Licensed Therapist; LCSW, MSW, LMFT, LMHC)

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* POSITION TITLE:

** Licensed Therapist (LCSW, MSW, LMFT, LMHC)  
** DEPARTMENT:
** Health and Human Services (HHS) – Opioid Treatment Program (OTP)  
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* LOCATION:

** Vancouver, Washington  
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* REPORTS TO:

** Clinic Director  
** STATUS:
** Hourly;
Full-Time
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* SCHEDULE:

** Monday – Friday, 7:00 am – 3:30 pm  
** WAGE RANGE:** $45.45 - $54.50 per hour
** CLOSING DATE:
** Open Until Filled (First Review 10/14/2026)** *
* * If you are an American Indian/Alaska Native and/or a Veteran and would like this to be considered a preference in hiring, please upload documentation with your resume and cover letter. Acceptable documentation includes a Tribal Enrollment card, a letter from your Tribe stating your enrollment, or BIA 4432 and/or DD214. *
* ****
* Position Summary:

** Plays an important role in helping patients build a new life and create positive change that extends to their families and our community. This position provides counseling and support to patients working toward recovery and lasting wellness. The ideal candidate is a licensed counselor with training in chemical dependency and experience working with multicultural populations. The successful candidate will demonstrate patience, humility, determination, agility, optimism, organization, and empathy in their work with patients and the care team.

Adheres to HIPAA and confidentiality requirements. Honors and represents the mission, vision, and values of the Cowlitz Indian Tribe and of the HHS department.
* This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all-inclusive.
**
* Essential Duties & Responsibilities:

*** Provide treatment in individual and group settings for individuals and families of individuals with substance use disorder.
* Coordinate with the in-house psychiatrist and other care team members to ensure patients receive integrated and seamless care within the clinic.
* Provide regular feedback regarding client progress to third-party monitors.
* Handle phone inquiries from community members requesting information about outpatient chemical dependency treatment.
* Maintain up-to-date, accurate progress notes and client records on personal caseload.
* Evaluate and assess potential patients for appropriateness for outpatient treatment.
* Participate in contacting community referral sources and disseminating information about outpatient chemical dependency treatment and the neurobehavioral model.
* Attend regular training sessions and other events as required.
* Adhere to personnel policies and clinical protocols.
* Orient new patients to the program rules, policies, procedures, and patients’ rights.
* Recognize and apply patients' Strengths, Needs, Abilities, and Preferences (SNAP) to implement individualized treatment plans that effectively help patients reach their short- and long-term goals
* Providing outside referrals for specialized services and conducting follow-up.
* Reviewing Physician notes following intake or other medical appointments. Including any high-risk factors in the patient treatment plan.
* Refer high-risk patients to the clinic Physician as needed (e.g., new pregnancy, medication instability, other reported ailments).
* Scheduling individual and group counseling sessions with patients, documenting rescheduled or missed appointments. Reviewing missed counseling appointments (handout) with patients.
* Engaging in community relations and outreach efforts when appropriate.
* Collect research data when requested.
* Present clients and participate in case conferences.
* Have documentation signed within designated time frames as determined by policies and procedures as well as regulatory requirements.
* Adopt a team approach concept and collaborate with clinical and medical staff to ensure quality patient care.
* Proactively ensure that clients have enough counseling as appropriate for their condition, including proactively working with front office and medical staff to see patients for counseling when they are in the clinic for dosing.
* Perform diverse tasks or other duties assigned by the Clinic Supervisor.
** Knowledge, Skills, and Abilities:
*** Organization and time management skills.
* Communication skills both written and verbal.
* Competency with Microsoft computer programs.
* Understanding of intensive case management, mental health concepts, cognitive behavioral therapies, motivational interviewing, recovery, and mindfulness concepts.
* A successful track record working with, and sensitivity to,…