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Cascadia Behavioral Healthcare Crisis Counselor III (Mobile Crisis, NOC) in Portland, Oregon

Cascadia Behavioral Healthcare, one of the largest community behavioral health providers in the state of Oregon, delivers whole health care -- integrated mental health and addiction services, primary care and housing -- to support our communities. Our approach is recovery-oriented and trauma-informed. Cascadia hires innovative, compassionate and dedicated staff who are aligned with trauma-informed care and who are committed to working effectively with diverse community populations, and who are expected to strengthen such capacity if hired.

This is a full time position at 30 hours/week. The work is performed primarily in the community setting including client residences, schools, police precincts, shelters, residential facilities, and public spaces, with Project Respond's home base located in NE Portland. The schedule is Sunday through Tuesday, NOC shift 9:30 pm to 8:00 am.

The Crisis Counselor III provides mobile crisis response, risk assessment and crisis stabilization planning for adults and children in Multnomah County. This position works as part of a team and approaches work with people from a trauma-informed, strength-based, perspective and works in concert with programs in Multnomah County's Acute Care Continuum. The Crisis Counselor III works collaboratively with mental health and physical health care providers, police agencies, emergency departments, school personnel, and other social service agencies to assure the best possible treatment for clients, while supporting a Trauma Informed Care environment.

Essential Responsibilities:

This position description is not intended to be an all-inclusive list of responsibilities, skills, or working conditions associated with the position. Management reserves the right to modify, add or remove duties as necessary.

  • Provide immediate mobile response to individuals experiencing mental health crises in Multnomah County.

  • Triage mental health crisis calls as they come into the office from the Multnomah County Call Center and law enforcement agencies.

  • Identify and assess risk factors for harm to self or others in the context of the client's current psycho-social state via interview with client and with consideration given to collateral information; consider and articulate potential outcomes of various interventions, discuss their risks and benefits, and formulate why a particular course of action was pursued in lieu of other options; opt for least intrusive and most supportive intervention.

  • Initiate involuntary transport holds for individuals deemed at risk of harm to self and/or others following County guidelines.

  • Coordinate responses to crisis situations with community agencies and service providers.

  • Provide assessment dispositions to treatment providers and emergency departments as appropriate.

  • Assess for personal safety in the environment and request law enforcement support as appropriate.

  • Collaborate with law enforcement agencies to determine risk of intervention and develop plans for approach of clients in crises.

  • Provide information and facilitate linkage to mental health treatment and other social services.

  • Consult with teammates, supervisors, program managers, and program medical directors as appropriate.

  • Operate in a sometimes ambiguous and frequently changing work environment.

  • Respect client rights and responsibilities and demonstrate professional boundaries and ethics.

  • Adhere to mandatory abuse reporting laws and HIPAA requirements.

  • Document and maintain electronic health record (EHR) and ancillary records in a manner that assures compliance with all agency policies, program procedures and local, state, and federal regulations.

  • Demonstrate responsibility for safety of consumers, staff and property; possess familiarity with fire regulations and evacuation procedures.

  • Complete annual employee training requirements on a timely basis as indicated in the licensing requirements for the facility as well as agency requirements. Attend seminars, training and other educational opportunities in order to develop professional skills and abilities.

  • Participate in all scheduled staff meetings, supervision sessions, and other departmental and agency meetings.

  • Perform other duties as assigned.

This position is represented by a labor Union.


  • Master's Degree in a behavioral science field from an accredited college or university.

  • Demonstrate the competencies to become credentialed as a Qualified Mental Health Professional (QMHP) as outlined in the Oregon Administrative Rules (OAR).


Equivalent combination of education/experience preferably in a non-profit organization preferred.

Specialized Knowledge, Skills and Abilities:

  • Conduct a Mental Status assessment and formulate a diagnosis according to the most current DSM

  • Advanced knowledge of risk assessment and crisis intervention

  • Understand evidence based practices, and strength based case management philosophies and strategies including trauma informed care

  • Operate computer hardware and software at a level needed to effectively perform job functions including the ability to operate Electronic Health Record software


  • The Project Respond Clinician must have the ability to work a flexible work schedule as the Project Respond program operates 24 hours per day, 7 days per week.

  • Possess a valid driver's license, three year driving history; clean driving record, ability to pass Driver Motor Vehicle (DMV) check and complete the Cascadia online Defensive Driving course. This position requires the ability to drive a personal or company vehicle for the completion of work duties.

Physical Abilities:

Activities and structure support community integration assisting clients in continued growth for successful independent living and may require the incumbent use a company vehicle to transport clients out in the community. Employee must have the ability to assist the team in providing safety to all residents and staff in potentially volatile situations.

  • Regular sitting, Standing, walking, and Keyboarding

  • Occasionally stooping, lifting 20 to 50 lbs., climbing (stairs), crouching, reaching, and running

  • Constant visual and auditory

Cascadia is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status such as race, color, sex, sexual orientation, gender identity, religion, national origin or age.

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled