Counselor III (Integrated Team Based Care)
Job Overview
Location: Plaza Health Center, SE Portland
Schedule: Monday through Friday, 8:30 a.m. to 5:00 p.m.
This is a regular position, but will initially have a temporary assignment of about one year. Upon completion of temporary assignment, a new placement will be determined.
Program Description:
Integrated Team-Based Care (ITBC) is a collaborative, multidisciplinary care model that brings together behavioral health, substance use disorder, psychiatry, peer support, and other service providers to deliver coordinated, whole-person care. Through daily team huddles, weekly case consultation meetings, and shared accountability for client outcomes, care teams work together to ensure clients receive timely, person-centered services while maintaining strong therapeutic relationships. The model emphasizes improved access to care, seamless coordination across service lines, continuous quality improvement, and data-informed decision making. By focusing on teamwork, outcomes, and integrated support, Integrated Team-Based Care enhances both the client experience and staff satisfaction while improving the overall quality of care.
Position Description:
The Counselor III plays a critical role within Cascadia, ensuring timely and effective behavioral health assessments and service planning, individual and group interventions and, developing case presentations for the team. This position provides and coordinates a wide range of supportive and therapeutic mental health services for individuals who experience severe mental illnesses and addiction issues.
This position must understand, appreciate, and respect the differences within our Cascadia community. As such, it is expected that this position promotes integrated care, our vision of trauma-informed and person-first approaches and helps create a work environment of acceptance.
Essential Duties
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.
General
· Complete timely and implement comprehensive behavioral health assessments for new and ongoing clients.
· Conduct diagnostic evaluations using DSM-5 criteria to inform individualized treatment planning.
· Complete and implement treatment plans and other clinically indicated assessments, including annual reviews.
· Engage clients and their support systems in the development of person-centered service plans, incorporating goals that reflect client priorities and address social determinants of health.
· Monitor and revise service plans based on client progress, evolving needs, and interdisciplinary team input.
· Provide individual and group counseling, including community-based interventions, consistent with service plans.
· Promote illness self-management and recovery throughout treatment.
· Facilitate family/support person sessions and conduct termination sessions as appropriate.
· Recognize warning signs of crisis and implement prevention and intervention strategies to ensure safety.
· Offer psychoeducation and link clients and families to external resources as needed.
· Apply Feedback Informed Treatment (FIT) practices as part of service delivery team and in alignment with Cascadia and program’s current level of FIT implementation.
· Partner with internal and external stakeholders to minimize care gaps and prevent duplication of services.
· Coordinate, monitor, and evaluate services required to meet client’s health, social and other needs.
· Collaborate with hospitals to support client discharge planning and continuity of care.
· Offer clinical guidance and support to team members, promoting collaborative problem-solving and service
· quality.
· Respond to client crises, providing assessments and interventions aimed at…