Dual Diagnosis Counselor - Residential

Portland, OR

Full Time

Clinical

Experienced

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 staff’s 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 FUNCTIONS

1. Clinical Evaluation, Treatment Planning, and Documentation

Gather 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 outcome.
Inform 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 needed.
Communicate 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 client’s treatment, and before and during the client’s 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 Education

Establish 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. Referral

Arrange 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 client’s transition to continuing care resources prior to his/her discharge from treatment.

4. Professional and Ethical Responsibilities

Demonstrate 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 Team

Attend and participate in all treatment team meetings as assigned.
Attend all clinical supervision meetings as assigned.
Maintain and strengthen good working relationships with team members.
Communicate 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 RESPONSIBILITIES

Additional trainings to be completed as assigned in a timely manner
Special projects and other duties as assigned

OTHER REQUIREMENTS

For 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 test
Successful completion of Tuberculin test and/or evaluation with negative results or documented evidence of non-communicability
DHS criminal background approval

SUPERVISORY FUNCTIONS

This position has no supervisory duties.

QUALIFICATIONS

EDUCATION AND EXPERIENCE REQUIRED

Master’s degree in counseling psychology, social work, or other behavioral health field
Current QMHP as verified by MHACBO, or equivalent
Must have knowledge of Trauma Specific Services, Trauma Informed Care, Motivational Interviewing, DBT, and strong interdisciplinary team skills
CADC I required within 2 years of hire

KNOWLEDGE, SKILLS AND ABILITIES REQUIRED

Has basic knowledge of substance use disorders and the impact SUDS has on managing mental health symptoms.
Understands basic psychopharmacology
Can 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 recovery
Incorporates foundational models (e.g., MI, DBT)
Skillfully addresses issues related to self-awareness, diversity, and ethics
Effectively communicates and establishes rapport
Can facilitate clinical evaluation covering the scope of both ASAM and DSM 5 dimensions
Demonstrates knowledge of and ability to maintain clinical documentation, including treatment plans, consistent with agency standard
Demonstrates ability to facilitate groups
Able 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 REQUIREMENTS

Documentation of Tuberculian test and/or evaluation with negative results or evidence of non-communicability
Completed registration with Oregon Health Authority (DMAP) and National Plan

WORKING CONDITIONS

This 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.

HOURS AND PAY

This is a full time salary position earning $63,668-75,608 annually (depending upon experience). This position is exempt and not eligible for overtime compensation.

LOCATION

This position is an on-site position at our SE Cherry Blossom location in Portland, Oregon. Occasional travel to our Hillsboro location may be required.

ABOUT FORA HEALTH

Looking for a meaningful career? At Fora Health, we employ a team of passionate, diverse and caring people who are committed to carrying out our mission to provide treatment, care and advocacy for all who are affected by substance use disorder. We are seeking dedicated individuals to join our experienced team of professionals in the fight to overcome the stigma of addiction and mental health. Come join one of Oregon’s largest and most reputable providers of substance use disorder and co-occurring mental health treatment for adults!

Fora Health is committed to providing a wide range of accessible, coordinated, and well-integrated services that benefit the community and support our clients to recover and to maintain recovery from addiction. To maintain an organizational culture which supports Fora's mission, each employee will, at a minimum:

Have knowledge of substance use disorders.
Recognize the importance of family, social networks, and community systems in the treatment and recovery process.
Respect the diversity and uniqueness of all people.
Recognize that a healthy work environment is maintained through the practice of mutual respect and healthy self-care.
Uphold the highest standard of customer service to clients, referents, and all community partners.

BENEFITS

Regence BlueCross BlueShield medical insurance
Comprehensive dental and vision insurance
Employer-paid basic life and accidental death & dismemberment insurance
Additional voluntary insurance (short-term disability insurance, supplemental group life insurance, accident & critical illness insurance, and pet insurance)
Flexible Spending Account (FSA) for healthcare, dependent care and transportation costs
401K plan with Employer Matching up to 6%
4 weeks paid vacation, one floating holiday & sick leave
10 observed holidays, paid bereavement and paid jury duty days
Flexible schedules
Employee Assistance Program
Discounted 24 Hour Fitness membership from $6.99/month
One free employee meal on days worked at our Cherry Blossom location
Online education tools for CEUs
Critical shift compensation up to double hourly pay rate and shift premiums for certain positions
Employee referral bonus
Education grant program reimbursement for continuing education expenses after 90 days of employment
Loan forgiveness for eligible medical and clinic positions
Free parking at our two facilities

Employees may be eligible for education grants:

National Health Service Corps (NHSC)
NURSE Corps
Public Service Loan Forgiveness (PSLF)

Fora Health is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

Fora Health encourages applications from those who are in recovery. Please note that we require individuals in recovery to certify that they have at least two years of continuous sobriety upon hire.

Fora Health is a second chance employer and complies with applicable laws regarding consideration of criminal background for employment purposes. Fora Health conducts a background check for all positions upon offer of employment. Government regulations, contractual requirements, or the duties of certain jobs may require us to take appropriate action to address prior criminal convictions.

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Dual Diagnosis Counselor - Residential

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