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 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.

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

Location: Portland, or Salem, OR

Supervisor: Director of Outpatient Psychiatric Services

Employee Classification: Non-Exempt (Hourly), Full-Time

Hours: Full-time, 40 hours per week

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

Onboarding Timeline: Approximately 3 months

Apply now! Flexible Start Date

Primary Function:

The Psychiatrist or PMHNP operates as part of the outpatient program within the practice, and provides medication management and psychotherapy at all PMHW office locations. They work with adolescents and adults who primarily present with depression, anxiety, trauma, ADHD, and/or substance disorders, to help them manage their symptoms and improve their overall mental health and well-being. PMHW can accept patients with both commercial insurance and Medicaid.

In addition to providing direct care to individuals, psychiatric providers may also consult with other healthcare professionals and collaborate with interdisciplinary teams to provide comprehensive care to patients with complex mental health needs. They may also provide education and support to families and caregivers of individuals with mental illness.

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.

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.
  • Revenue 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.

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.

Minimum Qualifications:

  • Master’s Degree in Nursing OR a doctoral degree in Medicine from an AMA accredited university.
  • Licensed to practice in the State of Oregon with full prescriptive authority and DEA certificate in good standing.
  • Preferred: 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.
  • Demonstrate competence and humility in terms of race, ethnicity, gender, sexual orientation, religion, class, ability et al
  • Demonstrate commitment to the preservation of a workplace which embraces diversity
  • Demonstrate commitment to confidentiality of patient and employee information
  • Communicate professionally and effectively with patients and clinicians
  • Demonstrate a strong attention to detail and organization
  • Demonstrate patience: being patient with people who may have trouble communicating or understanding what is happening is imperative for this position
  • Follow policies and procedures to contribute to the administrative efficiency of the practice, taking initiative to suggest and develop those that may be needed
  • Ability to work with Mac OS & Google Workspace

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.

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

  • Paid Time Off (earned by meeting encounter expectations)
  • Paid Health Leave (40 hours per year)
  • Paid Floating Holiday Hours (80 hours per year)
  • Paid Time Off Factored into Quarterly Encounter Standards and Pay Rate Calculation at 60%
  • Medical and Vision Insurance – Kaiser (choice of three plans) – Covered at 70%
  • Dental Insurance – Principal – Covered at 70%
  • Employer Paid Life and AD&D Insurance – Principal 
  • Voluntary Additional Life and AD&D Insurance – Principal  
  • Voluntary Short Term Disability Insurance – Principal 
  • Voluntary Critical Illness Insurance – Principal 
  • Voluntary Accident Insurance – Principal 
  • Flexible Spending Account, Health Care – Ameriflex
  • Flexible Spending Account, Dependent Care – Ameriflex 
  • Commuter Benefits – Choice of One Below:
    • Monthly TriMet Transportation Pass – Covered at 50%
    • Parking Reimbursement – Up to $50 per month
  • 401K Retirement Plan – Up to 4% Company Match Once Eligible
  • Quarterly Profit-Sharing Incentive 
  • Discounted Enrollment with Student Loan Tutor
  • 10% Discount on Vitamins & Supplements Through Fullscript
  • 15% Discount at VioletSuitesPDX
  • Discounted Monthly Membership with Müv Fitness
  • OnPoint Community Credit Union Group Banking Benefits
  • Limited Access to Columbia Sportswear Employee Store
  • Access to Clearly Clinical and Aspira Continuing Education Resources at No Additional Cost 
  • Annual Continuing Education Allowance
  • Weekly Consultation Groups
  • Reimbursement for Select, Role-Specific Expenses

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.

It’s essential to clarify that at Portland Mental Health & Wellness, we hire W-2 employees for most positions, rather than contractors. This decision reflects our commitment to professionalism, accountability, and the highest standards of care.

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.