Mental Health Clinician

New Narrative•Tigard, OR

About The Position

New Narrative is a nonprofit organization that partners with individuals to promote healing, housing stability, and long-term wellness through compassionate, equitable support. The Mental Health Clinician provides assessment, treatment planning, and therapeutic services to people receiving community mental health services, working in partnership with participants and interdisciplinary team members to support recovery, wellbeing, and sustained engagement in care. The clinician develops person-centered service plans, coordinates with system partners, supports transitions between levels of care, and uses Feedback Informed Treatment (FIT) to monitor progress and adjust interventions. The role works within a multidisciplinary, matrix-model team alongside residential and housing providers, medical providers, and community partners. Clinical assessment, risk evaluation, and treatment direction remain accountable to designated clinical leadership, while the clinician partners with program leadership on coordinated service delivery. Clinicians may be assigned to outpatient services, Intensive Case Management, residential treatment, PSRB services, or youth services based on organizational needs. Program assignments may involve specialized populations, regulatory frameworks, documentation requirements, and service delivery models. The position supports the West Side clinic at Spring Creek Center in Tigard, Oregon. The listed starting pay is $70,000, with compensation potentially higher depending on experience (DOE).

Requirements

Master’s degree in Social Work, Counseling, Psychology, or a related behavioral health field.
Ability to obtain a QMHP credential through MHACBO within two weeks of hire.
Valid driver’s license.
CPR and First Aid certification.
Ability to use a company vehicle and/or personal vehicle to support participant access to appointments and activities.

Nice To Haves

Experience working with individuals with serious mental health concerns and complex needs.
Experience in community mental health, residential, or crisis services.
Licensed or provisionally licensed in Oregon as an LCSW, LPC, LMFT, or equivalent.

Responsibilities

Conduct comprehensive clinical assessments of participants’ symptoms, functioning, strengths, and support needs, incorporating relevant records, collateral information, and historical diagnoses.
Develop, review, and document provisional, differential, and ongoing diagnoses using clinical judgment and current diagnostic criteria, including consideration of co-occurring conditions.
Complete risk and safety assessments concerning suicidality, self-harm, violence, and other safety concerns; determine medical necessity and appropriate levels of care.
Collaborate with participants to develop, implement, and update person-centered, goal-driven service and support plans, ensuring alignment among assessment, diagnosis, treatment, and documentation.
Use evidence-based practices as appropriate, including Motivational Interviewing, CBT for psychosis, trauma-informed CBT, DBT skills, and ACT.
Facilitate individual sessions and therapeutic groups, use feedback-informed treatment, and provide skills training for daily living, community navigation, healthcare access, and legal or program requirements.
Maintain basic knowledge of pharmacology, substance-use indicators, and medication impacts on mental health symptoms.
Travel into the community when clinically indicated to meet participant needs.
Coordinate care with county partners, medical and substance-use providers, housing providers, legal teams, treatment providers, and other community partners.
Connect participants with benefits, entitlements, insurance, system resources, referrals, and medically necessary services.
Support participant engagement with court dates, hearings, and other legal requirements, including facilitating attendance and follow-through as appropriate.
Provide direct support and transportation to community appointments and activities, and coordinate transitions between levels of care.
Collaborate with peers, case managers, residential staff, medical team members, and program leadership in team-based treatment planning and service delivery.
Use trauma-informed and person-centered approaches to reduce reliance on emergency or crisis services when possible.
Serve as Director’s Designee to initiate hospital holds when clinically necessary in Multnomah County; coordinate with first responders, crisis teams, and law enforcement during emergent situations.
Coordinate respite or hospital admissions and remain involved during hospitalization to support safety, engagement, and continuity of care after discharge.
Carry the on-call clinical phone as scheduled for after-hours care coordination, respond to crises, and potentially remain on site until a crisis is resolved.
Maintain crisis alerts, complete same-day documentation for people who may be at increased risk of crisis-service interaction, and complete critical incident reports within 24 hours when indicated.
Complete ethical, accurate, and timely clinical documentation; uphold informed consent, participant rights, HIPAA practices, organizational policies, and workflows.
Participate in agency-wide training, maintain credential- or license-related continuing education, and act as a mandatory reporter, coordinating with APS or CPS as necessary.
Depending on assignment, provide outpatient or shelter Clinician of the Day coverage, consultation, urgent response, huddles, residential screenings and admissions, service planning, risk monitoring, or stabilization and step-down coordination.
For PSRB assignments, conduct requested forensic evaluations, serve as a case monitor, plan and monitor required structured activities, coordinate with the PSRB, testify as needed, conduct home visits and contraband checks, review urinalysis results, approve passes and level changes as applicable, complete monthly summaries, and coordinate responses to potential revocation.
For youth services, participate in screenings, coordinate with DHS, education systems, and state partners, engage families and school personnel, and provide developmentally appropriate, family-centered interventions.
For Intensive Case Management, participate in screenings, deliver community-based services (typically two to three contacts per week or as clinically indicated), and provide assertive outreach.
For Lead scope assignments, support onboarding, guide staff decision-making, lead or co-facilitate team meetings, reinforce organizational values, communicate organizational changes, and support program operations when a program manager or supervisor is absent.
Maintain a valid driver’s license and CPR and First Aid certifications; use a company and/or personal vehicle to support participant access to appointments and activities.
Follow New Narrative policies, procedures, safety protocols, and required training, and maintain security of New Narrative interests.