Job Information

This is a full-time position with schedule to be determined. The position will work at multiple residential treatment facilities.

Job Overview

Provide psychiatric assessments and ongoing medication management to consumers receiving services at Cascadia clinical programs, while supporting a Trauma Informed Care environment. With the high prevalence of trauma among individuals receiving mental health services, it is required the Licensed Medical Provider (LMP) understand the effects of trauma on health, coping, and other aspects of the lives of those we serve. Depending on the program served, services may range from one-time consultations to internal staff or external partner providers/agencies to ongoing services. Provide formal and informal case consultation to case managers, therapists, nursing staff, and other treatment team members. Coordinate with primary care and other external care providers serving individual consumers, as per community standards. Provide case consultation and support to family and/or other members of individual consumers support systems, as needed.

Essential Duties

This position description is not intended to be an all-inclusive list of responsibilities, skills, or working conditions associated with the position. Management reserves the right to modify, add or remove duties as necessary.

  • Determine medical necessity and appropriateness of mental health services for enrolled consumers.
  • Document medical supervision of cases by signing comprehensive mental health assessments, updates, and individual support and service plans.
  • Provide psychiatric assessments for enrolled consumers.
  • Provide screening and assessment of consumers medical needs, including lab testing.
  • Provide medication consultation and management for consumers, including supplying prescriptions and providing ongoing assessment of medication effectiveness, safety, and appropriateness.
  • Provide case consultation to Cascadia clinicians, including participation in regular treatment team meetings.
  • Maintain accurate and up to date documentation on consumer care, following agency requirements for clinical and billing purposes.
  • Work cooperatively with other treatment team members in the service of consumers.
  • Work cooperatively with external care providers and support system members in the service of consumers.
  • Document and maintain electronic health record (EHR) and ancillary records in a manner that assures compliance with all agency policies, program procedures and local, state, and federal regulations. Maintain accurate and up-to-date documentation as required, associated with billing, assessment, treatment, clients progress, and other activities.
  • Provide urgent back up services for consumers enrolled in the same services/program whos primary LMP is unavailable.
  • Respect and honor consumer rights and responsibilities and demonstrate professional boundaries and ethics.
  • Assist in crisis situations as appropriate, following emergency protocols/procedures and coordinating with the treatment team with interventions which support a trauma informed environment for clients/residents and staff.
  • Adhere to mandatory abuse reporting laws and HIPAA requirements.
  • Deliver timely, accurate, and professional documentation. Provide input on all relevant documentation and procedural requirements.
  • Complete annual employee training requirements on a timely basis as indicated in the licensing requirements for the facility as well as agency requirements. Attend seminars, training, and other educational opportunities to develop professional skills and abilities.
  • Participate in all scheduled staff meetings, supervision sessions, and other departmental and agency meetings.
  • Is able to perform CPR, First Aid, and properly use AED equipment. CPR/ First Aid certifications are required and must remain current.
  • Lead special projects related to new or modified clinical interventions working collaboratively with treatment teams across the organization.
  • Perform other job-related duties as assigned.
Commitment to Equity, Diversity, and Inclusion
  • This position must understand, appreciate, and respect the diversity and cultural differences within our Cascadia community. As such, it is expected that this position promotes integrated care, our vision of trauma-informed and person-first approaches and helps create a work environment of inclusion, safety, and acceptance.


Must have either of the following:

Active state medical license, including maintenance requirements and DEA certification.

Certification (or eligibility for certification) by the American Board of Psychiatry and Neurology.

Active State Nursing License as a PMHNP, including maintenance requirements and DEA certification. Certification by the American Nurses Credentialing Center.

Active state medical license as a PA, including maintenance requirements and DEA certification.


2-5 years of clinical experience with a community mental health clinic population is preferred but not essential.

Specialized Knowledge, Skills, and Abilities:
  • Sufficient computer skills to complete documentation in an electronic medical records system in a timely manner
  • Provide care in a setting consistent with the principles of collaborative care informed by stages of change models
Cascadia offers benefits to all employees working a regular schedule of 20 hours (.50 FTE or higher) or more per week, including Medical/Dental, Vision, generous Paid Time Off, 403(b) retirement plan with up to 4% match after 1 year of employment, employer-paid life insurance, employer-paid short/long-term disability, flexible spending accounts, Employee Assistance Program (for employee and immediate family), and more!

Cascadia is an Equal Opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. If you need assistance or an accommodation due to a disability, you may contact us at 503.963.7654 or at

This position is represented by a labor union.