Substance Use Counselor – Outside In

Position Summary

This Substance Use Counselor ACT Team position works as a member of a multi-disciplinary Assertive Community Treatment team serving transition age youth in the Multnomah County Homeless Youth Continuum. Supervision offered for CADC, LCSW, and LPC licensure. Student loan repayment programs available for licensed individuals. Note the schedule for this position is Sundays-Thursdays.

Please go to the Outside In Career page to apply: Substance Use Counselor – ACT Team (

Salary Grade/Schedule:

CADC Only: $53,185.60-$66,421.53     

Master’s Level: $58,510.40-$73,071.47   

LCSW/LPC: $64,355.20-$80,370.83

Essential Duties

  • Participate on interdisciplinary team providing community-based, wrap-around support.
  • Participate in outreach activities necessary to offer services and engage participation in a non-coercive manner.
  • Facilitate development of a Service Plan with participants.
  • Execute treatment services consistent with professional judgement as identified on Service Plan, including individual and group counseling and skills interventions.
  • Facilitate treatment groups specific to substance use disorder needs.
  • Collect and utilize treatment outcomes related to behavioral health counseling.
  • Participate in admission and discharge planning for any participant needing hospitalization or subacute level of care.
  • Participate in crisis planning and crisis intervention, which may include after-hours work.
  • Participate in the rotation of carrying after-hours crisis phone and providing holiday coverage with other members of the team/program.
  • Provide advocacy and assist participants in accessing the services and other resources they need.
  • Coordinate access to shelter and housing services.
  • Ensure timely documentation of services and outcomes.
  • Adhere to all state and federal privacy regulations, including HIPAA and 42 CFR Part 2, and to Outside In policies and agreements regarding confidentiality, privacy, and security.
  • Other duties as assigned.



  • Through knowledge of relevant treatment models including Assertive Community Treatment (ACT), Integrated Dual Diagnosis Treatment (IDDT), and Individual Placement and Support (IPS).
  • Knowledge and understanding of adolescent development, Trauma Informed Care, Stages of Change Theory, harm reduction and Motivational Interviewing.


  • Strong organizational skills, attention to detail, and focus on data collection.
  • Ability to work with a variety of clients and diagnostic categories.
  • Ability to work with a diverse population and interact effectively with different types of people.
  • Good communication and conflict resolution skills.
  • Ability to work both independently and as a member of a team.
  • Ability to support agency goals and the operational functioning of the Behavioral Health Department.
  • Ability to complete all required documentation and information input in a professional, thorough, and timely manner.
  • Commitment to continual learning and quality performance.
  • Ability to maintain professional boundaries and performance at all times.
  • Ability to navigate technologies used in this position including Credible Behavioral Health Electronic Health Record, MS Office Applications, and Windows Server.
  • Valid driver’s license.
  • Ability to be insured to drive participants in agency vehicle and car share.
  • Spanish language fluency preferred.

Education and Experience


  • Able to meet State guidelines for QMHA required.
  • Credential in Chemical Dependency counseling equivalent to CADC I required or ability to obtain within 6 months of hire required
  • At least two years’ experience in mental health or substance use support services required.


  • Dual Diagnosis counseling experience preferred
  • Experience with relevant treatment models including Assertive Community Treatment (ACT), Individual Placement and Support (IPS), and Integrated Dual Diagnosis Treatment (IDDT) preferred.
  • Master’s degree in a human services field and meet State guidelines for QMHP preferred
  • LCSW or LPC preferred

Working Conditions

This job includes working in a standard office environment as well as a variety of community locations to offer community-based treatment. This means that the employee will meet with participants in community locations which may include the participant’s home, hospital, and other surrounding community settings. The employee will be responsible for transporting participants in a rented vehicle.

Physical Requirements

  • If in recovery, must be able to document continuous abstinence under independent living conditions or recovery housing for immediate past two years.
  • Must pass pre-employment background check. This includes clearance by the DHS Background Check Unit.
    • Standing, sitting, walking, on a regular basis.
    • Driving, climbing, balancing, reaching, kneeling, crouching, stooping and lifting up to 25 pounds on a frequent basis.
    • Must be able to climb stairs several times a day.
    • Regular use of hands and fingers to type.
    • Talking and hearing is required on a regular basis.
    • Availability for after hours and holiday coverage rotation

Please go to the Outside In Career page to apply: Substance Use Counselor – ACT Team (

Please Welcome Monica Dechert to the OSECE/OCEACT Teams!

