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Legacy Health
Portland, Oregon

Genetic Counselor

CounselorFull-Time

Listed compensation

$41.04-$61.16/hr

The week · per this posting · weekdays assumed

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

Posted 1h ago · Verified live

Job Description

Patients receiving genetic counseling at Legacy look to experts in the field not just for advice, but also for compassionate, ethical communication that respects their dignity. If these are the attributes you strive to maintain as a Genetic Counselor, you may be an ideal candidate for this opportunity.

The Genetic Counselor is responsible for direct patient care and patient care coordination for Medical Genetics patients.

Duties include taking family histories, teaching genetic concepts, explaining risks and benefits of various diagnostic procedures, facilitating a decision-making process for clients, documenting sessions in letters to referring care providers, calling lab results, and providing supportive, nondirective counseling. Also responsible for data collections as directed.

Randall Children’s Hospital at Legacy Emanuel is a regional center for the care of infants, children and teens. We offer unrivaled pediatric expertise in a state-of-the-art facility designed exclusively for children. From routine care to the most complex cases, pediatricians and families trust us to provide the most advanced medical and surgical care for kids.

Responsibilities

Patient Care

Provides genetic counseling to patients. Utilizes genetic counseling process to provide patient care that recognizes and responds to individual needs; provides current information; and adheres to NSGC guidelines, code of ethics and department protocols. Provides counseling in a complete, comprehensive, and non-directive manner.

Planning and Coordination of Care

Collects data and assists in the preparation of clinical case plans for patients scheduled for genetic counseling. Prepares three generation pedigrees; anticipates needs and obtains information for case management, such as medical records. Conducts literature search as appropriate. Coordinates care with appropriate departments (e. g. Ultrasound and Lab).

Communication and Documentation

Provides written and/or verbal communications so that patients and referring care providers have the information to meet their needs. Provides results of normal tests to families within 24 hours and notifies primary care providers of abnormal results within 24 hours.

Maintains communications with families through decision making and resolution. Writes consultation letters within 48 hours after meeting with patients. Reviews intake forms and documents all verbal communication and correspondence.

Participation in Community and Professional Education

Acts as a resource to both hospital and community; develops goals for professional development. Remains active in professional organizations; provides staff education as requested.

Qualifications

Education

Master’s degree in genetic counseling

Skills

Keyboard skills and ability to navigate electronic systems applicable to job functions

Licensure

  • Genetic Counselor License required
  • ABMG/ABGC certified or board eligible

Pay Range

USD $41.04 - USD $61.16 /Hr.

Our Commitment to Health and Equal Opportunity

Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing.

If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply—even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed.

Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.

To learn more about our employee benefits click here: legacyhealth.org

Certifications

Board Certification

Key Skills

Family history takingGenetic concepts teachingRisk assessmentDiagnostic procedure explanationDecision-making facilitationClinical documentationData collectionPediatric careElectronic systems navigation

Genetic Counseling — Counselor Career Context

Of the 50 active Counselor listings this role was benchmarked against, 46% are remote, 38% have no call, 76% require no weekends.

The cost-of-living index for Oregon is 103.4 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$106k midpoint carries the purchasing power of roughly $103k in an average-cost state. 62.0% of Oregon clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

How many Counselor jobs are remote?
MeasureThis jobMarket
Listed pay$85k–$127kCounselor median $71k (middle half $52k–$84k)298 comparable listings, Oct 2026
Cost-of-living adjusted pay~$103k in purchasing powerOregon index 103.4 (US = 100)BEA Regional Price Parities (2024)
Counselor listings in Oregon213 active13,624 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 46% remote · 38% no call · 76% no weekends50 benchmarked listings
Counselor pay trend+2.5% vs prior quarter—through Sep 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Counselor Jobs

37 matches · ranked by pay

Salary Distribution

37 jobs · 22 employers
10
<$85k
9
$85k-100k
3
$100k-115k
13
$115k-130k
2
$130k+

Annual compensation range

Benefits & Perks

31 jobs · 22 employers
401k / retirement match
94%
Sign-on bonus
42%
Loan repayment
16%
CME allowance
16%
PSLF eligible
13%

Share of similar jobs offering each benefit

#1

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InterDent Service · Salem, Oregon

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Licensed Mental Health Therapist

LifeStance Health · West Linn, Oregon

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#3

Licensed Clinical Mental Health Therapist - LICSW/LPCC/LMFT

$74k-$126k
#4

Licensed Marriage and Family Therapist (LMFT, LPC, LCSW)

$92k-$125k
+ 35 more · ranked by pay

Work-life snapshot

median 5.1this job 3.0
Below most Genetic Counseling listings for work-life

Listing-based score, 0–10, across 43 comparable listings. Shaded area = the share scoring below this one.

Living in Portland

Typical 3-bedroom home value
$526k
Typical market rent
$1,732/mo
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 (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

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

City-level figures. Not a cost-of-living guarantee.