Dual Mental Health Clinician - ACT Team

Central City Concern • Portland, OR

15d • $66,000 - $124,000

About The Position

Step into work that meets people where they are
Join our Assertive Community Treatment (ACT) team delivering high-impact,
community-based care to individuals living with serious and persistent mental
illness and co-occurring substance use challenges. This is hands-on,
relationship-driven work that changes lives… every single day.

Why this role stands out

Community-based care, meet clients in homes, shelters, and on the street
Team-driven model… collaborate daily with prescribers, case managers, and
peers
High-impact work; reduce crisis, support housing stability, and drive
recovery

What you’ll do

Conduct mental health assessments, diagnoses, and treatment planning
Provide integrated dual diagnosis care and therapeutic interventions
Engage clients through outreach and build trust over time
Support crisis intervention, care coordination, and access to housing and
benefits

If you are community driven, like small caseloads with a team-based model,
helping reduce barriers for clients, and providing wraparound care to
individuals with SPMI…now is the time for you to join the Mission and ACT Team
with Central City Concern.

This team works to address all treatment needs, including crisis management,
substance abuse treatment, medication management, physical health treatment,
mental health treatment, accessing benefits and entitlements, accessing
appropriate and affordable housing, providing counseling, case management, and
dual diagnosis treatment.

The Mental Health Clinician works as a member of a multi-disciplinary team
providing intensive case management and integrated dual diagnosis treatment. The
team works to address all treatment needs, including crisis management,
substance abuse treatment, medication management, physical health treatment,
mental health treatment, accessing benefits and entitlements, accessing
appropriate and affordable housing. This position has access to mental health
billing and service records.

Requirements

• Must meet qualifications for: QMHP-R or QMHP CSWA or LCSW LPC-A or LPC
• Has the competencies necessary to: Identify precipitating events
• Gather histories of mental, emotional and physical disabilities, alcohol and drug use, past mental health services and criminal justice contacts
• Assess family, social and work relationships
• Conduct a mental status assessment
• Document a multiaxial DSM diagnosis
• Write and implement or supervise implementation of a treatment plan
• Conduct and document a mental health assessment
• Provide mental health treatment and rehabilitative services within ones scope of practice
• Relevant Master's degree required.
• Must meet CCC privileging requirements as required by FTCA. Must have current CPR certification prior to start.
• Ability to adhere to Central City Concern’s drug-free workplace which encourages a safe, healthy and productive work environment and strictly complies with the Drug-Free Work Place Ace of 1988. An employee shall not, in the workplace, unlawfully manufacture, distribute, dispense, possess or use a controlled substance or alcohol.
• Will be required to carry an agency cell phone for work use.  Cell phone will be provided by Central City Concern.
• Must possess a current driver’s license, access to a vehicle, qualify as an Acceptable Driver as designated in Central City Concern’s Fleet Safety policy.  Must pass an initial drivers training within 60 days of being an approved driver and continued recertification training.  Must maintain vehicle insurance coverage of a minimum of $100,000/$300,000 personal auto liability coverage.
• Must pass a pre-employment drug screen, TB Test, and background check.  This includes clearance by the DHS Background Check Unit.
• Physical ability to bend, stoop, kneel, squat, twist, reach, pull and lift heavy objects.
• Must be able to climb stairs several times a day.
• Must adhere to agency’s non-discrimination policies.
• Ability to effectively interact with co-workers and clients with diverse ethnic backgrounds, religious views, political affiliation, cultural backgrounds, life-styles and sexual orientations, and treat individuals with respect and dignity.
• Advanced knowledge and skills in counseling and assessment techniques with individuals and groups including assessing for risk of danger to self & others.
• Ability to work effectively with peers, individual clients and groups.
• Ability to work as a team member, remain flexible and establish priorities.
• Ability to apply principles learned to new situations.
• Ability to work independently, manage time, prioritize the workload, problem-solve, and complete tasks in a timely manner. Ability to learn new skills.
• Ability to display a non-judgmental attitude.
• Knowledge of community and social service agencies.
• Knowledge and skills in mental health treatment methods and crisis intervention.
• Knowledge and skills in chemical dependency treatment methods and crisis intervention.
• Sufficient manual dexterity and physical ability to perform assigned tasks.
• Ability to communicate clearly and concisely both orally and in writing.
• Ability to work in an environment where people may be hostile or abusive.
• Ability to manage time and meet deadlines.
• Ability to work courteously and effectively communicate with the general public, clients, medical personnel, corrections personnel, police, and co-workers.
• Ability to maintain accurate records and necessary paperwork.
• Knowledge of de-escalation methods or ability to be trained in de-escalation methods.
• Ability to provide leadership.

Nice To Haves

• CADC-R at minimum preferred.
• Experience with severe and persistent mental illness (SPMI) preferred.
• Bi-lingual (English/Spanish) preferred.

Responsibilities

• Collect information regarding clients’ history through a combination of interviewing, records review, and consultation, after obtaining written consent.
• Conduct and document Mental Health Assessments, including mental status exam, DSM diagnosis, and clinical formulation.
• Develop treatment plan with client.
• Participate in outreach activities necessary to offer services and engage participation in a non-coercive manner. Escort clients to meetings and appointments as necessary.
• Participate in evaluating clients for risk of harm.
• Participate in clinical staff meetings and case conferences with team members in order to utilize interdisciplinary expertise and facilitate individual treatment plans for clients;
• Collaborate with Residential facilities, Adult Foster homes or other housing providers to provide necessary treatment services and coordinate residential and non-residential treatment and service planning.
• Participate in admission and discharge planning for any client needing hospitalization or subacute level of care.  Client contact must be made within one working day of admission.
• Monitor and assure that the health and safety needs of clients are met.
• Maintain client records using an electronic medical record. Must be documented as required by program standards and funding requirements including documentation of clinical interactions, behavioral health assessments & individual service plans.
• Participate in the rotation of carrying after-hours pager and providing holiday coverage with other members of team/program.
• Participate in regular supervision from the Clinical Supervisor, seeking additional supervision whenever necessary. Minimum requirement two hours of documented supervision per month.
• Conduct educational and therapeutic groups for clients, using approved curriculum.
• Coordinate services with all members of client’s support network.
• Participate in quality assurance and quality improvement activities as directed.
• Assist with the development of an integrated treatment program.
• Initiate Directors Custody transport holds when appropriate. This requires certified Director’s Custody designation in Multnomah County.
• Attend required meetings and trainings.
• Adhere to all state and federal privacy regulations, including HIPAA and 42 CFR Part 2, and to CCC policies and agreements regarding confidentiality, privacy, and security.  Support compliance with all privacy and security requirements pursuant to community partners’ and outside providers’ patient confidentiality agreements, including privacy and security requirements for EMR access.  This includes immediately reporting any breach of protected health information or personal identification information of any person receiving CCC services by CCC or an outside provider to the CCC Compliance Department, as well as to your supervisor or their designee.
• Attend all mandatory CCC trainings in a timely manner.
• Perform other duties as assigned.

Benefits

• Generous paid time off plan beginning at 4 weeks of PTO accrual per year!
• Accrual amount/rate increases with longevity.
• Amazing 403(b) Retirement Savings plan with an employer match of 4.25% in your 1st year, 6% in the 2nd year, and 8% in your 3rd year!
• Up to 11 recognized Holidays and 2 personal holidays (dependent on work shift schedule)
• Comprehensive Medical, Vision, and Dental insurance coverage.
• Employer Paid Life, Short-Term Disability, AND Long-Term Disability Insurance!
• Sabbatical Program offering extended time off at years 7, 14, and 21.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level