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.  For immediate consideration, please submit a resume and cover letter with our application form.

Portland Mental Health & Wellness is a thriving private practice and training practice with three locations in NE, SE, and SW Portland. 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.

Medical Director – Practice Wide

Location: TBD

Hours: Full-time

Compensation: $250,000/annually

Reports to: Chief Operating Officer

Primary Function:

The Practice-Wide Medical Director is responsible for overseeing and developing the medical services at PMHW, including creating policies and procedures, facilitating prescriber meetings and consultations, supporting with compliance, and generally being a go-to resource for prescribers on-site. The Medical Director will be responsible for working with IOP patients as well as maintaining an outpatient caseload. This position will work in collaboration with PMHW Outpatient Services Medical Director. This position must have a positive and supportive attitude toward the agency and its overall success. Must have the ability to think globally, solve problems, and have good decision-making skills.

Job Summary:

  • Independently licensed psychiatric provider to oversee day-to-day medical management of IOP programs
  • Conduct psychiatric evaluations; making diagnoses and prescribing medication to patients in IOP 
  • Clinical encounters: Present for IOP staff meetings (3 days a week/30 minutes a day), along with a caseload  

Job Responsibilities:

  • Facilitate program specific prescriber meetings,  consultations, and collaboration with Outpatient Medical Director for site-wide prescriber meetings
  • Create medical policies and procedures
  • Provide psychiatric coverage when a prescriber is out of the office
  • Direct psychiatric patient care within the IOP
  • Assist IOP Director with hospitalization process for patients in acute crisis, including calling ahead to the hospital and providing clinical to hospital staff 
  • Complete psychiatric clinical records for all patient contacts 
  • Assess patients regularly for safety, ADLs, and mental status
  • Treatment planning and regular assessment of patients’ progress, including need for higher or lower level of care, transition plan, and/or discharge planning
  • Engage in interdisciplinary collaboration with program staff, to ensure quality continuation of care 
  • Commit to working collaboratively with staff of diverse backgrounds, training, and levels of experience and to promoting teamwork in a multi-disciplinary environment
  • Perform other duties as assigned. 

Performance Requirements: 


  • Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders. 
  • Knowledge of principles, methods, and procedures for diagnosis, treatment planning, and engagement of psychotherapy and/or psychiatric services.
  • Knowledge of principles of case conceptualization and diagnostic justification.
  • Knowledge of group behavior and dynamics, societal trends and influences, human migrations, ethnicity, and cultures and their history and origins. 
  • Knowledge of principles and processes for providing customer and personal services.
  • Knowledge of or willingness to learn practice policies and procedures. 
  • Knowledge of or willingness to learn medical terminology associated with specific role
  • Knowledge of or willingness to learn basic insurance terminology and procedures associated with providing clinical services within an insurance-based practice.
  • Knowledge of grammar, spelling, and punctuation, for effective and appropriate communication.
  • Knowledge of web-based computer programs and applications in an Apple/Mac environment.
  • Knowledge of and capacity to strengthen skills for working in Google Workspace.


  • Demonstrate an understanding of sound ethical practice in conjunction with the established and defined ethics of one’s training and discipline.
  • Skills in de-escalation
  • Appropriately and effectively assess and treat behavioral and affective disorders, with an emphasis on relational and process intervention models.
  • Assess risk for harm to self or others at intake as well as throughout the course of treatment.
  • Maintain current and comprehensive clinical documentation compliant with Oregon Health Authority requirements. 
  • Coordination of care with multiple providers, both within the practice and at other facilities.
  • Welcome and utilize feedback with interest and curiosity from peers, colleagues, managers and directors, as well as in supervision and consultation settings.
  • Demonstrate competence in leadership, wellness, oversight and evaluation of services, staff development, service planning, case management and coordination, utilization of community resources, group, family, and individual therapy or counseling, documentation and rationale for service, to promote intended outcomes and implementation of PMHW policies.
  • Remain up-to-date with current PMHW goals and policies, and requirements set forth by PMHW contracted insurance companies.
  • Respond with appropriate level of urgency to issues raised by practitioners, prioritize importance, and resolve issues or delegate as appropriate.
  • Model through behaviors and attitudes the values that reflect and are consistent with the policies and values of PMHW.


  • Collaborate with IOP Director and program staff to provide accurate clinical information for ongoing utilization reviews 
  • Demonstrated competence in assessment, diagnosis, medication evaluation and current, sound prescriptive practices, particularly working with a diverse client population, including clients from a wide range of socioeconomic backgrounds, religious minority clients, clients from communities of color, and sexual minority, transgender and gender non-binary clients
  • Maintain a high degree of discretion when dealing with confidential information and follow all guidelines set by HIPAA
  • Engage in ongoing training opportunities provided by Portland Mental Health & Wellness and elsewhere to improve skills in diagnosis, treatment planning, and engagement of psychotherapy and/or psychiatric services that emphasize the mission, vision and values of Portland Mental Health & Wellness.
  • Ability to work effectively as a team member, and to communicate clearly, compassionately, and respectfully, with medical and mental health professionals, as well as with administrative support staff.
  • Ability to flexibly respond to changing demands within the work environment. 
  • Ability to organize and prioritize tasks, time, and responsibilities effectively, as well as to work independently and with minimal supervision.
  • Ability to establish and maintain effective working relationships with patients, employees, and the public. 
  • Ability to function proficiently in a web-based computer environment.

Compensation & Benefits: $250,000/annually

  • Paid sick time (40 hrs to start)
  • Paid holidays
  • Paid hours off 
  • Health, dental, vision insurance
  • Employer Paid Life/AD&D
  • Voluntary Short Term Disability
  • 401K retirement with 3-4% company match once eligible
  • Loan repayment program opportunity through the Oregon Office of Rural Health
  • Opportunities for provision of supervision and training
  • Annual CE allowance
  • Quarterly profit sharing bonus
  • 20% discount on vitamins & supplements through Wellevate
  • Weekly consultation groups

Education and Experience: Licensed to practice as a Board Certified Psychiatrist in the State of Oregon with full prescriptive authority and DEA certificate in good standing. Minimum 2 years experience working in prescriptive capacity with psychologically complex adults in higher levels of care (residential, inpatient, PHP, IOP), community mental health, or outpatient settings

Clinical Encounter Expectations: The Medical Director is responsible for carrying a to be determined outpatient caseload and back up coverage for IOP.

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

Work Environment: When working from a PMHW office, the position is in a well-lighted 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. 

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 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. If an accommodation is needed, you have the opportunity to discuss this with People & Culture.