We are so excited to welcome Monica Dechert, a Certified Personal Medicine Coach Trainer, to the OCEACT/OSECE teams! Monica earned a Bachelor of Science degree with major emphasis in psychology from Southern Oregon University.  She worked in community behavioral health services as a Qualified Mental Health Associate (QMHA) for nearly two decades.  Her roles included work as a Crisis Associate with the Psychiatric Crisis Center (PCC) in Salem, a Residential Treatment Facility (RTF) staff member at the Cottages Program in Marion County, a Skills Trainer and Case Manager with Polk County Community Support Services (CSS), and an Assertive Community Treatment (ACT) Intensive Case Manager and IPS Employment and Education Specialist with Yamhill County Abacus/CSS.  Over the years, Monica has been privileged to learn from several talented, skilled, and knowledgeable colleagues and to witness the resilience and wonderful recovery journeys of individuals.

Monica obtained her Certified Personal Medicine Coach (CPMC) certification in 2022 as part of the second Oregon cohort offered by OCEACT and OSECE in partnership with Pat Deegan and Associates (PDA).  She joined the Oregon Centers of Excellence in January 2024 as a Statewide Trainer/CPMC-T.  She is excited to be part of sharing the innovative, person-centered approach of Personal Medicine with providers to support all individuals in connecting to their own wisdom and inner healers to be well.

Monica enjoys spending time with friends and family, reading, singing, working on small creative projects, connecting to nature, and playing video games.  She lives with her spouse, Chris, in Salem.  They share their home with their senior rescue dog, whom they spoil relentlessly with copious belly rubs, walks, treats, car rides, and a selection of comfortable beds to nap on.

ACT Supervisor – Deschutes County Behavioral Health

Behavioral Health Supervisor, Assertive Community Treatment


$6,839.56 – $9,165.65 Monthly


Bend, OR

Job Type

Regular, full time, full benefits

Job Number



Health Services

Opening Date


Closing Date

1/10/2024 11:59 PM Pacific



Deschutes County Behavioral Health (DCBH) is the Community Mental Health Program (CMHP) providing safety net and core clinical services for community members in Deschutes County. DCBH is also a Certified Community Behavioral Health Clinic (CCBHC). As such, DCBH relies on multi-disciplinary teams to provide innovative, evidence based, recovery oriented services in behavioral healthcare settings co-located with physical health providers.

To hear from staff about working at Deschutes County Behavioral Health, please click HERE.


We know where you choose to live, work and play matters. Deschutes County is one of the largest employers in Central Oregon and the largest municipal government in the region. Our dedicated and passionate workforce of more than 1,200 employees provide County services in a number of departments, divisions, and offices.

Located in the heart of Central Oregon, between the towering Cascade Mountain Range to the west and the high desert plateau to the east, Deschutes County is the outdoor recreation capital of Oregon. We enjoy a renowned quality of life, with big-city opportunities and small-town neighborhoods.

We hope you’ll consider joining our talented team.


This Behavioral Health Supervisor position leads a team that provides high intensity outreach and case management services to adult individuals with serious mental illness using Assertive Community Treatment (ACT) model.  ACT is a client centered/recovery focused treatment approach, where services are largely delivered outside of the office setting.  Many ACT clients are at risk for psychiatric hospitalization, and require extensive supports in order to live independently in the community. This multidisciplinary team includes; therapists, case managers, nurses, peer support specialists, and psychiatrists and is co-located with a primary care clinic and pharmacy. For more information about the ACT treatment model click HERE.

This supervisor position provides program oversight and supervision to a team of seven staff, as well as providing some direct service to clients.  The position requires the application of specialized knowledge in the area of behavioral health supervision, diagnosis, documentation, substance use disorders, multidisciplinary team care, crisis services, complex care coordination, intensive treatment models, and fidelity programming.

