Cascade AIDS Project logo
Cascade AIDS Project
Portland, Oregon

Co-Occurring Behavioral Health Therapist III

Counselor / TherapistNo weekendsNo nightsFull-Time

Listed compensation

$82k–$90k

The week · per this posting · Monday – FridayWeekdays only

Ask the employer about the work setting, call expectations and time off.

Posted 1mo ago · Verified live

Job Description

  • Level: Experienced
  • Job Location: Prism Morris - Portland, OR
  • Position Type: Full Time
  • Salary Range: $81634.00Salary/year
  • Travel Percentage: None
  • Job Shift: Day

Prism Health is the only nonprofit LGBTQIA+ health center providing comprehensive primary care, behavioral healthcare, and pharmacy services in the Pacific Northwest (Oregon, Washington, and Idaho).

Since opening its doors in 2017, Prism Health has become a model for culturally specific care and now serves over 4,000+ patients with a wide range of services, from day-to-day primary care and pharmacy needs to targeted services like gender-affirming care and specialized population health screenings.

Prism Health a program apart of CAP Northwest is excited to announce that we are hiring a skilled and team-oriented Co-Occurring Behavioral Therapist III.

The Co-Occurring Behavioral Health Therapist III (COBHT III) is responsible for providing Co-occurring evaluations, including initial intake assessments with additional ASAM dimensions, formulating mental health and substance use diagnoses, identifying and providing appropriate treatment services including ASAM level of care placement, and service plan development for our LGBTQ+ clients; people affected and infected with HIV/AIDS; and the community at large.

Treatment services will include identifying barriers to access, facilitating individual and group counseling, community outreach, care coordination, and case management This is a Full-Time role working at our Prism Morris location in North Portland, but some flexibility to work out of SE Belmont location may be needed.

The schedule for this role is Monday-Friday 8:30am-5:00pm with some 8am all staff meetings. Starting pay is $81,634.18. The Co-Occurring Behavioral Therapist Pay increases with tenure and the top of the pay scale being BHT III $89,922.46.

This is a union represented position, so the compensation, benefits and conditions of work are collectively bargained. Who You Are Credentials:

Cobht III

Unrestricted license to practice in the State of Oregon. (LPC, LMFT, LCSW, PsyD) CADC Certified Alcohol Drug Counselor certification through MHACBO Master's degree in counseling, social work, or related area of specialization.

Knowledge of ASAM Dimension and Level of Care Placement Experience providing outpatient mental health and substance use disorder treatment for; LGBTQ+ clients and their families; clients who have HIV/AIDS and their families; and the community at large.

Knowledgeable in Evidence Based Practices such as Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), Dialectical Behavior Therapy (DBT), etc. What You’ll Do Client evaluations, including initial intake interviews, formulating mental health and substance abuse diagnoses, and identifying appropriate treatment services; notify client, significant others, care givers, and/or care providers of diagnoses and initial treatment recommendations in a timely manner; complete written narrative of evaluation, obtain necessary authorizations for disclosure.

Identify psychological, emotional, or behavioral issues and diagnose disorders, using information obtained from interviews, tests, records, and reference materials; determine risk and safety factors for clients.

Develop and implement individual treatment plans, specifying type, frequency, intensity, and duration of therapy using evidence-based practices. Provide all necessary documentation in the EHR of care provided to patient within 48 hours of meeting with client.

Collaborate with care team to perform clinical assessments and develop treatment plans. Conduct individual or group therapy sessions, coordinating care with LMP. At CAP Northwest, we believe in unlocking potential.

If you believe you may have the skills to do a job, we encourage you to apply even if you don’t meet every qualification. CAP Northwest is an

Equal Employment Opportunity

Employer. We comply with all relevant anti-discrimination laws.

