Director of Outpatient Psychotherapy Services

Portland Mental Health & Wellness; Portland (OR); On-site; USD 135,000 - 140,000; Full time

Benefits offered by this job

Paid Vacation Time

Paid Health Leave

Paid Floating Holiday Hours

Medical and Vision Insurance – Kaiser

Employer Paid Life and AD&D Insurance

Voluntary Short Term Disability

401K Retirement Plan – Up to 4% Match

Continuing Education Support

Job summary

Portland Mental Health & Wellness in Portland, Oregon, seeks a Director of Outpatient Psychotherapy Services to lead the department, ensure clinical quality, documentation integrity, productivity, and financial performance. The role supervises Clinical Directors, develops policies, maintains standards, and partners with other leaders while serving on executive teams.

Opportunity to oversee Case Management temporarily and provide supervision to pre-licensed practitioners.

Qualifications

• Education: doctoral degree in Clinical Psychology or Counseling Psychology, or Master’s in Psychology/Counseling/Clinical Social Work.
• Licensure: licensed to practice psychology or psychotherapy in Oregon.
• Experience: outpatient therapy services experience, preferably in management/leadership.
• Leadership: ability to lead a team of leaders and supervise clinical staff.
• Business acumen: understanding budgeting, billing, productivity, and revenue generation.
• Clinical skills: knowledge of diverse therapeutic approaches.
• Documentation/compliance: knowledge of clinical documentation, HIPAA, and licensing standards.

Responsibilities

• Oversee the Outpatient Psychotherapy department staffing, caseload capacity, intake flow, scheduling standards, and coverage planning.
• Set and meet department performance goals for access, quality, productivity, and financial sustainability.
• Supervise Clinical Directors and review leadership accountability and documentation reports; conduct audits and address gaps.
• Own and maintain clinical documentation policies, SOPs, and standards; ensure updates are communicated and trained.
• Ensure compliance with federal and Oregon regulations, payer requirements, and ethical standards.
• Provide interim oversight of Case Management until a dedicated lead is hired, coordinating with related services.
• Provide clinical supervision to pre-licensed practitioners and offer clinical consultation as needed.
• Participate in Executive Leadership Team planning and drive organization-wide strategy.

Skills

Leadership

Management

Budgeting

Clinical supervision

Documentation

HIPAA knowledge

Communication

Education

Doctoral degree in Clinical Psychology or Counseling Psychology, or Master’s in Psychology/Counseling/Clinical Social Work

Job description

We recognize the health disparities of people of color, people from working class backgrounds, women and LGBTQ people. We believe that the experiences of these communities must be valued in the work we do. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.

Portland Mental Health & Wellness is a thriving private practice and training practice with four locations in Portland, as well as one location in Salem. We are a collaboration of psychologists, psychiatric prescribers, counselors, marriage and family therapists and our trainees. We emphasize relationship first and foremost and diagnosis and treatment from within that relationship.

We strongly emphasize trauma informed care, cultural competency, establishing comfort and safety for patients, and coordination of care with primary care doctors, specialists, pediatricians, schools, and other mental health clinicians.

Director of Outpatient Psychotherapy Services

Location: Portland, OR Supervisor: CEO (2:1 supervision with CEO and COO) Employee Classification: Exempt (Salaried), Full-Time Hours: Full-Time, 40 hours per week Compensation: $135,000 to 140,000 annually

Primary Function:

The Director of Outpatient Psychotherapy Services leads the Outpatient Psychotherapy department and is accountable for its clinical quality, documentation integrity, productivity, and financial performance. The Director supervises the Clinical Directors (CDs) and runs the department’s leadership accountability system, maintains the department’s documentation standards and related policies and procedures, and serves as a member of the Executive Leadership Team and Clinical Exec Team.

Until a dedicated Case Management lead is hired, the Director also provides interim oversight of the Case Management program. The Director partners with other department directors toward the overall success of Portland Mental Health & Wellness and has the option to see patients and/or provide clinical supervision to pre-licensed practitioners.

Essential Functions:

• Department Leadership: Oversee the entirety of the Outpatient Psychotherapy department, including staffing, caseload capacity, intake flow, scheduling standards, and coverage planning (e.g., holiday and leave coverage). Set and meet department performance goals for access, quality, productivity, and financial sustainability.
• Clinical Director Supervision and Accountability: Supervise and develop the Clinical Directors, who in turn support front-line clinicians. Review CD weekly Leadership Accountability and Documentation Accountability reports, conduct the monthly encounter audit and look-back, identify patterns, and make sure performance gaps have clear action plans and follow-through.
• Documentation Standards and P&Ps: Own and maintain the department’s clinical documentation policies, procedures, and standards (including progress, contact, termination, and transfer notes, and note turnaround expectations for licensed, pre-licensed, and trainee clinicians). Keep documentation P&Ps, SOPs, chart review forms, and note examples current as regulations, payer requirements, and EHR workflows change, and make sure updates are communicated and trained across teams.
• Compliance and Quality Assurance: Ensure outpatient services meet federal and Oregon regulatory requirements, payer and contract requirements (e.g., outcome measure requirements), and ethical standards. Oversee clinical chart audits, support audit and Plan of Correction responses, and partner with QAPI on quality improvement.
• Interim Oversight of Case Management: Until a Case Management lead is hired, provide administrative and programmatic oversight of the Case Management program, including workflows, referral resources (e.g., culturally and linguistically specific referral options), staff support, and coordination with Outpatient Psychotherapy, Psychiatry, and Peer Delivered Services. Support the hiring and onboarding of the permanent lead and plan the handoff of responsibilities.
• Clinical Oversight and Consultation: Provide clinical consultation, direction, and administrative supervision so that services are safe, effective, and ethical. Serve as an escalation point for high-risk clinical situations, and participate in critical incident review and response as a member of the Critical Incident Response Team.
• Clinical Programs and Best Practices: Develop and implement clinical programs and evidence-based practices that improve client outcomes, including services for specific populations (e.g., Spanish-speaking clients) in partnership with other departments.
• Budget, Productivity, and Revenue: Monitor department encounter productivity, revenue, and resource use. Translate payer and reimbursement changes (e.g., encounter-unit revaluations) into department expectations, and recommend staffing and cost decisions grounded in financial realities.
• Executive Leadership and Strategic Planning: As a member of the Executive Leadership Team, take part in organization-wide strategy, policy development, and change management. Bring forward analysis, recommendations, and implementation plans; enforce company-wide policies within the department; and help roll out leadership initiatives such as the Stewardship Model of Leadership.
• Stakeholder and Referral Relationships: Build and maintain relationships with referral sources, community organizations, and healthcare partners to support a strong referral network and appropriate client placement.
• Organizational Culture Principles and DEAI: Develop and implement initiatives that reflect PMHW’s Organizational Culture Principles and advance diversity, equity, access, and inclusion within the department and across PMHW, including participation in onboarding and orientation of new staff.
• Leadership Development and Succession: Identify, mentor, and develop emerging leaders within the department, including identifying and raising potential successors for key responsibilities.

Minimum Qualifications:

• Education: A doctoral degree in Clinical Psychology or Counseling Psychology from an APA-accredited university, or a Master’s degree in Psychology, Counseling, or Clinical Social Work.
• Licensure: Licensed to practice psychology or psychotherapy in the state of Oregon.
• Experience: Previous experience in outpatient therapy services is essential, preferably in a management or leadership role.
• Leadership Skills: Strong leadership and management skills to lead a team of leaders, supervise and evaluate clinical staff, and oversee day-to-day department operations.
• Business Acumen: Good understanding of the financial and business aspects of a behavioral health practice, including budgeting, billing, productivity, and revenue generation.
• Clinical Skills: Knowledgeable in a variety of therapeutic approaches with experience serving a diverse client population.
• Documentation and Compliance: Knowledge of clinical documentation requirements, applicable Oregon rules, payer requirements, HIPAA, and state licensing standards.
• Communication Skills: Able to communicate clearly with clients, staff, leadership, and external providers.
• Organizational Skills: Able to manage multiple projects at once while keeping attention to detail.

Equipment Operated: Standard office equipment, including computers, copiers, printers, telephones, etc.

Work Environment: When working from a PMHW office, the position is in a well-lit office environment. Varied activities including sitting, standing, walking, reaching, bending, and lifting.

Mental and Physical Requirements: Involves sitting approximately 90 percent of the day, walking or standing the remainder. Ability to tolerate mental and emotional distress as an anticipated aspect of the position. May require working under stressful conditions.

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Portland Mental Health & Wellness offers a competitive benefits package for full-time therapists that includes:

• Paid Vacation Time (80 hours per year)
• Paid Health Leave (40 hours per year)
• Paid Floating Holiday Hours (80 hours per year)
• Medical and Vision Insurance – Kaiser Permanente of the Northwest (choice of three plans)
• Employer Paid Life and AD&D Insurance
• Voluntary Additional Life and AD&D Insurance
• Voluntary Short Term Disability Insurance
• Voluntary Critical Illness Insurance
• Voluntary Accident Insurance
• Flexible Spending Account, Health Care
• Commuter Benefit – Choice of Subsidized TriMet Pass or Limited Parking Reimbursement
• 401K Retirement Plan – Up to 4% Company Match Once Eligible
• Discounted Enrollment with Student Loan Tutor
• 10% Discount on Vitamins & Supplements Through Fullscript
• Limited Access to Columbia Sportswear Employee Store
• OnPoint Community Credit Union Group Banking Benefits
• Free Access to Continuing Education Platforms
• Opportunities for Provision of Supervision and Training for Eligible Clinicians
• Annual Continuing Education Allowance of $1,000
• Weekly Clinical Consultation Groups

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This description is intended to provide only the basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as the practice’s needs evolve. Regular and predictable attendance is an essential function of every job.

The physical requirements described above are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. By signing below, you acknowledge that you are able to perform the Essential Functions of this job, with or without accommodation. If an accommodation is needed, you have an opportunity to discuss this with Human Resources.

In Oregon, the distinction between W-2 employees and contractors holds significant legal and ethical implications. By hiring W-2 employees, we ensure that our staff receive fair wages, benefits, and protections mandated by state labor laws. This includes access to healthcare, paid leave, and workers’ compensation, fostering a supportive and secure work environment.

Moreover, hiring W-2 employees allows us to maintain consistent quality control and oversight over our services. We prioritize building a team of dedicated professionals who share our values and commitment to providing exceptional mental health care to our clients. This ensures continuity of care and fosters trust within our community.

At Portland Mental Health & Wellness, we believe that investing in our employees translates to better outcomes for our clients. By hiring W-2 employees, we uphold our commitment to integrity, transparency, and excellence in mental health care delivery. Join us in our mission to promote holistic well‑being and support the mental health needs of individuals and families in Portland and beyond.

Portland Mental Healthis an equal opportunity employer. We support and encourage diversity.