Telehealth Substance Use Disorder Counselor – Portland, Oregon

Please note: This is a state-specific application. If you are not currently licensed in Oregon, we encourage you to visit www.affect.com to view our active openings by state.

If you do not see a current opportunity in your state, we still welcome you to submit your information through our General Application for Future Openings, also available on our website. We’d love to keep your details on file for future consideration.

This is a telehealth position providing remote care to Affect members, based out of our office in Portland, Oregon.

About Affect

Affect is transforming addiction treatment through an innovative, evidence-based digital program. We specialize in treating substance use disorders, such as opioid use disorder, stimulant use disorders, alcohol use disorder, and cannabis use disorder and we have expanded our services to include high-quality, accessible mental health. By combining mobile technology, counseling, and coordinated medical care, we empower our Members to reclaim their lives in recovery.

We’re looking for compassionate and motivated Telehealth Substance Use Disorder (SUD) Counselors to deliver virtual individual and group counseling sessions that support recovery and promote wellness.

Key Responsibilities:

• Conduct intake assessments to evaluate Member readiness and determine appropriate level of care
• Facilitate group and one-on-one counseling sessions using Affect’s evidence-based curriculum
• Provide crisis support and coordinate appropriate referrals when needed
• Maintain timely, accurate documentation in our electronic medical record (EMR) system
• Collaborate with clinical supervisors on individualized treatment and discharge planning
• Ensure compliance with HIPAA and all relevant state regulations
• Applicants must be licensed in their respective state, and all credentials must be verified through the State Board’s website as part of the application process
  
  

Requirements:

• Active and verifiable Oregon counseling licenses of CADC-I, CADC-II, CADC-III + (LCSW, LMFT, LPC)* MH License need to do 120 hours of training prior to start, as well as your state of residence.  All credentials must be verified through the State Board’s website as part of the application process
• Proficient with Microsoft Office or Google Suite, EMR systems, and telehealth platforms
• Passionate about supporting individuals in recovery and building therapeutic relationships
• Comfortable working both independently and as part of a collaborative team in a fast-paced, mission-driven startup environment
• Have a private, HIPAA-compliant workspace and reliable internet

The Benefits of Joining Affect

• The salary range for this full-time position is $55,000 - $70,000 and will commensurate with experience and professional license.
• Employees may enroll in offered medical, dental, and vision coverage and employer paid life and disability insurance also provided. Employees may enroll in Affect's company’s 401k plan. 
• Employees have paid vacation, sick time, company observed holidays and parental leave is provided. 
• Remote work flexibility.
• Opportunities for continuing education and professional development.
• Supportive team culture focused on impact, collaboration, and innovation.
• Be part of building a modern, inclusive, and accessible addiction care system.

Be part of the mission. Help us reshape the future of substance use disorder care!

Affect is transforming behavioral health care by combining mobile technology with counseling and medical services, offering 100% virtual treatment. We break down barriers to care, making it more accessible and effective for our members.

Our innovative approach integrates a smartphone app with a dedicated care team to deliver real-time, data-driven treatment for better outcomes and lower costs.

About the Role:

As a PMHNP, you will lead member care alongside a team of counselors, therapists, peer support specialists, and case managers. You’ll provide evidence-based treatment for individuals with substance use disorders and mental health disorders.

We do not prescribe controlled substances other than Suboxone for the treatment of Opioid Use Disorder. Affect provides extensive training on evidence-based approaches to treatment, though medication decisions are ultimately made at the provider’s discretion in collaboration with the member. You must hold an active, unrestricted license in Oregon and live in the state full time.

We have a full-time and part-time opportunity in Oregon!

Key Responsibilities:

• Conduct initial and follow up telehealth evaluations
  
  
• Deliver care for both substance use and mental health conditions.
  
  
• Prescribe medications as appropriate and answer member questions.
  
  
• Complete documentation in our EHR (Healthie).
  
  
• Collaborate with your care team and attend occasional scheduled team meetings.
  
  

Requirements:

• Active and verifiable PMHNP license (Medicaid enrollment is a plus) in the state(s) where you practice, as well as your state of residence if it is not Oregon.
  
  
• At least 2 years of experience, ideally in addiction or mental health treatment.  We will consider relevant previous experience for those with less than 2 years experience as a PMHNP.
  
  
• Experience prescribing Suboxone and active DEA registration.
  
  
• Willingness to obtain multi-state licensure (cost covered by Affect).
  
  
• Empathy for members facing behavioral health challenges.
  
  
• Comfort using technology, including EHRs and mobile apps.

Additional Information:

You’ll need a quiet, private office with a reliable internet connection for HIPAA-compliant telehealth visits. The role may include periodic meetings with internal teams; reasonable accommodations are available as needed.

Why Join Affect?
We are passionate about reimagining behavioral health treatment. Join a mission-driven team focused on meaningful work, offering competitive compensation, remote flexibility, professional growth, and a strong, supportive culture.

Be part of the mission.  Help us reshape the future of substance use disorder and mental health care!

About Affect

Affect is transforming behavioral health care by combining mobile technology with counseling and medical services to deliver 100% virtual, evidence-based treatment. Our mission is to break down barriers to care—making treatment more accessible, engaging, and effective for our members.

Through our innovative model, we integrate a smartphone app with a dedicated care team to provide real-time, data-driven support, improving outcomes while reducing costs.

About the Role

As a Psychiatric Mental Health Nurse Practitioner (PMHNP) at Affect, you’ll play a key role in leading member care alongside a collaborative team of counselors, therapists, peer support specialists, and case managers.