Employee Benefits: Vacation & Health Leave Retirement Medical, Dental, & Vision Life Insurance, Disability, & Family Leave As a non-profit Employees of CAP may be eligible for the Public Service Student Loan Forgiveness program For more details about our benefits please visit our careers page capnw.org/careers CAP cares about the safety of our team members and clients.

All new employees are required to provide proof of vaccination status to HR at the time of hire (unless a documented medical or religious exemption is requested and approved).

Key Responsibilities

The therapist is responsible for conducting intake assessments, formulating mental health and substance use diagnoses, and developing individualized treatment plans for clients. They will also facilitate individual and group counseling sessions while coordinating care within a multidisciplinary team.

Requirements

Candidates must hold an unrestricted license to practice in Oregon (LPC, LMFT, LCSW, or PsyD) and possess a CADC certification. A Master's degree in counseling, social work, or a related field is required, along with experience in outpatient mental health and substance use treatment.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Mental health diagnosisIndividual counselingTreatment planningClinical assessmentEHR documentation

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Co-Occurring Behavioral Health Therapist III at Cascade AIDS Project a 6.4 out of 10 for work-life balance — classified as good. This places the position in the Above average in Mental Health Therapy (Counseling) — ranked against 7,895 active Mental Health Therapy (Counseling) listings on WeekdayDoc. Contributing factors include no weekend requirements, no night shifts.

Counselor Career Context

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 52% are remote, 24% have no call, 66% require no weekends.

Mental Health Therapy pay on WeekdayDoc is down 2.0% vs. the prior quarter (through Oct 2026).

Mental Health Therapy by the numbers
MeasureThis jobMarket
Work-life score6.4 / 10 · above average in mental health therapy (counseling)ranked against 7,895 Mental Health Therapy (Counseling) listingslisting-based score, 0–10
Cost-of-living adjusted pay~$83k in purchasing powerOregon index 103.4 (US = 100)BEA Regional Price Parities (2024)
Mental Health Therapy listings in Oregon128 active7,907 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 52% remote · 24% no call · 66% no weekends50 benchmarked listings
Sign-on & loan repaymentloan repaymentOregon Counselor listings: 22% state a sign-on bonus (median $6k) · 35% offer loan repayment219 active listings, Nov 2026
New Mental Health Therapy listings2,509 in the last 30 days1,511 the 30 days before (+66%)U.S., first seen on WeekdayDoc, Nov 2026
Mental Health Therapy pay trend−2.0% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index (7,895 Mental Health Therapy (Counseling) listings), BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Counselor Jobs

40 matches · ranked by pay

Salary Distribution

40 jobs · 31 employers
15
<$85k
14
$85k-105k
7
$105k-125k
4
$125k-145k

Annual compensation range

Benefits & Perks

29 jobs
401k / retirement match
93%
CME allowance
45%
Sign-on bonus
34%
Loan repayment
17% this job
PSLF eligible
7% this job

Share of similar jobs offering each benefit

#1

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LifeStance Health · Lake Oswego, Oregon

$123k-$141k
#2

Licensed Marriage and Family Therapist (LMFT)

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$123k-$141k
#3

Telehealth Mental Health Therapist

from $82,368
#4

Behavioral Health Specialist Requires LCSW LPC or LMFT

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Work-life snapshot

median 6.0this job 6.4
Better work-life than 60% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 7,895 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
  • No nights
Cascade AIDS Project logo

About Cascade AIDS Project

Non-profit Organizations
Portland, Oregon
11-50 employees

Benefits & Perks

Vacation & Health Leave
Retirement
Medical Insurance
Dental Insurance
Vision Insurance
Life Insurance
Disability Insurance
Family Leave

Living in Portland

Typical 3-bedroom home value
$523k≈ 6.4× annual pay
Typical market rent
$1,719/mo≈ 25% of gross pay
Residents’ average commute
24 min
Metro price indexU.S. average = 100
105.4
State income tax
Up to 9.9%
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Portland-Vancouver-Hillsboro, OR-WA metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.