Lead Licensed Clinician – Clinical Assessor (Oregon)

PROJECTED START DATE: 2027

Position Overview

Guillaume Counseling Services, P.C. is seeking a compassionate, experienced, and clinically skilled Lead Licensed Clinician – Clinical Assessor to join our growing outpatient behavioral health practice in Portland, Oregon.

This specialized position focuses on conducting comprehensive clinical assessments, establishing diagnoses, determining medical necessity, developing individualized treatment plans, and ensuring clients are appropriately connected to ongoing mental health services.

The Clinical Assessor plays an important role in helping individuals and families begin treatment with a clear understanding of their clinical needs, recommended services, and appropriate level of care.

We are seeking a licensed clinician who demonstrates strong diagnostic and clinical assessment skills, sound professional judgment, cultural responsiveness, excellent documentation practices, and the ability to work collaboratively with clinical and administrative teams.

This is a specialized clinical position focused on assessment and treatment planning rather than ongoing psychotherapy or staff supervision. The Lead designation reflects advanced clinical assessment responsibilities rather than supervisory authority.

Bilingual proficiency in Spanish and English or Haitian Creole and English is preferred, but not required. Experience providing culturally specific behavioral health services to African American individuals and families is also preferred.

This is a full-time, hourly W-2 position with a projected start date in 2027. The position begins with a part-time schedule during the first 90 days of onboarding and transitions to full-time hours thereafter.

Schedule and Work Arrangement:

Employment status: Full-time position with an initial 90-day part-time onboarding period.
First 90 days: 20–29 hours per week.
After 90 days: Transition to a full-time schedule of 30–40 hours per week.
Work arrangement: Hybrid, primarily in-person, with approved remote work.
Office location: 4850 SW Scholls Ferry Road, Portland, Oregon.
Availability: Weekdays, with some evening or Saturday availability depending on client needs.

Each comprehensive initial assessment is generally scheduled in a two-hour block, including direct client assessment, clinical documentation, diagnostic formulation, and initial treatment planning.

Additional paid time is allocated for care coordination, clinical consultation, meetings, and other assessment-related responsibilities.

Compensation and Earning Potential:

Hourly Compensation: $52–$64/hour
- Compensation is based on years of professional licensure, qualifications, and applicable compensation differentials.

Regular: $52–$60/hour.
Culturally Specific: $54–$62/hour.
Bilingual: $56–$64/hour.

Culturally specific compensation recognizes verified qualifications and experience providing culturally specific behavioral health services. Bilingual compensation applies to employees who meet the organization's language proficiency requirements.

Estimated Monthly and Annual Earnings:

20 hours/week: $4,507–$5,547/month | $54,080–$66,560/year.
29 hours/week: $6,535–$8,043/month | $78,416–$96,512/year.
30 hours/week: $6,760–$8,320/month | $81,120–$99,840/year.
40 hours/week: $9,013–$11,093/month | $108,160–$133,120/year.

All hours worked are paid, including clinical assessments, documentation, treatment planning, care coordination, consultation, meetings, training, and assigned administrative responsibilities.

Monthly and annual equivalents are estimates based on 52 weeks at the stated hourly rates. Actual earnings depend on hours worked and qualifications. Annual estimates reflect a full year at the stated weekly hours and do not account for the initial 90-day part-time period.

Benefits and Professional Support:

W-2 employment with competitive hourly compensation.
Medical, dental, and vision insurance for eligible full-time employees.
Paid sick leave in accordance with Oregon requirements.
Retirement savings through OregonSaves and a 401(k) plan, subject to eligibility.
Professional liability insurance coverage.
Flexible scheduling and opportunities for professional advancement.
Structured onboarding and paid training.
Ongoing clinical consultation and professional development.
Administrative support for scheduling, billing, credentialing, and client coordination.
Access to organizational technology and clinical documentation tools.

Minimum Qualifications

Current, active, unrestricted Oregon clinical license as a Licensed Marriage and Family Therapist (LMFT), Licensed Professional Counselor (LPC), Licensed Clinical Social Worker (LCSW), or another independently licensed mental health professional authorized to perform the required duties.
Master's degree or higher in counseling, marriage and family therapy, social work, psychology, or a related qualifying clinical discipline.
Strong experience conducting comprehensive mental health assessments and developing individualized treatment plans.
Demonstrated competence in diagnostic evaluation, differential diagnosis, and medical necessity determination.
Knowledge of DSM diagnostic criteria, clinical documentation requirements, and appropriate levels of behavioral health care.
Ability to identify clinical risk factors, assess safety concerns, and determine when additional evaluation or a higher level of care is indicated.
Experience providing evidence-based, trauma-informed, and culturally responsive clinical services.
Strong clinical judgment, critical thinking, organizational, and time-management skills.
Ability to establish therapeutic rapport with clients from diverse cultural, racial, ethnic, socioeconomic, religious, and nonreligious backgrounds.
Excellent written communication skills and ability to complete accurate, thorough, and timely clinical documentation.
Ability to collaborate effectively with clinicians, case managers, intake coordinators, and administrative staff.
Demonstrated professionalism, flexibility, accountability, collaboration, and openness to feedback.
Familiarity with electronic health records, telehealth platforms, HIPAA, and professional ethical standards.
Ability to provide required in-person clinical assessments in the Portland metropolitan area.

