PSRB Mental Health Clinician & Case Monitor

New Narrative•Portland, OR

9d•$70,000

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. The clinician partners with participants as active collaborators in their care and works with interdisciplinary teams to support recovery, well-being, and continued engagement in services. The role develops person-centered service plans, coordinates care with system partners, and supports transitions between levels of care. Clinicians use Feedback Informed Treatment (FIT) to monitor progress, incorporate participant feedback, and adjust interventions. They collaborate with residential and housing providers, medical providers, and community partners to deliver trauma-informed care. The role uses a matrix model in which operational oversight and clinical supervision may come from different roles; clinical accountability and decisions concerning assessment, risk evaluation, and treatment direction remain with designated clinical leadership. Program assignments may include outpatient services, Intensive Case Management, residential treatment, PSRB services, or youth services. The PSRB assignment includes forensic evaluations, case monitoring, structured-activity planning, coordination with the Psychiatric Security Review Board, and duties related to conditional release. The position is based in Portland, Oregon, and surrounding metro areas. Pay starts at $70,000 and may be higher depending on experience and qualifications.

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.
Maintain a valid driver’s license, CPR certification, and First Aid certification.
Use a company vehicle and/or personal vehicle to support participant access to appointments and activities.
Complete required agency trainings, remain current with training, follow New Narrative policies, procedures, and safety protocols, and maintain the security of New Narrative interests.
Demonstrate strong clinical assessment and diagnostic reasoning, effective treatment planning, and commitment to interdisciplinary teamwork.
Demonstrate trauma-informed, person-centered, and harm-reduction practices, including approaches to co-occurring conditions.
Use assertive engagement strategies and proactive community outreach to support participant engagement and continuity of care.
Demonstrate strong communication, complex care coordination, distress tolerance, crisis-management skills, professional boundaries, ethical decision-making, and the ability to prioritize and structure the workday.

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; review records and collateral information; formulate and clarify diagnoses; assess risk and safety; and determine medical necessity and appropriate levels of care.
Collaborate with participants to develop, implement, and update person-centered service and support plans, maintaining alignment among assessment, diagnosis, treatment planning, and documentation.
Incorporate evidence-based approaches, including Motivational Interviewing, CBT for psychosis, Trauma-Informed CBT, DBT skills, and ACT, as appropriate.
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, signs of substance use, and medication impacts on mental health symptoms.
Travel into the community as clinically indicated to meet participant needs.
Coordinate care with county partners, medical and substance-use treatment providers, housing providers, legal teams, and other treatment and community partners.
Connect participants with benefits, entitlements, insurance, system resources, referrals, and medically necessary services; support engagement with court dates, hearings, and other legal requirements.
Provide direct support and transportation to community appointments and activities, and support transitions between hospital, residential or respite care, outpatient services, and community living.
Collaborate with peers, case managers, residential staff, medical team members, and program leadership in a team-based model of care.
Use trauma-informed, person-centered approaches to reduce reliance on emergency or crisis services when possible; coordinate with first responders, crisis teams, and law enforcement during emergent situations.
Serve as Director’s Designee to initiate hospital holds when clinically necessary in Multnomah County; coordinate respite or hospital admissions and remain involved during hospitalization to support safety and continuity of care.
Carry the on-call clinical phone as scheduled for after-hours care coordination; respond to emergent clinical situations, which may require staying on site until a crisis is resolved.
Maintain crisis alerts and complete same-day documentation for people who may be at increased risk of crisis-service interaction; complete critical incident reports within 24 hours when indicated.
Complete ethical, accurate, timely clinical documentation; follow informed-consent procedures, participant-rights requirements, HIPAA practices, organizational policies, and workflows.
Participate in agency-wide trainings, maintain continuing education required for the credential or license, act as a mandatory reporter, and coordinate with APS or CPS as necessary.
For PSRB assignments, conduct forensic evaluations requested by the board before enrollment and serve as a case monitor under PSRB requirements.
For PSRB assignments, design, implement, and monitor a plan for 20 weekly hours of structured activities, and help participants connect with resources and services needed to meet their goals.
For PSRB assignments, coordinate with the PSRB and testify as needed; conduct home visits and contraband checks; review urinalysis results under the Conditional Release Plan; and approve passes, level changes, and certain expenditures in coordination with payee systems.
For PSRB assignments, complete monthly conditional-release summaries, carry the PSRB on-call phone, and address symptoms that may lead to revocation by coordinating with the State hospital, PSRB staff, law enforcement, and other involved parties.