Dual Diagnosis Counselor

Fora Health Inc•Portland, OR

2d•$75,130 - $82,576•Onsite

About The Position

The Dual Diagnosis Counselor provides services to adult patients in the assigned Fora Health program, working under the direction of the program manager and in collaboration with a multidisciplinary team. The counselor conducts mental health and ASAM assessments, develops collaborative treatment plans, provides individual and group therapy, and supports referrals and transitions between levels of care for patients recovering from substance use and mental health disorders. Program-specific duties are performed within the scope of the role and assigned program. The role includes clinical evaluation, diagnosis, treatment planning, documentation, counseling, education, referrals, care coordination, and adherence to professional and ethical standards. The counselor participates in an integrated care team, ongoing supervision, and program meetings, and maintains required credentials. The position has no supervisory duties. The position generally works in an indoor office or clinical environment and may involve travel between Fora Health sites and to special events. Some evening and weekend work may be needed based on patient needs, and shift work may include weekday, weekend, and holiday hours. The role may involve exposure to communicable diseases, distressed or emotionally disturbed adults and families, and potentially hazardous cleaning chemicals; personal protective equipment is provided.

Requirements

Graduate degree in psychology, social work, or another behavioral health field.
QMHP credential or master’s-level licensure (LPC, LCSW, or LMFT), as required by Oregon Administrative Rules.
Ability, as a QMHP, to conduct assessments; gather mental and physical health, substance use, service, and criminal justice histories; assess relationships and functioning; conduct a mental status examination; complete a DSM diagnosis; write and supervise implementation of a service plan; and provide individual, family, or group therapy within the scope of training.
CADC I credential or ability to qualify for CADC I within six months.
Basic knowledge of substance use disorders and their impact on mental health symptoms.
Basic understanding of mental health diagnoses and symptomology.
Understanding of basic psychopharmacology.
Ability to describe warning signs, symptoms, and the course of substance use disorders and their effects on families and concerned others.
Knowledge of prevention, treatment, and recovery principles and philosophy.
Ability to incorporate foundational models such as MI, DBT, ACT, CBT, and IFS.
Skill in addressing self-awareness, diversity, and ethics.
Effective communication and rapport-building skills.
Ability to facilitate clinical evaluation covering ASAM and DSM-5 dimensions.
Knowledge of and ability to maintain clinical documentation, including treatment plans, to agency standards.
Ability to facilitate groups.
Ability to problem-solve and make decisions independently.
Understanding of emergency situations and protocols, and ability to use de-escalation skills in crises.
For employees with a history of substance use disorder, at least two years of sobriety is required by Fora Health policy.
Ability to pass a pre-employment or for-cause drug test.
Ability to pass a DHS criminal background check.
Completed registration with the Oregon Health Authority (DMAP) and National Plan and Provider Identifier (NPI).

Nice To Haves

CADC II or CADC III credential.

Responsibilities

Inform patients of confidentiality rights and program procedures, and protect the privacy and confidentiality of patient information.
Gather and interpret assessment information from patients and collateral sources; use ASAM and DSM-5 to assess needs, risk, diagnoses, and medical necessity for level of care.
Determine patients’ appropriate ASAM level of care and stage of change.
Develop measurable treatment outcomes and strategies collaboratively with patients, and review and adjust treatment plans as appropriate.
Document patient encounters and treatment progress in the electronic medical record and other required technology, including assessments, progress notes, screenings, transfer summaries, and authorization documentation.
Apply placement, continued-stay, and completion or transition criteria based on medical necessity and patient preferences.
Coordinate referrals and exchange relevant information with internal service areas, referral agencies, and external care team members.
Complete clinical documentation within required timeframes, including progress notes, treatment plan reviews, discharge plans, discharge summaries, and case management contacts.
Develop discharge and continuity-of-care plans with patients and complete discharge documentation and required insurance notifications.
Establish professional, respectful, empathetic helping relationships and facilitate patient engagement in treatment and recovery.
Provide evidence-based individual and group counseling, education, and therapeutic interventions to support treatment goals.
Coordinate care with peer mentors, psychiatric and medical providers, and other integrated care team members.
Meet individually with patients at the frequency determined by treatment plans or program assignment.
Use cultural humility and account for patients’ cultural identities, values, backgrounds, age, and gender in treatment.
Educate patients about substance-use-related health and behavior concerns, including infectious disease transmission and prevention, and teach life skills such as stress management, communication, and refusal skills.
Arrange or support referrals to professionals, agencies, community programs, and continuing-care resources; explain referral processes and obtain required consent before disclosures.
Develop collaborative relationships with mental health practitioners, prescribers, probation officers, agencies, and insurance representatives involved in patient care.
Adhere to professional ethics, applicable laws, and agency policies; maintain appropriate boundaries with patients and families.
Participate in ongoing supervision and consultation, and maintain current addiction counselor certification and QMHP privileging or mental health licensure.
Support program coverage and patient needs across departments and levels of care, including assessments, groups, individual sessions, and case management when assigned.
Attend treatment team, clinical supervision, and other assigned meetings; maintain working relationships and communicate effectively with staff across departments.
Maintain a clean and safe work environment and complete assigned trainings, projects, and other duties.