Mental Health Occupational Therapist (Remote)

Mental Health Occupational Therapist – Full-Time (Portland, OR)

This is a full-time, salaried opportunity for an Occupational Therapist who wants to specialize deeply in clinical mental health.

Compensation: $72,000–$84,000 annually, depending on experience and ability to independently manage a full caseload.

At Holistic Community Therapy, we provide structured, community-based and virtual mental health services for adults. Our work involves comprehensive assessment, clinical formulation, and functional treatment of complex mental health presentations within an insurance-based outpatient model.

Fewer than 5% of OTs in the U.S. specialize in mental health. This role is designed for someone committed to building that level of depth.

Our client population includes individuals from historically marginalized communities. We value cultural humility, lived experience, and clinicians who reflect the diversity of the communities we serve.

ABOUT YOU

You are not looking for “just another OT job.”

You want depth. Responsibility. Mastery.

Please apply only if the following describes you:

• You demonstrate deep integrity. You are transparent, ethically grounded, and clinically disciplined. You follow policies and payer standards consistently.
• You are accountable. You take ownership of your caseload, documentation, decisions, and outcomes.
• You are self-directed. You take responsibility for your professional development and have a reliable process for problem-solving.
• You engage fully in supervision and integrate constructive feedback into your clinical work.
• You have a demonstrated commitment to clinical mental health practice. This role involves comprehensive assessment, clinical formulation, and functional treatment of complex mental health presentations within an insurance-based outpatient model.
• You thrive in a fully remote work model. You maintain structure, manage your time well, and take initiative to build connection within a virtual team environment.

If you are seeking a generalist or wellness-based role, this is not the right fit.

ABOUT THE ROLE

As a Mental Health Occupational Therapist at Holistic Community Therapy, you will:

• Deliver adult mental health assessments and occupation-based interventions within a mobile outpatient model (community-based + virtual)
• Develop and implement measurable treatment plans that support functional independence and meaningful outcomes
• Maintain a minimum of 22 completed client sessions per week through proactive scheduling and caseload ownership
• Provide comprehensive assessment and functional mental health treatment within our structured outpatient model
• Connect clients with appropriate community resources to support recovery
• Complete accurate documentation within 24–48 hours
• Participate actively in supervision and ongoing professional development

This is a salaried, full-time position. Clinicians set their schedules and structure their workweek, while meeting established clinical standards.

Location requirements:

• Must reside in the Portland, Oregon area
• Active Oregon OT license required
• Relocation assistance is not provided

Required qualifications:

• Active Occupational Therapist license in good standing (Oregon)
• Minimum 2 years of clinical experience preferred. Mature new graduates with prior professional work experience and demonstrated responsibility will be considered
• Current CPR certification
• Clear background check
• Eligible for insurance panel credentialing (we complete this process for you)

CASELOAD & WORKLOAD EXPECTATIONS

• This is a full-time position averaging approximately 36 hours per week.
• Full-time status requires maintaining a minimum of 22 completed client sessions per week. Many clinicians maintain between 22–25 sessions depending on caseload flow.
• Sessions are scheduled for 53 minutes, with a 15-minute documentation standard built into workflow expectations.
• During onboarding and caseload development, compensation aligns with caseload growth until a consistent 22-session level is established.
• Paid team meetings, travel time, standard mileage reimbursement, and collaboration time are included.

COMPENSATION & BENEFITS

• Salaried position with benefits
• 2 weeks paid vacation leave annually + 2 floating holidays
• Sick leave accrues in accordance with Oregon law
• 6% retirement match
• Health reimbursement benefit available for full-time employees
• Paid administrative time built into your schedule
• Paid travel time + IRS mileage reimbursement
• $35/month internet stipend
• $200 annual home office stipend
• Continuing education reimbursement + 15 hours of in-house CE annually
• Eligibility for QMHP certification supervision

ABOUT HOLISTIC COMMUNITY THERAPY

Holistic Community Therapy is a growing, specialized mental health practice serving adults in Portland, Oregon through community-based and virtual care.

We are structured, clinically focused, and committed to advancing what Occupational Therapy can do in mental health.

We are building something intentional — and we are looking for clinicians committed to practicing at a high level.

HOW TO APPLY

If you are serious about becoming a highly skilled Mental Health Occupational Therapist and working within a structured, remote clinical model:

Apply directly through this posting. You can also apply here.

We look forward to reviewing your application.