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.  

Psychiatrist or Psychiatric Mental Health Nurse Practitioner for Outpatient Mental Health Services

Portland Mental Health & Wellness is a thriving private practice and training practice with two locations in SE and Downtown Portland. We are a collaboration of psychologists, psychiatric prescribers, counselors and our trainees. We emphasize a focus on relating with the person first and foremost and addressing diagnosis and treatment from within the relationship.

Portland Mental Health & Wellness offers Outpatient Mental Health Services including psychotherapy for individuals, couples, and groups and Intensive Outpatient Programs for adults, with a specific IOP track for LGBTQIA+ individuals.

Clinical staff can expect a professional, collegial and relational environment in which we strive to be collaborative, creative and supportive across disciplines. We prioritize opportunities for formal and informal consultation and have administrative support systems in place that allow us to focus primarily on meeting with our patients.

We strongly emphasize trauma-informed, patient-centered, culturally competent care. We strive to focus on establishing comfort and safety for patients, integrating anti-racist policies and practices, and on coordination of care with primary care doctors, specialists, pediatricians, schools, and other mental health clinicians.

Learn more about Portland Mental Health & Wellness Organizational Culture.

Primary Function: The PMHNP works in an outpatient group clinic and provides medication management and psychotherapy at all PMHW office locations.

Population: We work with adolescents and adults who primarily present with depression, anxiety, trauma, ADHD, and substance disorders. We see patients with both commercial insurance and Medicaid. All patients are served in our SE Division St. and SW Washington St. locations.

 Essential Functions:

  • Diagnose and treat common psychiatric disorders and mental health conditions
  • Develop treatment plans based on findings and in collaboration with the patients and their support system, when appropriate
  • Psychopharmacologic management
  • Care for and counsel patients with common identified chronic psychiatric conditions
  • Monitor common health care problems and refer for specialized medical treatment as needed
  • Provide comprehensive psychiatric-mental health education
  • Update treatment plans, assessment updates, and testing as needed or as required
  • Obtain releases necessary to collaborate with outside agencies involved in the care of the patient when appropriate
  • Consult with other professionals when unusual or complex cases are encountered
  • Participate in treatment team/staff conferences regarding diagnosis or treatment of difficult cases
  • Facilitate a timely exchange of communication and information to ensure continuity of care
  • Educate patients and family members about mental health conditions, preventive health measures, and treatment plans
  • Monitor electronic calendar to keep informed of upcoming appointments, changes and cancellations
  • Maintain clinic records in accordance with insurance regulations and established clinic policies and procedures
  • Serve as the official Licensed Medical Provider and fulfill all associated obligations:
  • LMP must review and approve, at least annually, the medical appropriateness of services and supports identified in the service plan for each individual receiving mental health services for one or more continuous years. The LMP may designate annual clinical oversight by documenting the designation to a specific licensed health care professional.
    “Medically Appropriate” means services and medical supplies required for prevention, diagnosis, or treatment of a physical or behavioral health condition or injuries that are:
    (a) Consistent with the symptoms of a health condition or treatment of a health condition;
    (b) Appropriate with regard to standards of good health practice and generally recognized by the relevant scientific community and professional standards of care as effective;
    (c) Not solely for the convenience of an individual or a provider of the service or medical supplies;
    (d) The most cost effective of the alternative levels of medical services or medical supplies that can be safely provided to an individual.

 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


  • Demonstrate an understanding of sound ethical practice in conjunction with the established and defined ethics of one’s training and discipline.
  • 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.
  • Focus clinical practice on individuals, families, or populations across the life span at risk for developing and/or having a diagnosis of psychiatric disorders or mental health problems. Including the assessment, diagnosis, and management of mental health problems and psychiatric disorders.
  • Provide consultation to healthcare providers and others to enhance quality and cost-effective services for patients and to effect change in organizational systems.
  • Welcome and utilize feedback with interest and curiosity from peers, colleagues, managers and directors, as well as in supervision and consultation settings.


  • 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.
  • Provide clinically sound treatment services based on patient needs and treatment plans.
  • Demonstrate an understanding of the current DSM and ICD Codes
  • Respond to a range of patient needs using differential diagnoses and treatment approaches.
  • Demonstrate an understanding and abide by the regulations set forth by HIPAA.
  • 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. 
  • Model through behaviors and attitudes the values that reflect and are consistent with the policies of PMHW.
  • Ability to maintain a full caseload of patients and meet a minimum revenue expectation per 13 week calendar quarter.
  • Ability to function proficiently in a web-based computer environment.

Education and Experience: Master’s Degree in Nursing. Licensed to practice in the State of Oregon with full prescriptive authority and DEA certificate in good standing. Two years experience working with adolescents and adults in outpatient private practice setting; demonstrated competence in assessment, diagnosis, medication evaluation and current, sound prescriptive practices.

Encounter Expectations: Full time psychiatric providers are required to meet a minimum revenue expectation per 13 week calendar quarter, beginning their 2nd full quarter of employment.

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.

Compensation: Commission structure with expected range of $200K-$250 dependent on FTE.

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

    • Paid sick time (40 hrs to start)
    • Paid holidays
    • Paid Hours Off based on revenue expectations
    • Health, dental, vision insurance for full time clinicians
    • 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

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.

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

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