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Direct Support - Mental Health: Residential Counselors - Caregivers - CNAs - QMHA and Entry Level

Cascadia Behavioral Healthcare Portland Full-Time
$12,750.00 - $18,800.00 / year
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Level I ( Residential Counselor or Treatment Specialist) positions require a High school diploma or GED equivalent

Level II ( Residential Counselor or Treatment Specialist) positions require a BA degree in a behavioral science field or a combination of education and mental health work experience. Must demonstrate the competencies as outlined in the Oregon Administrative Rules (OAR) to become credentialed as a Qualified Mental Health Associate (QMHA). Certification must be maintained and in compliance with the OAR's.


Some work experience working with adults with severe and persistent mental illness is preferred.

Specialized Knowledge, Skills and Abilities:

Operate Computer hardware and software (Including Electronic Health Record Software) at a level to effectively perform the job functions, including entering and retrieving data.


Work may include the use of company provided transportation in order to transport clients; incumbent may need to possess a valid driver's license, three year driving history; clean driving record, ability to pass Driver Motor Vehicle (DMV) check and complete the Cascadia online Defensive Driving course (Overnight shift is an exception based on program needs).

Physical Abilities:

Staff must have the ability to assist residents in participating in a variety of active leisure and recreational events, as well as skill building outings and accessing community resources. These are required to avoid behavioral incidents and volatile situations. The Residential Counselor I must have the ability to assist the team in providing safety to all clients and staff in potentially volatile situations.

  • Regular sitting, Standing, walking, and Keyboarding
  • Occasionally stooping, lifting 20 to 50 lbs., climbing (stairs), crouching, reaching, and running
  • Constant visual and auditory

Cascadia is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status such as race, color, sex, sexual orientation, gender identity, religion, national origin or age.

These positions are great for those interested in pursuing careers in mental health, addiction, counseling, therapy and behavioral health. For those with limited experience, if you have work experience in customer service, your patience is a great skill that transfers over. Additionally, those with experience working as a CNA, care-giving, home-care or any direct support position, will find that much of their skills can transfer over into this type of work. This is work that can be very rewarding if you are the type who is passionate about helping vulnerable populations.

We have multiple positions in different programs. Our programs are located at various sites in Portland and Portland Metro area; Clackamas, Multnomah and Washington county. These include Portland; NE, SE, NW, SW and East and Mid County; Gateway, Rockwood, Woodvillage, Gresham, Oregon City, Gladstone, and Wilsonville.

**By submitting your resume, we will review it and may follow up to have you complete an application for one of our programs that require direct support staffing.

Shifts available are day, swing, and overnight positions with full time, part time and on-call options.

These positions are titled as follows:

  • Residential Counselor I or II
  • Treatment Specialist I or II
  • Secure Residential Treatment Specialist I or II

Residential support staff work as a member of an interdisciplinary team to implement and monitor treatment for residents within the residential facility. These positions involve participation and implementation of program goals and objectives to promote a strengths-based, client centered approach to assisting residents in achieving individual goals and ultimately transitioning to a less restrictive setting.

Essential Responsibilities:

This position description is not intended to be an all-inclusive list of responsibilities, skills, or working conditions associated with the position. Management reserves the right to modify, add or remove duties as necessary.

  • Provide therapeutic interventions 
  • Provide individual and/or group skill training, in areas such as self-care, hygiene, community resources, and other life skills
  • Facilitate a minimum of one therapeutic group per week.
  • Participate in supervision and act in the role of Primary Treatment Coordinator
  • Comply with and implement regulations, policies, and procedures 
  • Assist in crisis situations as appropriate, following emergency protocols and procedures; be prepared to assist with avoidance preventing escalation; and for secure sites, be able to apply physical and mechanical restraint techniques as appropriate, to avoid crisis situations or to neutralize crises in progress.
  • Assist in meal set-up, preparation, serving, and clean up and perform other household chores as needed such as light housekeeping
  • Accompany and assist residents during medical appointments in the community.
  • Demonstrate professional boundaries and ethics.
  • Document and maintain clinical records in a manner that assures compliance with all agency policies and procedures 
  • Demonstrate responsibility for safety of residents and property
  • Adhere to mandatory abuse reporting laws and HIPAA requirements.
  • Be ready and able to serve as a lead person, responsible for contacting the Administrator On-Call for clinical decisions and direction and provide leadership for decisions that are needed throughout a shift
  • Stay awake on all shifts
  • Provide input into the establishment of operational procedures.
  • Coordinate with oncoming shift regarding resident concerns, building/program needs, and any relevant issues to ensure the smooth operation of the program.
  • Provide input toward the therapeutic treatment plan in collaboration with the case manager.
  • Secure Sites only: Administer seclusion and restraint techniques as defined in non-violent physical intervention training.
  • Provide medication administration 
  • Under special circumstance, it may be required that the staff covers another site within the same type of programs, regardless of home site.
  • On Call incumbents provide relief to regular staff and commit to working a minimum of 4 shifts a month.
  • Float positions require the incumbent to fill shifts to meet FTE by using electronic scheduler or by contacting the program administrators of the program/site.
  • Provide transportation service to escort residents out in the community.

Secondary Responsibilities:

  • Complete annual employee training requirements
  • Participate in all scheduled staff meetings
  • Ability to perform CPR, First Aid, and properly use AED equipment. CPR/ First Aid certifications are required and must remain current.
  • Perform other duties as assigned.

Recommended skills

Mental Health
Emergency Handling
Mental Diseases
Cardiopulmonary Resuscitation
First Aid
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