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Cascadia Behavioral Healthcare Mental Health Residential Counselors I/II (AMHI) 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, are committed to working effectively with diverse community populations, and expected to strengthen such capacity if hired.

Sites are run 24/7 and shifts available are typically day, swing, overnight shifts as well as oncall-relief. These programs are located Portland (SE, NE), and East County areas (I.e. Gresham and outer East areas of Portland).

The Adult Mental Health Initiative (AMHI) programs have a goal to divert individuals from Oregon State Hospital (OSH); coordinate successful discharge from OSH into appropriate community placements; coordinate care for individuals residing primarily in licensed residential facilities in order to move individuals into the least restrictive housing possible; and care coordinates and develops supports to maximize independent living.

In addition, there is a Supported Housing site that is located in NE Portland. This program provides permanent supported housing for individuals with low or zero income, diagnosed with serious mental illness, and who have experience chronic homelessness. In addition, many individuals are diagnosed with a co-occurring substance use disorder. Programs provide easy access to individualized and therapeutic group services within a harm reduction modality.

Under close supervision, the Residential Counselor I or II works as a member of an interdisciplinary team to implement and monitor treatment for residents within the residential facility. This position involves participation and implementation of program goals and objectives to promote a strengths-based, client centered approach to assisting residents in achieving individual goals and ultimately transitioning to a less restrictive setting.

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 therapeutic interventions with residents as required and directed by the mental health treatment plan.

  • Provide individual and/or group skill training, supervision and support in areas such as self-care, hygiene, community resources, and other life skills as directed by the plan of care.

  • Facilitate at least one therapeutic group interaction

  • Participate in regular supervision and act in the role of Primary Treatment Coordinator. Attend clinical case conferences and staff meetings to gain knowledge and communicate program and resident needs.

  • Comply with and implement regulations, policies, and procedures under which the facility is licensed and operates.

  • Assist in crisis situations as appropriate, following emergency protocols/procedures and coordinating with the treatment team with interventions which support a trauma informed environment for residents and staff.

  • Assist in meal set-up, preparation, serving, and clean up related to meal times or cooking group activities. Perform other household chores as needed, including but not limited to, light housekeeping and cleaning of biohazards.

  • Accompany residents to, and assist residents during medical appointments in the community.

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

  • Document and maintain clinical records in a manner that assures compliance with all agency policies and procedures and local, state, and federal regulations. Maintain accurate and up-to-date documentation as required, associated with assessment, treatment, residents' progress and other activities. Complete electronic medical records (EMR) as required using Cascadia software.

  • Demonstrate responsibility for safety of residents and property; have an understanding of fire regulations and evacuation procedures; hold regular fire safety drills with residents in compliance with facility policies and procedures.

  • Adhere to mandatory abuse reporting laws and HIPAA requirements.

  • Be ready and able to serve as a lead person, responsible for contacting the Administrator On-Call for clinical decisions and direction and provide leadership for decisions that are needed throughout a shift

  • Stay awake on all shifts

  • Provide input into the establishment of operational procedures.

  • Complete daily billing and documentation requirements.

  • Coordinate with oncoming shift regarding resident concerns, building/program needs, and any relevant issues to ensure the smooth operation of the program.

  • Provide input toward the therapeutic treatment plan in collaboration with the case manager.

  • Administer medication, as trained, in compliance with prescriber's orders

  • Provide transportation to escort residents out in the community depending on shift working.

Secondary Responsibilities:

  • 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.

  • Must have the ability to perform CPR, First Aid, and properly use AED equipment. CPR/ First Aid certifications are required and must remain current.

  • Perform other duties as assigned.


The Residential Counselor I is an entry level position, requiring a high school diploma or GED.

The Residential Counselor II requires either a Bachelor's degree in a behavioral science field from an accredited college or university or three years of full time professional experience working with adults with severe and persistent mental illness.


Some work experience working with adults with severe and persistent mental illness is preferred.

Specialized Knowledge, Skills and Abilities:

  • Operate Computer hardware and software (Including Electronic Health Record Software) at a level to effectively perform the job functions, including entering and retrieving data.


Some shifts require driving and may include the use of a company provided transportation in order to transport clients; incumbent may need to 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.

Physical Abilities:

Staff must have the ability to assist residents in participating in a variety of active leisure and recreational events, as well as skill building outings and accessing community resources. These are required to avoid behavioral incidents and volatile situations. The Residential Counselor I must have the ability to assist the team in providing safety to all clients 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