Dual Behavioral Health Clinician

Join Central City Concern's Community Engagement Program

Some challenges seem impossible to overcome-chronic homelessness, severe mental health conditions, and substance use disorders. At Central City Concern, we know that true healing requires a comprehensive, compassionate, and innovative approach. That's where the Community Engagement Program (CEP) comes in.

CEP is a multidisciplinary team dedicated to meeting people where they are, helping them stabilize, heal, and rebuild their lives. We specialize in supporting individuals who have struggled in traditional treatment models-those with co-occurring disorders, major disabilities, high healthcare utilization, and involvement in the justice system.

As a Dual Behavioral Health Clinician, you will:

• Provide individual and group counseling using a harm-reduction approach
• Conduct mental health and substance use assessments to guide treatment planning
• Support clients in accessing primary and mental healthcare
• Assist individuals in navigating housing resources and overcoming barriers to stability
• Collaborate with a multidisciplinary team, including recovery mentors, social workers, and healthcare providers
• Help clients engage in employment counseling and training opportunities
• Advocate for and connect clients to long-term recovery and support services

Why Join Us?

• Innovative, integrated care model that works-95% of participants remained housed one year after placement.
• A mission-driven team focused on real solutions that reduce reliance on police, shelters, and emergency rooms.
• The opportunity to truly change lives-one person at a time.

Schedule: Monday-Friday 8:00am-5:00pm

Salary pay starts at $65,000 annually and increases with professional experience and licensure/certifications!

MINIMUM QUALIFICATIONS:

• Must meet qualifications for:




• QMHP-R or QMHP
• LPC-A or LPC
• LMFT-A or LMFT
• CSWA or LCSW




• CADC-R, at minimum, certification preferred, or the ability to obtain one within 1 year.
• CADC-1, 2, or 3 HIGHLY Preferred
• Experience in mental health and substance use treatment preferred.
• Experience with Severe Persistent Mental Illness (SPMI) preferred.
• 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 DSM diagnosis.
• Write and implement or supervise the implementation of a treatment plan.
• Conduct and document mental health assessment.
• Provide mental health treatment and rehabilitative services within ones scope of practice.




• Must meet CCC privileging requirements as required by FTCA.
• Must have current CPR certification prior to start.
• Must become a certified Director's Custody designee in Multnomah County within the first 6 months of hire.
• Must pass a pre-employment drug screen, TB test, and background check. This includes clearance by the DHS Background Check Unit.
• The OAR prohibits A&D program staff from having within the previous 3 years a DUI conviction or diversion, a felony conviction, or a conviction under the Uniform Controlled Substances Act.
• Physical ability to bend, stoop, kneel, squat, twist, reach, pull, and lift heavy objects. Must be able to climb stairs several times a day.
• 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 one hundred-thousand / three-hundred thousand in personal auto liability coverage.
• 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 Workplace Act of 1988. An employee shall not, in the workplace, unlawfully manufacture, distribute, dispense, possess, or use a controlled substance or alcohol.
• Must adhere to agency's non-discrimination policies.
• Ability to effectively interact with co-workers and clients with diverse ethnic backgrounds, religious views, cultural backgrounds, life-styles, and sexual orientations and treat each individual with respect and dignity.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Individual Counseling:




• Provide trauma-informed, individual counseling to clients regarding mental health symptom management, substance use, personal and situational stressors, relationships, suicide, and other risk concerns utilizing psychoeducational and evidence-based counseling practices.
• Assist clients with learning, identifying, and practicing healthy coping skills.
• Referring clients to resources or outside community services.
• Maintaining helpful relationships with support networks, government resources, and community resources.
• Assist individuals with the resources needed to reach treatment goals.
• Provide feedback-informed counseling using agency approved tools
• Participate in outreach activities necessary to offer services and engage participation in a non-coercive manner. Escort clients to meetings and appointments as necessary.




• Assessment and Care Planning




• Collect information regarding clients' history through a combination of interviewing, records review, and consultation, after obtaining written consent.
• Conduct and document substance use assessments, including mental status exam, ASAM level of care, DSM diagnosis, and clinical formulation.
• Develop care plan with client. Monitor client progress and adjust their care plan as needed.




• Risk Assessment, evaluation and mitigation




• Provide crisis intervention which may include: counseling, supporting client with de-escalating, performing risk assessments, supporting with safety planning, and referring clients to the ED or other sub-acute facilities.
• Evaluate clients for risk of harm using agency approved tools, document identified risks including plans to mitigate. May include initiating Directors Custody transport holds when appropriate.
• Assess, triage and respond to psychiatric and substance abuse crisis in the community in the most effective, efficient, safe manner possible.
• 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.




• Multidisciplinary Teamwork




• Participate in clinical staff meetings and case conferences with team members in order to utilize interdisciplinary expertise and facilitate individual treatment plans for clients.
• Share mental health and addictions expertise by working collaboratively with the multidisciplinary treatment team, modeling integrated treatment skills and training other staff in evidence based principles and practice.




• Monitor and assure that the health and safety needs of clients are met.
• Quickly and accurately assess the needs of individual clients and potential barriers to service.
• Utilize Evidence-based Practices in work with clients in individual and group formats.
• Utilize Motivational Interviewing and IDDT treatment modalities to identify stages of change and develop corresponding stage wise treatment strategies.
• Maintain client records as required by State, Federal, local and program standards and funding requirements. Must maintain documentation expectations set by agency.
• Works within scope of training and experience and seeks consultation when appropriate.
• Participate in regular supervision activities, seeking additional supervision whenever necessary. Minimum requirement two hours of documented supervision per month.
• Attend required meetings and trainings.
• Attend all mandatory CCC trainings in a timely manner.
• 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.

DESCRIPTION OF OTHER DUTIES:

• Collaborate with Residential facilities, Adult Foster homes or other housing providers to provide necessary case management services and coordinate residential and non-residential treatment and service planning.
• Facilitate therapeutic process, psychoeducational, and/or activity groups for clients, utilizing evidence-based group practices.
• Provide testimony and advocacy with courts and other agencies.
• Coordinate services with all members of client's support network.
• Participate in training opportunities to advance skills and knowledge in addictions and mental health.
• Participate in quality assurance and quality improvement activities as directed.
• Assist with the development of an integrated treatment program.
• Perform other duties as assigned.

SKILLS & ABILITIES:

• Ability to consider the impacts and outcomes for underserved communities during decision-making process.
• Ability to consider impacts of oppression, structural racism, and individual bias on client outcomes.
• Advanced knowledge and skills in substance use treatment methods.
• Advanced knowledge and skills in mental health treatment methods.
• Advanced knowledge and skills in counseling and assessment techniques with individuals including assessing for risk of danger to self and others and crisis intervention.
• Ability to work effectively with peers, individual clients and groups.
• Ability to work as a team member and to establish priorities.
• Ability to work in an environment subject to ambiguity and change.
• Ability to learn new skills and have a demonstrated ability to apply principles learned to new situations.
• Knowledge of de-escalation methods or ability to be trained in de-escalation methods.
• Ability to display a non-judgmental attitude.
• Knowledge of Motivational Interviewing, IDDT and other EBP interventions.
• Able to quickly and accurately assess the needs of individual clients, family dynamics and potential barriers to service.
• Demonstrated knowledge of community and social service agencies.
• 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 argumentative or aggressive and strong odors may be present.
• 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 the ability to be trained in de-escalation methods.
• Ability to provide leadership.

Benefits at Central City Concern offered to our employees!

Central City Concern offers incredible benefits to our employees. We offer an extensive total rewards package to include base wages, medical, dental, vision, and voluntary plans. Central City Concern also takes employees' financial wellness into consideration and provides a rich retirement match.

• 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!
• 11 recognized Holidays & 2 Personal Holidays
• Comprehensive Medical, Vision, and Dental insurance coverage.
• Employer Paid Life, Short Term Disability, AND Long-Term Disability Insurance!

This description is intended to provide a snapshot of the work performed and is not designed to contain a comprehensive inventory of all duties, responsibilities, and qualifications required for the position.

As an agency deeply rooted in recovery, part of our policy and commitment to a drug and alcohol-free workplace includes post-offer, and pre-employment drug screens. Please note we follow Federal Guidelines regarding prohibited substances, even for those legal at the state level.

CCC values and celebrates diversity in race, heritage, ethnicity, gender identity and expression, sexual orientation, religion, age, and disability. We are an Equal Opportunity Employer and we prioritize active inclusion of diverse staff.

Central City Concern is a second-chance employer and complies with applicable laws regarding the consideration of criminal background for employment purposes. Government regulations, contractual requirements, or the duties of this particular job may require CCC to conduct a background check and take appropriate action to address prior criminal convictions.