Co-Occurring Behavioral Health Therapist III
Listed compensation
$82k–$90k
The week · per this posting · Monday – FridayWeekdays only
Ask the employer about the work setting, call expectations and time off.
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
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).
| Measure | This job | Market |
|---|---|---|
| Work-life score | 6.4 / 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 power | Oregon index 103.4 (US = 100)BEA Regional Price Parities (2024) |
| Mental Health Therapy listings in Oregon | 128 active | 7,907 nationallylive on WeekdayDoc, Nov 2026 |
| Work setting | on-site | peers: 52% remote · 24% no call · 66% no weekends50 benchmarked listings |
| Sign-on & loan repayment | loan repayment | Oregon Counselor listings: 22% state a sign-on bonus (median $6k) · 35% offer loan repayment219 active listings, Nov 2026 |
| New Mental Health Therapy listings | 2,509 in the last 30 days | 1,511 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 |
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