Typical schedule is Monday through Friday, 8am to 5pm, with the potential for minor schedule adjustments.

This position is located in Bend, though occasional travel throughout Deschutes County may be required. Candidates must be willing to work a flexible schedule when necessary to meet client/team needs, which will include some evenings and weekends. ACT team members do a rotation of carrying an on-call phone on evenings and weekends, to be available to the crisis team for consultation regarding ACT clients.

Key Responsibilities:

  • Provide program leadership, oversight, and coordination to the CSS team.
  • Supporting, training, directing and developing clinical staff.
  • Training and developing clinical staff.

What You Will Bring:
Knowledge of or experience with:

  • Clinical leadership and supervision.
  • Evidence based practices for treating SPMI clientele/ACT model.
  • Fostering strong internal agency and community partner relationships.

Skill in:

  • Supporting staff through change.
  • Managing competing demands.
  • Interpersonal communication.

*This posting is not meant to be an all-inclusive list of duties and responsibilities, but rather constitutes a general definition of the position’s scope and function.

Notification to all candidates will be sent via email and/or text only. Please opt in for text messaging or check your email and your account for application status.

Review the full job description by clicking HERE.


$6,839.56 to $9,165.65 per month for a 172.67 hour work month. Excellent County benefit package when eligible. This position is available immediately.

Our robust health plan is offered at a minimal cost of $95 per month for employee only or $116 per month for employee plus dependents, which includes an innovative on-site clinic, pharmacy, and wellness and wellbeing services. Additionally, we include life insurance, retirement (PERS), generous paid time-off (14-18 hours/month to start, pro-rated for part-time), holidays, and professional development opportunities.

This posting is re-opened with applications being reviewed January 11, 2024.

Minimum Qualifications

  • Master’s degree in Psychology, Social Work, or a related behavioral science field;
  • AND three (3) years of related experience in the behavioral health field, including lead or supervisory experience;
  • OR any equivalent combination of training, education, and experience that provides the required skills and knowledge to perform the essential functions of the job.

Must possess current licensure without restrictions from a recognized governing board with the ability to be licensed in Oregon as a Licensed Clinical Social Worker (LCSW), Licensed Marital and Family Therapist (LMFT), or Licensed Professional Counselor (LPC).

Preferred Qualifications:

  • Previous supervisory experience as a LCSW, LPC and/or CADC II, III, MAC.
  • Knowledge and experience with treating co-occurring mental health and substance abuse disorders.
  • Knowledge and experience in working with Serious and Persistent Mental Illness.
  • Knowledge and experience of the ACT model.
  • Bilingual in Spanish and English communication.

Necessary Special Requirements

Driving is a requirement for this position. Possession of or ability to obtain a valid Oregon driver’s license within 30 days of hire date. The employment offer will be contingent upon presentation of an acceptable and verifiable driver’s license, pre-employment screening for criminal history, driving history, and controlled substances (NOTE: Positive test results for marijuana use may result in rescission of a contingent offer of employment). This screening must be completed with satisfactory findings in order for a formal offer of employment to be extended.Must meet provider Qualified Mental Health Professional (QMHP) credentialing requirements as required by Oregon Administrative Rules (OARs) 309-019-0125 (8).

Must have the ability to work a flexible schedule to meet client and department needs.

Must have dependable transportation and be willing and able to drive throughout Deschutes County in sometimes adverse weather conditions.

NOTE: Per OAR 407-007-0000 to 407-007-0100 this position requires a Criminal Background check through the State Background Check Unit/Orchards, which may also include being fingerprinted. These rules provide for the reasonable screening under ORS 181A.195, 181A.200, 409.027 AND 413.036 of the County’s employees to determine if they have a history of specific criminal behavior identified in federal or state law or rules such that they should not be allowed to work, be employed, or perform in positions covered by these rules. Please click HERE (Download PDF reader) to review Criminal Records Check Rules. All offers of employment for this position are contingent upon the candidate receiving final approval from the State Background Check Unit/Orchards to work in this position.

Deschutes County is proud to be an equal opportunity employer. We strive to build an inclusive environment that encourages, supports, and represents the diverse voices and needs of our communities. All are encouraged to apply – we welcome diverse perspectives and experiences.

