About the role
We recognize the health disparities of people of color, people from working class backgrounds, women and LGBTQ people. We believe that the experiences of these communities must be valued in the work we do. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities. For immediate consideration, please submit a resume and cover letter with our application form.
Portland Mental Health & Wellness is a thriving private practice and training practice with four locations in Portland, as well as one location in Salem. We are a collaboration of psychologists, psychiatric prescribers, counselors, marriage and family therapists and our trainees. We emphasize relationship first and foremost and diagnosis and treatment from within that relationship.
We strongly emphasize trauma informed care, cultural competency, establishing comfort and safety for patients, and coordination of care with primary care doctors, specialists, pediatricians, schools, and other mental health clinicians.
Licensed Therapist – Behavioral Medicine & Wellness
(Licensed Psychologist, Licensed Professional Counselor, Licensed Marriage and Family Therapist, or Licensed Clinical Social Worker)
Location: Portland, OR
Supervisor: Director of Behavioral Medicine & Wellness
Employee Classification: Exempt (Salaried)
Hours: Full-Time, 40 hours per week
Compensation: Salaried options configured based on licensure type
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Primary Function
The Licensed Outpatient Therapist provides direct, evidence-based psychotherapy and behavioral health services within PMHW’s Behavioral Medicine & Wellness service line. Working under the clinical leadership of the Director of Behavioral Medicine & Wellness, this position delivers individual (and, where applicable, group) treatment across the department’s core clinical focus areas, including insomnia and sleep-related concerns, chronic illness adjustment and medical adherence, and Health-At-Every-Size (HAES)–aligned behavioral health support for patients on metabolic therapies (e.g., GLP-1 medications) and related comorbid psychological conditions.
This is a generalist role: the therapist is expected to develop working competence across the department’s full range of Foundational (Phase 1) service areas rather than a single specialty, so that caseload can flex with patient demand. As the service line matures, there will be opportunities to build additional depth in one or more Expansion (Phase 2) areas based on the therapist’s interests and the department’s evolving needs.
A Note on Program Design: Building in Phases
The Behavioral Medicine & Wellness service line is being built in phases. Phase 1 (Foundational) covers the service areas PMHW has already established and is actively offering today; Phase 2 (Expansion) represents additional areas of clinical focus the department intends to grow into over time, as staffing, clinical expertise, and referral partnerships develop. This is a new, growth-oriented position: while the immediate focus is on delivering today’s core services, we expect the role, caseload composition, and available areas of emphasis to expand as the department moves into future phases.
Essential Functions
- Organizational Culture & DEAI
+ Model and operationalize PMHW’s Organizational Culture Principles and commitment to diversity, equity, access, and inclusion.
+ Practice and reinforce Health-At-Every-Size (HAES) principles and anti-fat-bias care in all clinical interactions and documentation.
+ Contribute to a psychologically safe environment for colleagues, trainees, and patients, prioritizing cultural humility in clinical decision-making.
- Direct Clinical Care
+ Deliver evidence-based, patient-centered, trauma-informed outpatient psychotherapy across the Foundational service areas listed below.
+ Conduct intakes, biopsychosocial assessments, and treatment planning aligned with department protocols and stepped-care models.
+ Maintain an active outpatient caseload consistent with departmental productivity expectations.
+ Provide patient education and, where appropriate, co-facilitate group programming across one or more service areas.
- Documentation & Compliance
+ Maintain timely, accurate clinical documentation in the EHR consistent with PMHW, HIPAA, and payer requirements.
+ Support accurate coding and billing practices reflecting the clinical scope of services delivered.
+ Participate in chart review, case consultation, and quality-improvement activities as directed by the Director.
- Collaboration & Referral Coordination
+ Coordinate care with referring providers (e.g., sleep medicine, primary care, endocrinology/metabolic clinics, specialty clinics) to support integrated, collaborative treatment.
+ Communicate clearly and professionally with interdisciplinary teams regarding shared patients and care planning.
- Program Development Support
+ Contribute clinical expertise and patient feedback to the ongoing development of protocols, outcome measures, and patient education materials.
+ Participate in individual and group supervision, didactics, and department trainings led by the Director.
+ As the service line grows, support onboarding and orientation of new clinicians or trainees.
Areas of Clinical Expertise
The Licensed Outpatient Therapist is expected to develop and maintain competence across two or more of the following Foundational (Phase 1) service areas, and is encouraged to pursue additional depth in one or more Expansion (Phase 2) areas as the program grows.
- Foundational Service Areas (Phase 1)
+ Behavioral Medicine & Chronic Disease Management — adjustment to chronic illness (e.g., diabetes, autoimmune conditions, heart disease); adherence counseling; psychoeducation and self-management support; stress-reduction interventions for medical conditions.
+ Sleep Management — CBT-I; sleep hygiene and behavioral activation; sleep-device (CPAP/BiPAP/oral appliance) compliance; collaboration with sleep medicine for differential diagnosis.
+ Lifestyle Medicine & Preventive Health — stress management and relaxation; physical-activity motivation and behavioral coaching; mindfulness-based health promotion; behavioral health interventions for well-being.
+ Body-Inclusive Health & Nutrition — HAES-aligned behavioral interventions; Food as Medicine and mindful-eating approaches; behavioral weight management (if aligned with clinic philosophy); pre- and post-bariatric-surgery psychological assessment and support; emotional eating and body-image work.
+ Psychological Support for Medical Procedures & Illness — pre-surgical psychological assessments (e.g., bariatric, transplant); post-surgical adjustment and adherence counseling.
- Expansion / Growth Areas (Phase 2)
+ Chronic Pain — CBT-P and ACT; mindfulness, relaxation, and biofeedback for pain management; pain self-management and activity pacing; support for pain-related anxiety, depression, and adjustment; coordination with medical/rehabilitation teams.
+ Women’s & Reproductive Health Psychology — perinatal and postpartum adjustment; fertility and reproductive decision-making; menopause and hormonal health transitions; body image and identity in relation to health and aging.
+ Health Equity, Cultural, and Community Health — addressing social determinants of health; health disparities consultation and culturally responsive intervention; group-based wellness programs for underserved communities; integrated care partnerships with community organizations.
+ Specialty Populations — oncology psychology; geropsychology/aging and health transitions; neurology/rehabilitation psychology; cardiovascular or pulmonary rehabilitation.
Minimum Qualifications
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