Dual Diagnosis Counselor - Out Patient (Signing Bonus)

POSITION OVERVIEW:We currently have an opening for a full-time Dual Diagnosis Counselor. This position provides professional, compassionate treatment for adults with mental health and co-occurring substance use disorders. Duties and responsibilities include: treatment planning for dual diagnosis, providing mental health assessments and diagnoses and individual and group counseling.The Dual Diagnosis Counselor works closely with other programs in transitioning patients to our outpatient program including residential and medication supported treatment/recovery. Helps to foster development of staffs knowledge of mental health conditions. Counselors have clear and manageable caseloads with clear expectations of service requirements. Additionally, candidates must be proficient and timely with required productivity and clinical documentation standards.ESSENTIAL JOB FUNCTIONS1. Clinical Evaluation, Treatment Planning, and DocumentationGather data systematically from the client and other available collateral sources. Obtain and interpret all relevant assessment information.Determine the client's appropriate level of care and stage of change.Ability to utilize the DSM-5 to assess and diagnose substance use and mental health disorder at time of enrollment.Formulate with the client mutually agreed upon and measurable treatment outcome statements for each need. Identify appropriate strategies for each form client of confidentiality rights, program procedures that safeguard them, and the exceptions imposed by regulations. Protect client rights to privacy and confidentiality in the communications of client information.Assess treatment and recovery progress and, in consultation with the client and significant others, make appropriate changes to the treatment plan to ensure progress toward treatment goals at regular intervals and/or when indicated by changing circumstances.Describe and document treatment process, progress, competencies, and outcome relative to treatment goals and objectives. Apply placement, continued stay, and discharge criteria.Conduct and document continuing care, relapse prevention, and discharge planning with the client and involved significant others.Work collaboratively with all service areas within the agency to provide appropriate client referrals and communicate relevant client information as municate and collaborate with referral agencies regarding scheduled screenings, status of client, and treatment and discharge planning.Contact referents within 24 hours of admit, at least once per month during the clients treatment, and before and during the clients discharge. Document these contacts in progress notes.Progress notes are documented in client charts within 24 hours for individual treatment.ASAM treatment plan reviews are completed and reviewed within 30 days of admit and every 30 days thereafter. Submit treatment plans to supervisor as required and posted in a timely fashion in order to obtain continuing authorization for clients.Progress toward goals are updated bi-monthly and communicated during with both internal and external treatment providers.A Discharge Plan is developed with the client 30 days prior to a planned discharge, and continuing care plan is completed with client in final session. When required by contract, County exit surveys are completed within the last 5 days prior to the planned discharge.A Discharge Summary is completed within 5 days following discharge. When required, insurance is notified within 24 hours of discharge.2. Counseling and EducationEstablish a helping relationship with the client characterized by warmth, respect, genuineness, concreteness, and empathy.Facilitate the client's engagement in the treatment and recovery process. Role models and coordinates with residentials counselors on effective milieu therapy interventions.Provide individual and group counseling as a part of the therapeutic process to achieve treatment goals. Supports family therapy by reinforcing goals in individual and group sessions.Sensitize others to issues of cultural identity, ethnic background, age, and sexual orientation in treatment and recovery.Describe the health and behavior problems related to substance use, including transmission and prevention of HIV/AIDS, TB, STDs, and other infectious diseases.Teach life skills, including but not limited to, stress management, relaxation, communication, and refusal skills.Provide therapeutic interventions to address treatment-interfering behaviors as needed.Meet individually with clients on caseload with the frequency determined on treatment plan.3. ReferralArrange or assist clients in following through with referrals to other professionals, agencies, community programs, or other appropriate resources to meet client needs.Explain in clear language to the client the necessity for and process of referral.Exchange relevant information with the agency or professional to whom the referral is being made. Facilitate the clients transition to continuing care resources prior to his/her discharge from treatment.4. Professional and Ethical ResponsibilitiesDemonstrate ethical behaviors by adhering to established professional codes of ethics that define the professional context within which the counselor works, in order to maintain professional standards and safeguard the client.Adhere to Federal and State laws and agency policies and procedures regarding the treatment of substance use disorders.Recognize the importance of individual differences that influence client behavior and apply this understanding to clinical practice.Participate in ongoing supervision and consultation.Maintain (or complete) current addiction counselor certification and QMHP privileging.Maintains healthy boundaries with clients and their families.5. Functions as an Active Member of the Program Clinical TeamAttend and participate in all treatment team meetings as assigned.Attend all clinical supervision meetings as assigned.Maintain and strengthen good working relationships with team municate and coordinate with staff from other departments effectively.Maintain cleanliness and safety of work environment.Attend all meetings as assigned.Perform related tasks as assigned.ADDITIONAL JOB RESPONSIBILITIESAdditional trainings to be completed as assigned in a timely mannerSpecial projects and other duties as assignedOTHER REQUIREMENTSFor employees with a history of substance use disorder or identifying as a person in recovery, Fora Health requires certification of a minimum of two years continuous sobriety.Successful completion of pre-employment drug testSuccessful completion of Tuberculin test and/or evaluation with negative results or documented evidence of non-communicabilityDHS criminal background approvalSUPERVISORY FUNCTIONSThis position has no supervisory duties.QUALIFICATIONSEDUCATION AND EXPERIENCE REQUIREDMasters degree in counseling psychology, social work, or other behavioral health fieldCurrent QMHP as verified by MHACBO, or equivalentMust have knowledge of Trauma Specific Services, Trauma Informed Care, Motivational Interviewing, DBT, and strong interdisciplinary team skillsCADC I required within 2 years of hireKNOWLEDGE, SKILLS AND ABILITIES REQUIREDHas basic knowledge of substance use disorders and the impact SUDS has on managing mental health symptoms.Understands basic psychopharmacologyCan describe warning signs, symptoms, and the course of substance use disorders.Can describe how substance use disorders affect families and concerned others.Can describe principles and philosophy of prevention, treatment, and recoveryIncorporates foundational models (e.g., MI, DBT)Skillfully addresses issues related to self-awareness, diversity, and ethicsEffectively communicates and establishes rapportCan facilitate clinical evaluation covering the scope of both ASAM and DSM 5 dimensionsDemonstrates knowledge of and ability to maintain clinical documentation, including treatment plans, consistent with agency standardDemonstrates ability to facilitate groupsAble to effectively engage in problem solving and independent decision making.Understands emergency situations and protocols to maintain a safe milieu. Ability to use de-escalation skills in crisis situations.OTHER REQUIREMENTSDocumentation of Tuberculian test and/or evaluation with negative results or evidence of non-communicabilityCompleted registration with Oregon Health Authority (DMAP) and National Plan WORKING CONDITIONSThis position generally works in an indoor office environment with infrequent travel between sites or to special events.Position requires some overtime, including evening and weekend work. Adjustment of work schedule may be required.Possible exposure to communicable diseases which can encompass a variety of illnesses and infections, including tuberculosis, Hepatitis A, B, and C, and HIV.Possible exposure to upset, angry, severely traumatized, disabled or emotionally disturbed adults, adolescents, and families.Shift work may weekday, and weekend and holiday hours.Exposure to potentially hazardous cleaning chemicals, personal protective equipment provided.SIGNING BONUSTo welcome you to our team and show our commitment to your success, we are offering a signing bonus of $3,000! This bonus will be paid upon successful completion of probationary period.LOCATIONThis position is an on-site position at our SE Cherry Blossom location in Portland, Oregon. Occasional travel to our Hillsboro location may be TERNAL CANDIDATES:

Created: 2025-11-10