Mental Health Occupational Therapist – Full-Time (Portland, OR)

Please read this posting in full before applying.

This is a full-time, salaried opportunity designed for an Occupational Therapist who wants to build real depth in adult mental health over time.

At Holistic Community Therapy, we provide structured, community-based and virtual mental health services for adults. Our work involves comprehensive assessment, clinical formulation, and functional treatment of complex mental health presentations within an insurance-based outpatient model.

Mental health remains a small specialty area within OT. This role is best suited to someone who wants to build depth in that part of practice over time.

Our client population includes individuals from historically marginalized communities. We value cultural humility, lived experience, and clinicians who reflect the diversity of the communities we serve.

ABOUT YOU

This is a full-time clinical home — a place to go deep and grow, not a stepping stone to private practice or a side caseload. If that's what you're looking for, you'll fit right in.

You may be early in your career, or you may already have experience and be looking for a role where mental health work is taken seriously.

You'll likely fit well here if you:

• Work well independently, but value having structure and support as you grow
• Use supervision thoughtfully and ask questions when needed
• Care about doing careful documentation and following through
• Are comfortable building relationships with clients over time
• Want to keep developing your clinical thinking rather than staying surface-level

This role tends to suit clinicians who value structure, steady growth, and meaningful long-term work with adults living with complex mental health challenges.

ABOUT THE ROLE

As a Mental Health Occupational Therapist at Holistic Community Therapy, you will:

• Deliver adult mental health assessments and occupation-based interventions within a mobile outpatient model (community-based + virtual)
• Develop and implement measurable treatment plans that support functional independence and meaningful outcomes
• Maintain a minimum of 22 completed client sessions per week (most clinicians carry 25) through proactive scheduling and caseload ownership
• Provide comprehensive assessment and functional mental health treatment within our structured outpatient model
• Connect clients with appropriate community resources to support recovery
• Complete accurate documentation within 24–48 hours
• Participate actively in supervision and ongoing professional development

This is a salaried, full-time position. Clinicians work within a structured, supported caseload, with steady predictability in their week. 

Location requirements:

• You live in Portland, Oregon. This role requires Oregon residency -- being in the Portland metro but across the border in Washington (for example, Vancouver) does not qualify 
• Active Oregon OT license required

Required qualifications:

• Active Occupational Therapist license in good standing (Oregon)
• Minimum 2 years of clinical experience preferred. Mature new graduates with prior professional work experience and demonstrated responsibility will be considered
• Current CPR certification
• Clear background check
• Eligible for insurance panel credentialing (we complete this process for you)

CASELOAD & WORKLOAD EXPECTATIONS

This is a full-time, caseload-based role built around a 36-hour week — not the standard 40. We measure a completed caseload rather than hours, so a clinician who works efficiently keeps the time they save. For people who want to do meaningful clinical work and still have a real life outside of it, that's the point.

• Full-time status requires maintaining a minimum of 22 completed client sessions per week. Most clinicians maintain between 22–25.
• Sessions are scheduled for 53 minutes, with a 15-minute documentation standard built into workflow expectations.
• During onboarding, all new clinicians follow the same structured ramp, with support built in as your caseload builds.
• Paid team meetings, travel time, standard mileage reimbursement, and collaboration time are included.

COMPENSATION & BENEFITS

• Salaried position with benefits
• 2 weeks paid vacation leave annually + 2 floating holidays
• Sick leave accrues in accordance with Oregon law
• 6% retirement match
• Health reimbursement benefit available for full-time employees
• Paid administrative time built into your schedule
• Paid travel time + IRS mileage reimbursement
• $35/month internet stipend
• $200 annual home office stipend
• Continuing education reimbursement + 15 hours of in-house CE annually
• Eligibility for QMHP certification supervision

Base pay is $72,000–$84,000 for a 36-hour week. Because that's four hours shorter than a standard 40-hour schedule, it's roughly equivalent to $80,000–$93,000 at 40 hours.

While our compensation may differ from larger systems, this role offers something many larger settings do not: close supervision, visible growth, and the chance to build true specialty depth in adult mental health OT.

ABOUT HOLISTIC COMMUNITY THERAPY

Holistic Community Therapy is a growing, specialized mental health practice serving adults in Portland, Oregon through community-based and virtual care.

We are structured, clinically focused, and committed to advancing what Occupational Therapy can do in mental health.

You will not get lost in a large system here.
Your work matters.
Your development matters.
Your clinical growth is visible.

We are building something intentional and looking for clinicians who want to keep growing in thoughtful, accountable practice.

HOW TO APPLY

If this role feels aligned with the kind of clinician you want to become, we'd be glad to hear from you.

Apply directly through this posting. You can also apply here.

We look forward to reviewing your application.