SUD Treatment Counselor - Masters Degree Required

Salary offers will be made in alignment with Outside In's union contract and will follow the posted pay range. The wage will be based on a candidate's experience (paid or unpaid) that is directly relevant to the position.


This position is eligible for a $4,000 hiring bonus. The selected candidate will receive half of the bonus on their first paycheck and the remaining half on the June 22, 2026 paycheck. Both payments must be made prior to June 30, 2026, as the bonus is funded by a grant.

IBH Counselor - SUD Focus (CSWA or Similar Associate Level Licensure) Grade 7:

Annual Starting Pay Range: $60,874.22 - $67,193.75

IBH Counselor - SUD Focus (LCSW or Similar Independent Licensure) Grade 8:

Annual Starting Pay Range: $66,955.15 - $73,905.96

Benefits of Working at Outside In:

100% Employer-Paid Medical and Dental Insurance - Plus life insurance at no cost.

Retirement Plan - 403(b) with employer contributions after meeting eligibility.

Disability Coverage - Employer-paid short- and long-term disability insurance.

Generous PTO & Holidays - 21 days of PTO in the first year, increasing annually, plus 13 paid holidays.

Loan Forgiveness Eligibility - Qualifies for NHSC Loan Forgiveness Programs (up to $75,000 forgiveness for 3 years of service) and Public Service Loan Forgiveness (PSLF)

Licensure Supervision - Support for professional growth and credentialing.

Flex & Wellness Benefits - HRA contributions, flexible spending accounts, and an Employee Assistance Program.

Discount Program - Exclusive employee discounts on various products and services.

Job Description:

The IBH Counselor - SUD Focus provides solution-focused brief intervention counseling and case management for clients with substance use disorder, as a part of Outside In's Medication for Addiction Treatment (MAT) Program. Counselor plays a vital role in an interdisciplinary team of Primary Care Providers, Support Specialists, RNs, and other Behavioral Health Counselors. The counselor will assist with referrals and connection to healthcare and treatment resources, as needed. This position is based in a Federally Qualified Health Center (FQHC) in Portland, servicing adults experiencing homelessness, substance use, behavioral health concerns, and other health concerns. This is a union-represented position.

Essential Duties

• Provide substance use and dual-diagnosis counseling to clients with substance use concerns in a primary care setting
• Identify challenges to accessing MAT for clients and work to increase program capacity
• Provide program screenings and assessments, determine program eligibility, and support with referrals to higher levels of care, as necessary
• Facilitate SUD treatment groups
• Work as a member of interdisciplinary care team in close collaboration with primary care providers, pharmacist, behavioral health clinicians, peer support specialists, and other Outside In staff
• Provide crisis intervention as needed, including assessment and appropriate referrals.
• Maintain accurate and timely documentation for all services provided
• All other duties assigned.

Knowledge and Skills

• Experience providing counseling, case management, and familiarity with medications for addiction treatment
• Knowledge of dual-diagnosis care for people who use drugs, houselessness, and specialty populations
• Experience working with people who use and/or inject drugs (PWU/ID)
• Knowledge and understanding of stages of change and motivational interviewing
• Excellent organizational skills, attention to detail, and data collection

• Experience with Federally Qualified Health Centers (FQHC)
• Experience with Medications for Addiction Treatment (MAT) programming

Education Experience

• Master's degree in social work or closely related field, required
• Licensed Clinical Social Worker (LSCW) or equivalent, preferred
• CADC I, II, or III, preferred
• Bilingual English/Spanish, preferred

Working Conditions

This job is in a standard medical office environment at our Downtown Clinic located at 1132 SW 13th Ave, Portland, OR. Travel is expected to support other Outside In locations and teams at times.

Physical Requirements

This job requires operating phones, computers, and other office equipment. Communicating is required regularly. Moving inside the building to other offices and program delivery spaces, as well as moving to surrounding sites, is expected.

Benefits at Outside In: Benefits include generous paid time off (starting at 18 days plus 13 holidays), employer-paid medical, dental, and vision coverage, and a 403(b) retirement plan with employer contributions. Employees also receive an employer-provided HRA, FSA options, fully paid life and disability insurance, an employee assistance program for their household, and pre-tax commuter benefits. Employees are eligible for a sabbatical after 5 years of service, with additional sabbaticals every 3 years thereafter. This role is eligible for Public Service Loan Forgiveness (PSLF).