Behavioral Health Technician Jobs in Portland, OR
Behavioral Health Technician jobs in Portland are in strong demand, concentrated in the Pearl District, East Portland, and Beaverton corridor, with steady hiring across residential treatment centers, outpatient mental health clinics, and community health systems. Employers hiring right now include Cascadia Health, CareOregon, and Moda Health. Scan the live roles below and apply to whichever ones fit.
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The BHCM is responsible for supporting and coordinating the mental and physical health care of CoCM patients on an assigned patient caseload with the patient’s primary care provider and the CoCM psychiatric consultant. When appropriate, the BHCM may also coordinate care with other internal and external mental health providers.
This position requires advanced clinical skills in evidence-based assessment and intervention, with an emphasis on trauma-informed care. The BHCM must have validated training or credentialing in trauma-focused therapy and will integrate these approaches when appropriate to address the impact of trauma on health and wellbeing. Responsibilities include screening for common mental health and substance use disorders, providing psycho-education, supporting psychotropic medical management, and monitoring patient progress through systematic tracking. Additionally, the BHCM provides brief behavioral interventions using evidence-based techniques such as behavioral activation, problem-solving therapy, motivational interviewing, and other treatments as appropriate. The role also involves participation in regular (weekly) caseload consultation with the psychiatric consultant and communication of resulting treatment recommendations to the patient’s continuity medical provider.
The BHCM performs duties with minimal supervision. Work is reviewed for adherence to procedures, regulations, standards and for overall effectiveness. The BHCM position is expected to serve as an advocate for collaborative behavioral health within the physical health care setting.
- Provide brief behavioral interventions using evidence-based techniques such as behavioral activation, problem-solving treatment, motivational interviewing, or other treatments as appropriate.
- Integrate trauma-informed and trauma-focused therapies (e.g., EMDR, TF-CBT, or other validated modalities) when clinically indicated to address the impact of trauma on patient health and functioning.
- Support the patient in their psychotropic medication management as prescribed by medical providers, focusing on treatment adherence monitoring, side effects, and effectiveness of treatment.
- Provide or facilitate in-clinic or outside referrals to evidence-based psychosocial treatments (e.g., problem-solving treatment or behavioral activation) as clinically indicated.
- Support the mental and associated physical health care needs of patients on an assigned patient caseload. Closely coordinate care with the patient’s continuity medical provider and, when appropriate, other mental health providers.
- Systematically track treatment response and monitor patients (in person or by telephone or virtual visit) for changes in clinical symptoms and treatment side effects or complications.
- Manage collaborative care registry.
- Facilitate referrals for clinically indicated services outside of the organization (e.g., social services such as housing assistance, vocational rehabilitation, mental health specialty care, substance abuse treatment).
- Facilitate treatment plan changes for patients who are not improving as expected in consultation with the medical provider and the psychiatric consultant and who may need more intensive or more specialized mental health care.
- Systematically track treatment response and monitor patients (in person or by telephone or virtual visit) for changes in clinical symptoms and treatment side effects or complications.
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Document patient progress and treatment recommendations in the electronic health record (EHR) and other required systems to be shared with medical providers, psychiatric consultant, and other treating providers.
- Track patient follow up and clinical outcomes using a registry. Document in-person and telehealth encounters in the registry and use the system to identify and re-engage patients.
- Develop and complete relapse prevention self-management plan with patients who have achieved their treatment goals and are soon to be discharged from the caseload.
- A Master’s Social Work (MSW) required. Health care experience preferred.
- Certificate of Clinical Social Work Associate (CSWA) or Licensed Clinical Social Worker (LCSW) required for employees who practice clinical social work.
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Ability to utilize assessment information and collateral information to conceptualize patient
psychopathology.
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Skill and expertise in conducting group and individual psycho-educational classes and brief, short-term therapy strategies that will help strengthen the patient's overall physical and mental health.
- Incorporation of self-management, home-based practice in care planning.
- Skill in efficiently organizing time so that unscheduled, same day services are routinely available to care team members.
- The ability to exercise sound judgment in appraising situations and making decisions regarding complex
physical and behavioral health treatment issues in consultation with the primary care teams.
- Skill in developing effective working relationships with peers, supervisors, and professionals in related
disciplines.
- Ability to manage complex personal interactions.
- Demonstrated ability to act with minimal supervision on personal initiative using sound clinical judgment.
- Strong written and verbal communication skills.
- Ability to maintain confidentiality regarding patient care information and chart contents as use of patient record and privacy of individuals must be protected to the fullest.
- Ability to maintain documentation in compliance with State, Federal, Professional and Ethical guidelines.
- Training in Primary Care Behavioral Health
- Health care experience
- Experience in behavioral health counseling and brief short-term therapy strategies and case management in an ambulatory setting.
- Experience and/or interest in Collaborative Care.
- Experience in a Primary Care Ambulatory Clinic setting.
- Experience with program development and evaluation.
- 3 years’ experience in similar position
The work is performed in a medical setting and involves normal working hours with occasional alternative hours for special programs or outreach. The position involves interactions with people who have a wide variety of physical and behavioral health problems. Some travel may be required.
Posted 12/3/2025 3:58pm
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Find JobsBehavioral Health Technician Job Market in Portland
Who's Hiring
- Cascadia Health17

- CareOregon6

- Moda Health6

- United We Heal6U
- Kaiser Permanente6

Top Industries Hiring
- Insurance
Behavioral Health Technician Jobs in Portland: Frequently Asked Questions
How do I get a behavioral health technician job in Portland?
Focus your search on Portland's residential treatment facilities, community mental health centers, and the hospital systems concentrated in the inner east side and Beaverton. Candidates with direct care experience, a working knowledge of trauma-informed approaches, and familiarity with Oregon's community mental health structure stand out most. Applying to county behavioral health programs and nonprofit providers is a strong starting point for breaking into the local market.
Which companies hire behavioral health technicians in Portland?
Companies currently hiring behavioral health technicians in Portland include Cascadia Health, CareOregon, and Moda Health, per current listings on Migrate Mate as of September 2026. Portland's market is a mix of large regional health systems, nonprofit community behavioral health organizations, and private residential programs concentrated in neighborhoods like Lents, Cully, and the Lloyd District.
Are there remote behavioral health technician jobs in Portland?
Yes, but only in limited roles, since most behavioral health technician work is hands-on and requires in-person client contact. About 100% of behavioral health technician openings tied to Portland are remote or hybrid as of September 2026, and those positions tend to involve administrative coordination, telehealth support, or case documentation rather than direct care duties.
How can I get a behavioral health technician job in Portland with little or no experience?
The most realistic entry path in Portland is applying for crisis line support, residential aide, or mental health associate roles at the city's nonprofit community agencies and county-contracted providers, which regularly hire candidates without prior clinical experience. Volunteer shifts at organizations in outer Southeast or North Portland build the direct care hours that local employers value most, and completing a certified nursing assistant or crisis intervention training sharpens your application significantly.
Which industries hire the most behavioral health technicians in Portland?
The sectors hiring the most behavioral health technicians in Portland are Insurance, based on current listings on Migrate Mate as of September 2026. Portland's dense network of publicly funded mental health services, alongside growth in private residential and outpatient programs, keeps demand concentrated across those sectors year-round.
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