RITS CD Co-Occurring Disorders Counselor

Provide chemical dependency treatment, care coordination, and support services to clients in designated program.  A significant number of clients have co-occurring disorders (chemical dependency and mental illness). Positions may require employees to be on-call.

Compensation: $21.25- $30.66 per hour depending on experience and qualifications.

BHR offers an exceptional benefits package with 100% paid medical and dental insurance for the employee, paid holidays and a generous paid time off policy. BHR is also an eligible employer for the Public Service Student Loan Forgiveness program. *BHR has approved supervisors for all Licensure tracks (LMHC, LMFT, LICSW, and SUPD) and licensure supervision can be provided on a weekly basis. 

RESPONSIBLE TO:  Clinical Manager and/or Supervisor


  • Graduate degree in psychology or similar counseling (specialization in addiction preferred).

  • Licensure as Substance Use Disorder Professional (SUDP) with the State of Washington Department of Health preferred.

  • Licensure as a Substance Use Disorder Professional Trainee (SUDPT) with the State of Washington Department of Health required.

  • Licensure as a Mental Health Counselor with the State of Washington Department of Health. Failure to maintain licensure will result in reassignment to position commensurate to the license currently held.

  • A minimum of two years' experience providing chemical dependency services with co-occurring disorders which included working as part of a multi-disciplinary team providing both chemical dependency and mental health treatment.

  • Must be able to pass a criminal background and Inspector General check.

  • It is required that employees declare understanding of and willingness to comply with the requirement that there be no misuse of alcohol or drugs while employed.

  • Cannot have abused any chemical substances within one year that would in any way impair or limit ability to perform this job.

  • Knowledge of chemical dependency and mental health diagnosis and treatment, including DSM-V diagnostic criteria.

  • Possess clear understanding of alcoholism and drug addiction, withdrawal, and treatment resources for recovery, including 12-step programs.

  • Competent skill in treating persons with common co-occurring disorders, including the role of psychotropic medications.

  • Ability to integrate mental health therapy and primary chemical dependency treatment into an integrated service plan with measurable milestones and goals.

  • Demonstrated ability to exercise considerable independent clinical judgment and initiative in accordance with agency policies, procedures, and practices.

  • Demonstrated ability to develop and maintain current, accurate, complete, and well-written assessments, patient treatment plans, progress notes articulating movement and adjustments

  • Ability to conduct individualized patient-centered treatment that incorporates into all stages of treatment the patient's own assessment of their strengths, needs, abilities and preferences.

  • Maintain professional boundaries and set a positive example of behaviors for patients.

  • Work cooperatively with patients, coworkers, and external agencies.

  • Ability to maintain confidentiality in accordance with appropriate State and Federal laws and in accordance with organization's policies and procedures.

  • Ability to work with diverse ethnic populations and a variety of people with different problems.

  • Effective written and verbal communications.

  • Ability to work some evening and weekend hours.

  • Ability to deal assertively and effectively with patient conflicts and conduct verbal de-escalation intervention.

  • Demonstrated commitment to maintaining professional boundaries and setting a positive example of behaviors for patients.

  • Basic computer skills, including Windows, Word and Outlook, and able to keyboard approximately 2 hours a day.

  • Participate collaboratively and professionally in a team environment.

  • Must maintain a valid WA State Driver's license and auto insurance.


  • Complete chemical dependency assessments for clinical and legal purposes, with an awareness of the mental health needs for persons with co-occurring disorders

  • Provide individual counseling and case management for a caseload of individuals with co-occurring addiction and mental disorders.

  • Conduct educational classes and treatment groups as assigned.

  • As a primary counselor, develop, review, and amend an individualized service plan that addresses treatment of substance use disorder as well as co-occurring mental health disorders.

  • Provide appropriate counseling as outlined in individual service plan.

  • Record patient notes on the day of contact and ensure files are maintained in accordance organization's policies and procedures and specific contract requirements.

  • Ensure timely, complete communication and treatment progress reports to courts, referents and resource agencies, as appropriate.

  • During a patient's course of care, maintain ongoing collaboration with state agencies, courts and other agencies as well as conduct ongoing discharge planning.

  • Complete patient progress notes and treatment plan revisions in a timely fashion and in a manner that another counselor could pick up the file and know how to work with the patient.

  • Provide accounting department with records of time engaged in counseling activities, case management, drug court staff meetings, and other activities billable under appropriate contracts.

  • Follow patient confidentiality as outlined in organizational policy, 42 CFR. 45 CFR and relevant State laws.

  • Identify psychiatric, medical, or other services and facilitate patient referral as appropriate.

  • Work effectively with all applicable treatment team members in planning and developing instructional strategies and programs appropriate to the total needs of the patients.

  • Take on a share of additional groups for fellow counselors during absences.

  • Attend staff meetings and provide clinical input, attend in-house trainings by consulting psychiatrist, and complete all mandatory staff trainings as scheduled.

  • Participate in research and organizational activities as assigned.

  • Other duties as assigned by supervisor.



  • Duties are performed primarily in an office setting or in the community requiring walking, typing, use of fingers, and carry of client files (up to 10 pounds).

  • Computer use is daily but intermittent and generally less than 25% of the time.