Preferred Qualifications

Experience conducting initial diagnostic assessments in outpatient behavioral health or community mental health settings.
Experience with Medicaid/Oregon Health Plan clinical documentation and medical necessity requirements.
Advanced training in diagnostic assessment, trauma-informed care, differential diagnosis, and evidence-based clinical interventions.
Experience assessing children, adolescents, adults, couples, or families.
Experience coordinating referrals and transitions between levels of behavioral health care.
Bilingual proficiency in Spanish and English or Haitian Creole and English.
Demonstrated experience providing culturally specific behavioral health services to African American individuals and families.
Knowledge of culturally relevant behavioral health needs, barriers to care, and community resources.

Key Responsibilities:

Clinical Assessment and Diagnostic Evaluation:

Conduct comprehensive biopsychosocial and diagnostic assessments for new clients.
Evaluate presenting concerns, psychiatric symptoms, psychosocial history, functional impairments, strengths, and treatment needs.
Establish clinically appropriate diagnoses using current diagnostic standards.
Assess medical necessity and determine whether the requested services are appropriate for outpatient behavioral health treatment.
Identify clinical risk factors, including safety concerns, and initiate appropriate interventions or referrals.
Determine when psychiatric evaluation, additional specialty services, or a higher level of care may be indicated.

Treatment Planning and Clinical Recommendations:

Develop individualized initial treatment plans based on assessment findings, clinical needs, and client goals.
Recommend appropriate treatment modalities, service frequency, and additional supports.
Identify client strengths, cultural considerations, and other factors relevant to treatment engagement.
Ensure treatment recommendations are consistent with clinical findings, medical necessity, and applicable payer requirements.

Client Transition and Care Coordination:

Collaborate with intake and scheduling staff to support timely assignment to an appropriate treating clinician.
Communicate relevant assessment findings and treatment recommendations to the assigned clinician through approved clinical channels.
Coordinate referrals for additional services when clinically indicated.
Support appropriate transitions into ongoing care while maintaining professional boundaries and confidentiality.
Collaborate with clinical leadership regarding complex assessments, diagnostic concerns, or treatment recommendations.

Documentation and Quality Standards:

Complete accurate, comprehensive clinical assessments and initial treatment plans within required organizational timelines.
Maintain documentation that supports diagnoses, medical necessity, and recommended treatment.
Follow organizational standards for clinical documentation, confidentiality, and recordkeeping.
Participate in clinical consultation, quality improvement activities, and assessment-related training.
Maintain compliance with Oregon regulations, professional ethical standards, HIPAA, and applicable payer requirements.

Clinical Role Boundaries:

This is a specialized assessment position. The Clinical Assessor is not expected to maintain a routine ongoing psychotherapy caseload or provide regular supervision to associate clinicians, QMHAs, QMHPs, or other clinical staff.

The position focuses on assessment, diagnostic evaluation, initial treatment planning, clinical recommendations, and coordination of clients into appropriate ongoing services.

Professional Growth and Advancement

Guillaume Counseling supports continued professional development, advanced clinical learning, and opportunities for career advancement.

The Clinical Assessor will have opportunities to strengthen expertise in diagnostic evaluation, complex clinical presentations, culturally responsive assessment, medical necessity determination, and interdisciplinary care coordination.

Qualified employees may be considered for additional leadership or specialized clinical responsibilities as the organization grows, based on performance, qualifications, demonstrated competencies, and organizational needs.

Apply Today

Projected Start Date: 2027

We welcome applications from independently licensed Oregon mental health professionals who are passionate about comprehensive clinical assessment, accurate diagnosis, individualized treatment planning, and helping clients access appropriate mental health services.

We are particularly interested in candidates who demonstrate strong clinical judgment, diagnostic expertise, compassion, flexibility, cultural responsiveness, attention to detail, and a commitment to high-quality behavioral health care.

Spanish-English or Haitian Creole-English bilingual proficiency and experience providing culturally specific services to African American communities are preferred, but not required.

To apply, please submit both a resume and a cover letter outlining your clinical licensure, assessment experience, diagnostic expertise, relevant specialized qualifications, and interest in joining our team.

Applicants should understand that this is an anticipated 2027 opening, and the final start date will be confirmed as organizational plans progress.

To learn more about our organization and services, visit https://www.guillaumecounseling.com.

Guillaume Counseling Services, P.C. is an equal opportunity employer. All qualified applicants will receive consideration in accordance with applicable employment laws.

Guillaume Counseling Services, P.C.

Lead Licensed Clinician – Clinical Assessor

About the Job