You’ll provide evidence-based treatment for individuals navigating substance use and mental health disorders in a fully virtual environment.

Affect specializes in substance-specific care. We prescribe Suboxone for Opioid Use Disorder and do not prescribe other controlled substances. While we provide extensive training in our treatment approach, clinical decisions remain at the provider’s discretion in collaboration with the member.

For full-time roles, we are specifically seeking providers who are particularly strong on the mental health side. While experience with substance use disorder treatment and Suboxone prescribing is important, this role requires confidence in assessing and managing more complex mental health conditions.

You must hold an active, unrestricted license in Oregon

We are currently hiring for both full-time and part-time opportunities in Oregon.This posting is for the full-time position ONLY.

Key Responsibilities

• Conduct initial and follow-up telehealth evaluations

• Provide care for both substance use and mental health conditions

• Prescribe medications as appropriate and respond to member questions

• Complete timely documentation in our EHR (Healthie)

• Collaborate with your care team and participate in scheduled team meetings

Requirements

• Active, unrestricted PMHNP license in Oregon(Medicaid enrollment a plus) 

• Must live in Oregon full time.

• Minimum of 2 years of experience (addiction or mental health preferred; strong candidates with less experience considered)

• Experience prescribing Suboxone and an active DEA registration

• Willingness to obtain additional state licenses (covered by Affect)

• Strong empathy for individuals facing behavioral health challenges

• Comfort using technology, including EHRs and mobile applications

Additional Information

This is a fully remote position. You’ll need a private, quiet workspace and reliable internet connection to conduct HIPAA-compliant telehealth visits. The role may include occasional internal meetings. Reasonable accommodations are available as needed.

Why Join Affect?

At Affect, we’re reimagining how behavioral health care is delivered. You’ll join a mission-driven, collaborative team focused on meaningful, outcomes-based care.

We offer:

• Competitive compensation

• Fully remote flexibility

• Opportunities for professional growth

• A supportive, innovative culture

If you’re passionate about making a real impact in behavioral health, we’d love to connect.

Come be part of the Affect mission!!!

Oregon | Counselor Supervisor | Hybrid

Portland, OR
Clinical Leadership | Substance Use & Mental Health

Counselor Supervisor – Oregon (Hybrid)

Please note: This is a state-specific application. If you are not currently licensed in Oregon, we encourage you to visit www.affect.com to view our active openings by state.

If you do not see a current opportunity in your state, we still welcome you to submit your information through our General Application for Future Openings. We’d love to stay connected.

About Affect

Affect is expanding. Building on our success in substance use disorder care, we are continuing to grow our clinical leadership team to support high-quality, accessible care across markets.

Our model combines licensed clinicians, innovative technology, and a deeply human approach to care—supporting individuals navigating substance use and co-occurring mental health conditions.

As we expand in Oregon, we are seeking a Counselor Supervisor to lead, develop, and support a team of clinicians while helping drive strong clinical outcomes and operational excellence.

About the Role

This is a hybrid leadership role based in the Portland metro area. The Counselor Supervisor will oversee a team of counselors and therapists, ensuring high-quality care delivery, strong clinical performance, and alignment with Affect’s treatment model.

This role blends clinical supervision, team leadership, performance management, and program development—ideal for someone who enjoys building, coaching, and improving systems while staying connected to clinical work.

Key Responsibilities

• Provide individual and group clinical supervision to counselors and therapists
• Coach clinicians on complex cases, clinical skill development, and adherence to treatment standards
• Drive strong clinical outcomes and team performance, including productivity, engagement, and quality metrics
• Monitor and ensure timely documentation, billing accuracy, and compliance standards
• Support caseload and utilization management, including scheduling optimization and panel adjustments
• Conduct chart reviews, audits, and performance evaluations
• Partner with clinical leadership, operations, and medical teams to ensure smooth day-to-day care delivery
• Support training, onboarding, and ongoing development of clinicians
• Contribute to new program initiatives, protocols, and quality improvement efforts
• Maintain a small clinical caseload as needed to support operations and remain connected to care delivery
• Participate in hiring and help build a strong, mission-aligned team

Requirements

• Active and independent Oregon license: LCSW or LPC
• Minimum 2+ years of experience as an independent clinician
• Prior experience supervising clinicians (required)
• Ability to supervise clinicians across substance use and mental health treatment
• Willingness to work in-office in the Portland metro area
• Ability to maintain a Monday–Friday schedule
• Strong communication and leadership skills, with the ability to manage across teams
• Experience supporting documentation standards, utilization, and performance management
• Comfort working in a structured, fast-paced clinical environment

Preferred

• Experience leading teams and managing clinical staff performance
• Experience with hiring, onboarding, or training clinicians
• Familiarity with local Oregon treatment landscape and community resources

The Benefits of Joining Affect

• Competitive salary (commensurate with experience and leadership background)
• Full-time employees may enroll in medical, dental, and vision coverage
• Employer-paid life and disability insurance
• 401(k) plan eligibility
• Paid vacation, sick time, company holidays, and parental leave
• Opportunity to lead and shape a growing clinical team
• Collaborative, mission-driven culture focused on impact and innovation

Why Join Us

At Affect, you’ll do more than supervise—you’ll build, lead, and elevate a team delivering meaningful care every day. This is an opportunity to step into a leadership role where your voice, experience, and ideas directly shape how care is delivered.

Join us as we expand our mission—empowering recovery, healing, and hope through modern, accessible care!!!