with the team and program’s current level of 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 on 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.
  • Comply with and implement applicable program regulations, policies, and procedures.
  • Assist in crisis situations by following emergency protocols and coordinating trauma-informed interventions with the treatment team.
  • Respect client rights and responsibilities and maintain professional boundaries and ethics.
  • Maintain clinical records and documentation in compliance with agency policies, local, state, and federal regulations, and billing requirements; complete required electronic medical records using Cascadia software.
  • Maintain accurate and timely documentation related to assessments, treatment, client progress, and other activities.
  • Take responsibility for the safety of people served; understand fire regulations and evacuation procedures and participate in required safety drills.
  • Follow mandatory abuse-reporting laws and HIPAA requirements.
  • Complete annual employee training on time as required by licensing and agency requirements.
  • Participate in scheduled staff meetings, supervision sessions, and other departmental and agency meetings.
  • Perform other duties as assigned.

Benefits

  • Generous paid time off; full-time employees earn six weeks in their first year.
  • Medical and dental coverage beginning the first of the month following hire date.
  • VSP Vision Discount Plan.
  • 403(b) retirement plan, eligible after 60 days, with immediate 100% vesting and a 1-to-1 company match up to 3% per pay period, plus the opportunity for an additional discretionary contribution of up to 5% at fiscal year-end.
  • Flexible Spending Account for medical, dependent care, and transportation expenses.
  • Short-term disability, long-term disability, and life insurance.
  • Paid bereavement and jury duty leave.
  • Length of Service Award.
  • Voluntary life insurance.
  • Supplemental insurance.
  • Student loan forgiveness options.
  • Employee Assistance Program.
  • Bike to Work Reimbursement.
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service