Mental Health Therapist Jobs in Oregon
Mental Health Therapist jobs in Oregon concentrate in community behavioral health centers, integrated care systems, and school-based and outpatient settings, with strong and sustained demand from the state's ongoing behavioral health workforce expansion. Portland, Eugene, and Salem drive the largest share of openings, where established employers such as Oregon Health and Science University, Legacy Health, and Cascadia Behavioral Healthcare maintain active hiring pipelines. The most in-demand specialties include substance use disorder counseling, trauma-focused therapy, and child and adolescent mental health. Find a role that fits below and apply directly.
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Ascend Healthcare is committed to providing fully integrated, quality psychiatric and behavioral health services in a compassionate, convenient, and affordable manner. We work with external partners to provide services to patients across the country through integrated psychiatric medication management, substance use disorder treatment, counseling services, peer support and care coordination for seamless patient care. We believe in a "no wrong door" treatment model which finds ways to say "yes" to any patient referral rather than a multitude of exclusionary criteria found elsewhere. This approach reflects our values of improved patient and clinician experience, better outcomes, and lower costs.
The Ascend Story
Founded to transform mental health care access, Ascend Healthcare delivers integrated psychiatric and behavioral health solutions with a commitment to equity, compassion, and operational excellence. We partner directly with health centers to build fully integrated, sustainable behavioral health programs—bringing deep clinical expertise, operational support, and long-term stability.
Our work environment fosters:
- Collaboration and teamwork
- Patient-First Mindset
- Work from home opportunities
- Career Growth and Professional Development Training
Why Ascend?
You'll be joining a team delivering innovative, compassionate care to communities that need it most. At Ascend, your work drives real impact—and your career grows alongside it. We believe in a "no wrong door" treatment model that finds ways to say "yes" to any patient referral rather than a multitude of exclusionary criteria found elsewhere.
Position Summary:
We are looking for a Licensed Mental Health Therapist (LCSW, LPC, LMFT) to provide counseling and therapy treatment to our patients. Services will be provided remotely, through telemedicine, to patients throughout Oregon. We are a "say yes" first clinical provider and look to treat patients where they are and guide them along their journey to recovery and stabilization.
*Clinician must be active or willing to obtain an Oregon License*
Key Areas of Ownership:
- Provides patient care modalities of evidence-based practices to best meet the clinical needs of the patients. Examples include; CBT, DBT, Solution-Focused Therapy, Psychoeducation (Symptom Recognition), Trauma Therapy, Addiction Therapy, Acceptance and Commitment Therapy, Bereavement/Grief Counseling, etc.
- These specific treatment modalities will be implemented in both the individual and group therapy setting, with a focus of engaging patients in their treatment plan.
- Review and signature of patient clinical Psychosocial assessment, diagnosis, treatment plan, and consents as needed for the patient in a timely manner. Maintenance of the clinic record, including documentation of activities performed as part of the service delivery process.
- Documents all services and patient activities appropriately. Ensures documentation complies with best clinical practices, contracts, regulatory and other legal
- Conducts crisis intervention for the individual and family based on the individual's safety plan.
- Participate in regular case planning with the involved Multidisciplinary Team as new information is gathered to ensure the most clinically appropriate patient disposition.
- Participate in individual and group supervision as required. Participate in ongoing education, including in-services, training, and other activities to maintain and improve competency. Demonstrate competency through post-testing, skill observation, and performance as assessed by direct supervisor
- Provides case management services to promote recovery and community reintegration as needed.
- Performs other duties as assigned
Qualifications:
- Active, unrestricted mental health license in state of primary residence and state of medical services being provided
- Comfortable working in a remote environment
- Willingness to work primarily with pediatric patients
- Patient-first mindset
Physical Requirements: This is a fully remote position but may require in-person attendance as company needs arise. Please be aware the below physical requirements should be considered prior to applying to the position:
- Prolonged Sitting: Ability to sit for extended periods during working hours.
- Manual Dexterity: Good hand-eye coordination and manual dexterity for using a computer keyboard, mouse, and other office equipment.
- Visual Requirements: Adequate vision for reading computer screens and documents.
- Communication: Clear verbal and written communication skills for virtual meetings and correspondence.
- Hearing: Sufficient hearing ability for participating in phone calls or virtual meetings.
- Work Environment: Access to a quiet, dedicated workspace free from distractions with reliable internet connectivity.
