Dual Diagnosis Counselor- Patient

Dual Diagnosis Counselor – Outpatient

Fora Health Treatment & Recovery is seeking a dedicated Dual Diagnosis Counselor to provide clinical services to adult outpatient clients. The counselor will work under the direction of the Outpatient Manager and collaborate with a multidisciplinary team to support clients in recovering from the effects of substance use and mental health disorders.

• Conduct thorough clinical evaluations, develop collaborative treatment plans, and deliver individual and group therapy.
• Utilize the DSM‑5 and ASAM criteria to assess and diagnose substance use and mental health disorders upon enrollment.
• Document treatment progress, competencies, and outcomes; apply placement, continued stay, and discharge criteria.
• Perform continuing care, relapse prevention, and discharge planning in collaboration with significant others.
• Coordinate referrals and communicate with referral agencies regarding screenings and treatment planning.
• Maintain client confidentiality and navigate regulatory exceptions with clarity.
• Collaborate with all service areas and agency staff to provide appropriate client referrals.

• Establish a warm, respectful, and empathetic therapeutic relationship.
• Facilitate client engagement in the treatment and recovery process; role model effective milieu therapy interventions.
• Provide individual and group counseling to achieve treatment goals; support family therapy as needed.
• Teach life skills including stress management, communication, and refusal skills.
• Address treatment‑interfering behaviors with appropriate therapeutic interventions.

• Arrange or assist clients in following through with referrals to other professionals and community programs.
• Explain referral processes and facilitate transitions to continuing care resources.

• Adhere to professional codes of ethics and safeguard client standards.
• Comply with federal and state laws and agency policies regarding substance use disorder treatment.
• Participate in ongoing supervision and consultation; maintain current addiction counselor certification and QMHP privileging.
• Maintain healthy boundaries with clients and families.

• Attend treatment team and clinical supervision meetings.
• Maintain strong working relationships with team members across departments.

• Complete additional trainings as assigned in a timely manner.
• Participate in special projects and other duties as assigned.

• This position has no supervisory duties.

• Graduate degree in psychology, social work, or related behavioral health field.
• QMHP credential per OARs; ability to conduct comprehensive assessments and write DSM diagnoses.
• CADC I credential or ability to qualify within 6 months; CADC II/III preferred.
• Knowledge of substance use disorders, basic psychopharmacology, and their impact on mental health.
• Skilled in motivational interviewing, DBT, and other evidence‑based practices.
• Effective communication, rapport building, and crisis de‑escalation skills.
• Ability to maintain clinical documentation and facilitate groups.

• Minimum two years of sobriety for employees with a history of substance use disorder.
• Pass pre‑employment or for‑cause drug test and DHS criminal background check.
• Regular cell phone connectivity for work communication.
• Registration with Oregon Health Authority (DMAP) and National Provider Identifier (NPI).

• Indoor office environment with infrequent travel; occasional evening/ weekend work.
• Exposure to communicable diseases (TB, Hepatitis, HIV, etc.) and potential traumatic environments.
• Potential use of cleaning chemicals; PPE provided.
• Shift work may include weekdays, weekends, and holidays.

• Entry level

• Full‑time

• Other
• Mental Health Care

Portland, OR – $56,880.00–$60,948.00 (annual salary)