Mental Health Jobs in Portland, OR
Mental health jobs in Portland are concentrated across community health centers in the Jade District and Old Town, integrated care clinics in the Pearl District, and hospital systems anchored along the West Hills corridor, with strong demand from nonprofits, county behavioral health programs, and private group practices. Employers actively hiring include Cascadia Health, Central City Concern, and Ascend Telemedicine. Scan the live roles below and apply to whichever ones fit.
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Psychiatric Mental Health Nurse Practitioner (PMHNP)
Trillium Family Services is seeking a compassionate and experienced Psychiatric Mental Health Nurse Practitioner (PMHNP) to provide psychiatric assessment, treatment, and clinical leadership for youth in our care. This role works collaboratively with multidisciplinary treatment teams to support children and adolescents experiencing mental health challenges.
Position Details
- Full Time - 40 hours/week
- Combination of day treatment and outpatient clients in Portland Metro area
- In-person office hours required with some telehealth opportunities
- Flexible schedule, Monday–Friday
- Compensation: $135,000 - $156,000/year
Primary Responsibilities
- Conduct psychiatric evaluations and establish DSM-5 diagnoses for youth entering assigned programs
- Collaborate with the Access Department to determine appropriateness of referrals
- Participate in treatment planning and provide clinical leadership for assigned cases
- Review, update, and approve Master Treatment Plans and discharge recommendations
- Provide timely and accurate documentation for all psychiatric appointments
- Monitor overall client care and participate in Clinical Review Board discussions
- Prescribe and monitor psychotropic medications as clinically indicated
- Ensure clinical documentation meets agency, regulatory, and accreditation standards
- Coordinate consultation with medical specialists and allied health professionals as needed
Qualifications
- Completion of a PMHNP training program
- Licensed by the Oregon Board
- DEA certification to prescribe Schedule II medications, including stimulants and benzodiazepines
- Significant experience working with child and adolescent psychiatric patients
- Strong knowledge of child psychiatric assessment and treatment practices
- Familiarity with ethical and professional standards, governmental guidelines, and community standards of psychiatric care
- Basic computer and typing skills, including electronic medical record documentation
Why Join Trillium? We are committed to developing our staff and providing extensive education, training, and mentorship opportunities to help each reach their fullest potential. You’ll take advantage of:
- Public Service Loan Forgiveness eligible
- Comprehensive employer-paid healthcare benefits for eligible employees
- 401k with 6% match
- Paid training and ongoing professional development
- Generous vacation and sick leave
- And more!
Learn more about our programs and mission at Trillium Family Services
For physical demands of position, including vision, hearing, repetitive motion, and environment, please contact the HR department. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising client care.
Consideration of candidates will be on-going, and position may close after three days of original postings.
If you need accommodation to review the information and/or complete the application process, please contact the Human Resources Department.
Trillium Family Services is a drug-free workplace. All final applicants will be subject to a criminal record identification check pursuant to ORS 181.536.727.537 and agency policy. We are an Equal Opportunity Employer and Service Provider and support culturally linguistically diverse governance, leadership, and workforce.
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Find Mental Health JobsMental Health Job Market in Portland
Who's Hiring
- Cascadia Health17

- Central City Concern8

- Ascend Telemedicine6

- Telecare Corporation6

- MAGET3M
Top Industries Hiring
- Healthcare & Medical Services
Mental Health Jobs in Portland: Frequently Asked Questions
How do I get a mental health job in Portland?
Portland's strongest hiring comes from Multnomah County's behavioral health division, federally qualified health centers in Old Town and the Jade District, and nonprofit community organizations serving unhoused populations. Candidates who have experience with co-occurring disorders, trauma-informed care, or culturally specific communities stand out in this market. Targeting county programs and integrated care clinics gives you the broadest entry into Portland's mental health landscape.
Which companies hire mental healths in Portland?
Companies currently hiring mental healths in Portland include Cascadia Health, Central City Concern, and Ascend Telemedicine, per current listings on Migrate Mate as of August 2026. Portland's hiring base skews toward nonprofit community organizations, county behavioral health agencies, and large hospital systems with embedded outpatient and crisis services.
Are there remote mental health jobs in Portland?
Yes, though remote availability depends heavily on the role, as direct clinical and crisis work is predominantly on-site while case management, care coordination, and administrative behavioral health roles offer more flexibility. About 50% of mental health openings tied to Portland are remote or hybrid as of August 2026, with telehealth therapy positions representing the most consistently remote segment of the local market.
How can I get a mental health job in Portland with little or no experience?
The most realistic entry path in Portland is a mental health associate or peer support specialist role, which Multnomah County programs, residential treatment providers, and nonprofits like those operating in Old Town actively hire for without requiring full licensure. Volunteering with crisis lines or community wellness programs in Portland builds practical experience, and lateral moves from case management aide or community health worker positions are common stepping stones to clinical tracks here.
Which industries hire the most mental healths in Portland?
Portland mental health roles concentrate in Healthcare & Medical Services, based on current listings on Migrate Mate as of August 2026. Portland's large nonprofit sector, Multnomah County's publicly funded behavioral health network, and the expansion of integrated care within regional hospital systems drive consistent demand across those industries.
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