If you are a veteran and would like to apply for Veterans’ Preference, please click HERE for information.


Deschutes County Human Resources


1300 NW Wall Street Suite 201

Bend, Oregon, 97703


(541) 388-6553


ACT Licensed Medical Provider – LifeWorks NW

ACT is an intensive Assertive Community Treatment fidelity program characterized by high staff to client ratio and limited caseload. This is a community-based program, with approximately 80% of your time spent in the community. Our team works with adults, ages 18-99, who have severe and persistent mental illness who need intensive, wrap around services to assist with issues including (but not limited to) difficulty with housing, social support, interactions with law enforcement, addictions, economic status, employment, distress tolerance, emotion regulation, interpersonal skills, basic needs, and general independent living skills that are barriers to residing independently in the community.

The Licensed Medical Provider provides psychiatric assessment and management for individuals enrolled in the ACT program, a multidisciplinary team approach with assertive outreach in the community for clients experiencing the most severe symptoms of mental illness and integrated care services in conjunction with primary care delivered by community partners. ACT programs are evidence-based, and fidelity reviewed to help support those clients at highest risk of psychiatric crisis and hospitalization and involvement in the criminal justice system. Services will be provided in both onsite and in the community.

Location: This position is based out of LifeWorks NW’s Beaverton site.

Psychiatrist Pay: $129.79 starting hourly pay, plus pro-rated comprehensive benefits. 

Nurse Practitioner Pay: $63.10 starting hourly pay, plus pro-rated comprehensive benefits.

Essential Responsibilities:  

  • Provides psychiatric evaluation for clients including gathering and maintaining patient information and records, including social and medical history obtained from patients, relatives, and other professionals.  Analyzes and evaluates patient data and test findings to diagnose nature and extent of mental disorder.
  • Reviews and evaluates treatment procedures and outcomes of other psychiatrists and medical professionals.
  • Provides information and education about pharmacological factors in the treatment of and service of clients to other agency staff and the general public as needed.
  • Provides ongoing medication management and monitoring including monitoring for side effects and therapeutic drug levels.
  • Provides consultation with Primary Care Providers, LifeWorks NW therapists, social workers, psychologists, Psychiatric Nurses, Nurse Practitioners and treatment team when indicated.
  • Maintains chart notes in electronic health record system within 24 hours of patient care.
  • Provides medical supervision of client treatment plans including review and signature.
  • Advises and informs guardians, relatives, and significant others of patients’ conditions and treatment.
  • Meets standards for documentation and work accuracy as defined in the Performance Evaluation including timely completion of progress notes, assessments, treatment plans, authorization requests.
  • May be required to work evenings or weekends.
  • May be required to travels between sites.
  • Teaches, takes continuing education classes, attends conferences and seminars to increase understanding of mental, emotional, and behavioral states and disorders.
  • Participates in regular individual and team meetings with supervisor.  Attends informational and clinical meetings which may include all staff and team meetings, consultation with other staff and required trainings.


  • M.D., or D.O. degree with board eligibility or certification in area of specialization.
  • Good computer skills including a functional knowledge of Microsoft Outlook and Word.  Ability to master proprietary software including electronic health record system.
  • Demonstrates effective communication skills and maintains a cooperative working relationship with others in a culturally diverse environment.
  • May require ability to work some evenings and/or weekends.
  • May require access to a car and valid driver’s license.

LifeWorks NW is a private, non-profit organization providing prevention, mental health, substance use treatment, and related social services to youths, adults, and older adults in over fifteen locations throughout Multnomah, Washington, and Clackamas counties. LifeWorks NW promotes a healthy community by providing quality and culturally responsive mental health and addiction services across the lifespan.

Our core values-Recovery and Relationships, Resilience, and Results-inform the work we do. The four pillars of the strategic vision include Compassionate, Impactful Care, Holistic Health, Passionate Team, and Thriving Organization. Diversity, Equity, and Inclusion are critical to successfully achieving the mission. We know that “life works” when people get the help they need and are dedicated to changing lives.

Equal Opportunity Employer

Apply Here:

Drug Free/Tobacco Free Site 01/09