Perks
- Competitive Salary
- Medical, Dental, Vision, Life and LTD benefits
- PTO + Company and Floating Holidays (yes, take your birthday off if you wish).
- Yearly CEU Stipend
- Collaborative Environment
- Remote-first setting
- Clinician Founded and Operated
Job Type: Full-time
Base Compensation Range: $88,000-$98,000 with primary residence in OR
Monthly Bonus Program
Benefits:
- 401(k)
- 401(k) matching
- Dental Insurance
- 5, 8-hour or 4, 10-hour shifts
- Health insurance
- Life insurance
- Paid time off
- Professional development assistance
- Vision insurance
Ascend Healthcare is an equal-opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations and ordinances.
Ascend Healthcare participates in conducting comprehensive background checks and drug screenings for all potential employees as a contingency to gaining employment status.
See All 76 Mental Health Therapist Jobs in Oregon
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Find Mental Health Therapist JobsMental Health Therapist Jobs by City in Oregon
Where Oregon roles are concentrated, by current openings.
Mental Health Therapist Job Market in Oregon
A snapshot from current Oregon openings, updated as new roles post.
Who's Hiring



Top Industries Hiring
- Healthcare & Medical Services
- Consulting & Professional Services
What Oregon Employers Look For
The qualifications that appear most often in mental health therapist jobs across Oregon.
- Active Oregon LPC, LCSW, or LMFT license issued by the Oregon Board of Licensed Professional Counselors and Therapists or equivalent Oregon board
- Master's degree or higher in counseling, social work, marriage and family therapy, or a closely related clinical field
- Experience conducting individual, group, or family therapy using evidence-based modalities such as CBT or DBT
- Ability to complete clinical documentation accurately within an electronic health records system
- Experience working with co-occurring mental health and substance use disorders in a community or outpatient setting
- Commitment to culturally responsive, trauma-informed care across diverse Oregon communities
Mental Health Therapist Jobs in Oregon: Frequently Asked Questions
How do you become a mental health therapist in Oregon?
You become a licensed mental health therapist in Oregon by earning a qualifying master's degree in counseling, social work, or marriage and family therapy, then completing supervised post-graduate clinical hours and passing the required licensing exam. The Oregon Board of Licensed Professional Counselors and Therapists oversees LPC licensure, while LCSW candidates work through the Oregon State Board of Licensed Social Workers and LMFT candidates through the Oregon Board of Licensed Professional Counselors and Therapists. Each path requires documented supervised hours before you can apply for full licensure.
Which companies hire mental health therapists in Oregon?
Oregon mental health therapist roles are posted by LifeStance Health, LifeWorks NW, and Brightways Counseling and others right now, based on current listings on Migrate Mate as of August 2026. Oregon's robust community mental health center network and large integrated health systems mean openings exist across both urban and rural parts of the state year-round.
Which Oregon cities have the most mental health therapist jobs?
Portland, Eugene, and Salem hold the most mental health therapist openings in Oregon. Portland anchors the market as the state's largest city, home to major health systems and a dense network of community behavioral health organizations, while Eugene and Salem generate consistent demand through their own regional hospital systems, university health programs, and county-funded mental health services.
Are there remote mental health therapist jobs in Oregon?
Yes, and more than most clinical fields, because licensed therapy translates well to telehealth delivery. About 79% of mental health therapist openings tied to Oregon are remote or hybrid as of August 2026, reflecting the statewide expansion of telehealth following pandemic-era policy changes. Outpatient individual therapy and case management roles are the most likely to offer full or partial remote arrangements, while crisis intervention and intensive community support roles typically require on-site presence.
How can I get hired as a mental health therapist in Oregon with little or no experience?
The most realistic entry path is an associate or registered intern position that allows you to accumulate supervised hours toward Oregon licensure while employed. Oregon Health and Science University, Legacy Health, and Cascadia Behavioral Healthcare have historically offered post-graduate residency or supervised clinician tracks for candidates who hold a qualifying master's degree but have not yet completed licensure requirements. Roles titled mental health associate, clinical intern, or behavioral health specialist at community mental health centers serve as strong lateral entry points, and holding a registered intern status with your Oregon licensing board gives your application a concrete credential to stand on.
Where can I find and apply to mental health therapist jobs in Oregon?
You can find and apply to mental health therapist jobs in Oregon on Migrate Mate, which lists current Oregon openings across community behavioral health organizations, integrated health systems, school-based programs, and private group practices. Find roles that fit your license level, specialty, and location preference and apply directly from the listing.
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