SUD Clinician – ACT

Outside In is looking for a collaborative and detail-oriented clinician to join Outside In as our SUD Clinician. This role sits on the Assertive Community Treatment (ACT) team and provides personalized support to clientele. This position will also support the creation of client-centered outreach and health education materials. The SUD Clinician will work at our office located at 1132 SW 13th Ave in downtown Portland, and reports to the Behavioral Health Manager.

Do you need to feel connected to the mission and vision of your organization? Since 1968, Outside In has been empowering youth who experience houselessness, LGBTQIA+, people of color, those experiencing homelessness, migrants, and other under served communities. At Outside In, your passion truly makes a make a difference in the lives of people who need it the most.

The programs in the Behavioral Health Department work with young adults who have been imp[acted by houselessness. Half of our program clients identify as BIPOC, 70% as LGBTQIA, and 25% as trans or gender non-conforming. We work with individuals who have often struggled to be served well in more traditional treatment settings. The Assertive Community Treatment (ACT) model allows or long-term relationships and flexibility in supporting clients to meet their goals. We believe that nurturing a strong community is critical to the provision of equitable and anti-racist services. We adopt a team approach and collaborate across disciplines to support our clients. The impacts of the COVID 19 pandemic, climate change, and systems of oppression weigh disproportionately on the communities we serve. While this position involves sitting with people through significant pain and loss, we also witness an unbelievable amount of strength, resiliency, and beauty.

This is a full-time, 40 hour per week, union-represented, non-exempt position with a starting salary range of $51,480-66,185.60, depending on experience and skills. Outside In offers an excellent benefits package, including employer-paid comprehensive medical and dental insurance and short-term and long-term disability insurance. We also offer an Employee Assistance Program; health, dependent care, and transportation flex plans; 403(b) retirement plan with employer contribution and full vestment on day one; 18 days of paid vacation in your first year with increases every year until your sixth year; paid holidays; and an Employee Discount Program that offers employer discounts on everything from dining to cars.

This position is also eligible to receive a one-time $1,500 signing bonus at the time of hire, and a one-time $1,500 retention bonus at your six-month anniversary of employment.

Who you are:

  • You excel in facilitating conversations and clinical work and take joy in supporting clients and fellow staff members.
  • You are known for your organizational skills, maintaining proper documentation in an unpredictable environment.
  • You are a natural communicator whose self-awareness and empathetic approach are reflected in your ability to collaborate with diverse people.
  • Your experiences are your strengths; you establish mutual boundaries and are open to sharing your life.
  • You are passionate about anti-racist practices, initiating equity and anti-racist discussions within the team to ensure an equitable impact of the mission within our communities and other stakeholders.
  • You have a terrific sense of humor and navigate stressful situations with an empathetic and lighthearted attitude.
  • Your career goals are centered in ensuring mental health equity for underserved communities and empowering those within those communities to engage in their health and well-being.
  • Harm reduction is not just your passion its your unwavering oath.

What you will do: (from position description)

  • Participate on an interdisciplinary team providing community-based, wrap-around support, such as leading groups and outreach activities.
  • Provide initial comprehensive assessment and re-assessments of participants, including mental status exam, DSM diagnosis, ASAM, and clinical formulation.
  • Facilitate the development of a Service Plan with participants and execute treatment services.
  • Attends and engages in team meetings and participates in treatment team meetings.
  • 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.
  • Provide advocacy and assist participants in accessing the services and other resources they need.
  • 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.


We are committed to having an applicant pool for this position that reflects the diversity of the people we serve, and we highly encourage Black, Indigenous, People of Color, and Queer folks to apply.

Studies have shown that women and Black, Indigenous, and People of Color are less likely to apply for jobs unless they believe they meet every one of the qualifications as described in a job description. We know that the best candidates for this job might include individuals who havent engaged in traditional educational systems, and if this position speaks to you, we encourage you to apply, even if you don’t believe you meet every one of our described qualifications.



  • Masters degree in a human services field and meet State guidelines for QMHP required.
  • At least two years experience in mental health or substance use support services required.
  • Credential in Chemical Dependency counseling equivalent to CADC I required or ability to obtain within 6 months of hire.
  • Proof of COVID-19 vaccination status or approved medical or religious exception on file is required
  • Valid drivers license
    ability to be insured to drive participants in agency vehicle and car share.

Desired but not 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.
  • Experience and/or desire to follow the HIPPA rules and regulations
  • The desire to work in public health and/or community engagement
  • Spanish language fluency preferred.


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 participants home, hospital, and other surrounding community settings. The employee will be responsible for transporting participants in a rented vehicle.

Application Instructions

Please go to the website and follow the link of the position for which you wish to apply and complete the online application. A resume and cover letter are requested. You can submit these documents in any format, but pdf works best. In your cover letter, please address the following:

  • How would this position contribute to the pursuit of your long-term professional goals?
  • If you were selected for this position, how would you use your skills and experience to contribute to equity, inclusion, and community growth at Outside In?

Applications will be considered as they are submitted so you are encouraged to apply early. Applications will continue to be accepted until the position is filled.