Lead Licensed Clinician – Clinical Assessor

Guillaume Counseling Services • Portland, OR

1d • Hybrid

About The Position

Guillaume Counseling Services, P.C. is seeking an independently licensed mental health professional for a specialized assessment role in its outpatient behavioral health practice in Portland, Oregon. The Clinical Assessor conducts comprehensive clinical assessments, establishes diagnoses, determines medical necessity, develops initial individualized treatment plans, and helps clients connect with appropriate ongoing services. The position emphasizes diagnostic evaluation, sound clinical judgment, culturally responsive care, thorough documentation, and collaboration with clinical and administrative teams. Despite the “Lead” designation, the role does not involve routine staff supervision or an ongoing psychotherapy caseload.

This is a full-time, hourly W-2 position with a projected start date in 2027. The first 90 days are part-time, at 20–29 hours per week; afterward, the schedule transitions to 30–40 hours per week. The hybrid arrangement is primarily in person, with approved remote work, and requires in-person assessments in the Portland metropolitan area. Availability is needed on weekdays, with some evening or Saturday availability depending on client needs. Initial assessments are generally scheduled in two-hour blocks, with additional paid time for related coordination, consultation, meetings, training, documentation, and administrative responsibilities.

Compensation is $52–$64 per hour, depending on licensure, qualifications, and applicable differentials. Regular rates are $52–$60; culturally specific rates are $54–$62; and bilingual rates are $56–$64. Benefits and professional support include medical, dental, and vision insurance for eligible full-time employees; paid sick leave under Oregon requirements; retirement savings through OregonSaves and a 401(k) plan, subject to eligibility; professional liability coverage; flexible scheduling; paid training and structured onboarding; ongoing consultation and professional development; and administrative and technology support.

Candidates must have an active, unrestricted Oregon clinical license as an LMFT, LPC, LCSW, or another independently licensed mental health professional authorized to perform the duties, as well as a master’s degree or higher in a qualifying clinical discipline. Strong assessment, diagnostic, treatment-planning, documentation, and collaboration skills are required. Spanish-English or Haitian Creole-English bilingual proficiency and experience providing culturally specific services to African American individuals and families are preferred, but not required. Applicants are asked to submit a resume and cover letter describing their licensure, assessment experience, diagnostic expertise, relevant qualifications, and interest in the role.

Requirements

• Current, active, unrestricted Oregon clinical license as an LMFT, LPC, LCSW, or another independently licensed mental health professional authorized to perform the required duties.
• Master’s degree or higher in counseling, marriage and family therapy, social work, psychology, or a related qualifying clinical discipline.
• Strong experience conducting comprehensive mental health assessments and developing individualized treatment plans.
• Demonstrated competence in diagnostic evaluation, differential diagnosis, and medical necessity determination.
• Knowledge of DSM diagnostic criteria, clinical documentation requirements, and appropriate levels of behavioral health care.
• Ability to identify clinical risk factors, assess safety concerns, and determine when further evaluation or a higher level of care is indicated.
• Experience providing evidence-based, trauma-informed, and culturally responsive clinical services.
• Strong clinical judgment, critical thinking, organizational, and time-management skills.
• Ability to establish therapeutic rapport with clients from diverse cultural, racial, ethnic, socioeconomic, religious, and nonreligious backgrounds.
• Excellent written communication skills and ability to complete accurate, thorough, and timely clinical documentation.
• Ability to collaborate effectively with clinicians, case managers, intake coordinators, and administrative staff.
• Professionalism, flexibility, accountability, collaboration, and openness to feedback.
• Familiarity with electronic health records, telehealth platforms, HIPAA, and professional ethical standards.
• Ability to provide required in-person clinical assessments in the Portland metropolitan area.

Nice To Haves

• Experience conducting initial diagnostic assessments in outpatient behavioral health or community mental health settings.
• Experience with Medicaid/Oregon Health Plan clinical documentation and medical necessity requirements.
• Advanced training in diagnostic assessment, trauma-informed care, differential diagnosis, and evidence-based clinical interventions.
• Experience assessing children, adolescents, adults, couples, or families.
• Experience coordinating referrals and transitions between levels of behavioral health care.
• Bilingual proficiency in Spanish and English or Haitian Creole and English.
• Demonstrated experience providing culturally specific behavioral health services to African American individuals and families.
• Knowledge of culturally relevant behavioral health needs, barriers to care, and community resources.

Responsibilities

• Conduct comprehensive biopsychosocial and diagnostic assessments for new clients.
• Evaluate presenting concerns, psychiatric symptoms, psychosocial history, functional impairments, strengths, and treatment needs.
• Establish clinically appropriate diagnoses using current diagnostic standards.
• Assess medical necessity and determine whether outpatient behavioral health services are appropriate.
• Identify clinical risk factors and safety concerns, and initiate appropriate interventions or referrals.
• Determine when psychiatric evaluation, specialty services, or a higher level of care may be indicated.
• Develop individualized initial treatment plans based on assessment findings, clinical needs, and client goals.
• Recommend treatment modalities, service frequency, and additional supports.
• Consider client strengths, cultural factors, and other matters relevant to treatment engagement when making recommendations.
• Ensure treatment recommendations align with clinical findings, medical necessity, and applicable payer requirements.
• Collaborate with intake and scheduling staff to support timely assignment to an appropriate treating clinician.
• Communicate assessment findings and recommendations to the assigned clinician through approved clinical channels.
• Coordinate referrals and support appropriate transitions into ongoing care while maintaining confidentiality and professional boundaries.
• Consult with clinical leadership about complex assessments, diagnostic concerns, or treatment recommendations.
• Complete accurate and comprehensive assessments and initial treatment plans within organizational timelines.
• Maintain documentation supporting diagnoses, medical necessity, and recommended treatment, and follow recordkeeping and confidentiality standards.
• Participate in clinical consultation, quality improvement activities, and assessment-related training.
• Comply with Oregon regulations, professional ethics, HIPAA, and applicable payer requirements.

Benefits

• Medical, dental, and vision insurance for eligible full-time employees.
• Paid sick leave in accordance with Oregon requirements.
• Retirement savings through OregonSaves and a 401(k) plan, subject to eligibility.
• Professional liability insurance coverage.
• Flexible scheduling and opportunities for professional advancement.
• Structured onboarding and paid training.
• Ongoing clinical consultation and professional development.
• Administrative support for scheduling, billing, credentialing, and client coordination.
• Access to organizational technology and clinical documentation tools.

What This Job Offers

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