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VACANCY ANN#:    STOI-20-025

TITLE:                         CO-OCCURRING COUNSELOR




STATUS:                    FULL TIME / REGULAR

RATE OF PAY:         $23.00 – $28.00/HOUR (DOE, DOQ)





Functions as a Co-Occurring Disorders (COD) counselor able to treat a realm of disorders, including disordered gambling while demonstrating the clinical skill and experience to assess, plan, develop, coordinate, and provide treatment, rehabilitation, and support services to program clients with behavioral health issues.  To provide education, consultation to families, and crisis intervention services to clients. Works cooperatively and effectively with the gaming venues, public and other programs within the community.


  • Will be responsible for accepting referrals for Disordered Gambling, Mental Health and Substance Abuse. The referrals can come during the assessment phase, or during treatment when it comes to the attention of the counselor that there are co-occurring issues with the client that are beyond their scope of work.
  • Provide care coordination services for assigned group of clients.
  • Assume primary responsibility for developing, writing, implementing, evaluating, and revising overall treatment goals and plans for assigned clients in collaboration with the clinical team.
  • Provide individual supported counseling and symptom management.
  • Educate and support clients’ families and advocate for clients’ rights and preferences. Consult with families and community agencies such as DSHS, court systems, housing authorities, etc., to maintain coordination in the treatment process.
  • Conduct comprehensive assessment of psychiatric history (e.g. onset, course, and effect of illness, past treatment and responses, and risk behaviors), mental status and diagnosis; physical health and dental health; use of drugs or alcohol; education and employment; social development and functioning; activities of daily living (e.g. self-care, living situation, nutrition, money management); and family structure and relationships.
  • Document client progress to maintain a permanent record of client activity according to established policies and procedures.
  • Participate in staff organizational meetings and treatment planning review meetings.
  • Participate in providing information to clients on substance use issues such as the effect on mental and physical health and daily functioning. Participate in planning to reduce use or abstain from the use of substances, and help teach replacement behaviors. Establish linkages with outside inpatient, outpatient, and support group entities (e.g. AA, NA) to allow collaboration in treatment.
  • Assist clients in finding and maintaining a safe, affordable place to live.
  • Help clients to access reliable transportation.
  • Assist and support clients in finding and effectively using a primary care physician and a dentist. Work with team to coordinate psychiatric care with medical care.
  • Monitor assigned clients for LRA compliance.
  • Maintain proficiency in current trends in disordered gambling, substance and mental health, including health care reform and information technology.
  • Provide monthly progress reports to referring agencies and courts by the 10th of each month.
  • In addition to the above, any other responsibilities appropriate to the position and not specifically listed in the job description.


  • Knowledge of Disordered Gambling, Substance Use Disorders and Mental Health signs and symptoms as defined in the DSM 5, development of a treatment plan, medication management, plan reviews, individual and group counseling practices as outlined in WAC 388-887B and WAC 388- 887A.
  • Documentation of face to face encounter on the PCC for case notes and billing documentation.
  • Working knowledge of ICD-10 codes.
  • Ability to compose letters, write reports, gather and analyze data for presentation to HHS Director.
  • Knowledge of Ethics as it relates to DG, MH and CD.
  • Confidentiality law s as it relates to DG, MH and CD.
  • Knowledge of the Integration of Mental Health and Substance Use Disorders into the Behavioral Health Integration Services Initiative.


  • Possesses an Active and Unrestricted Credential in Washington State as a Licensed Mental Health Professional, Clinical Social Worker or CDP.
  • Must possess a valid Washington State Driver’s License with good driving record and be insurable by the Spokane Tribe of Indians (verifiable).
  • Must be able to pass a criminal background check.
  • Possess a valid National Provider Identification Number (NPI), or proof of application must be provided within sixty (60) days of beginning employment.
  • Certified as a disordered gambling counselor or willing to achieve in order to fulfill the job duties.


  • Bachelors or MSW in related field.
  • Minimum of 1 year of experience in direct services within a Mental Health Program, and/or Minimum of 1-year experience in direct services within a state licensed SUD program.


  • Ride Sharing Vans service downtown Spokane and 9 Mile/Suncrest area 5-days/week.
  • Competitive Benefits Package
  • 14 paid Holidays/year
    • Eligible during probation period.
  • PTO can be accrued during probation.
  • HRSA designated site
  • We’re a smaller agency which can allow for more comprehensive and individualized client care.
  • We offer special paid trainings and travel.

Applications Are Available At the Tribal Human Resources Department

P.O. Box 206, Wellpinit, WA 99040

Contact: Sabrina McCoy or Andrea Flett

(509) 458-6583, (509) 458-6527, Fax # (509) 658-6556

Or down load: www.spokanetribe.com

E-mail: hrfrontdesk@spokanetribe.com

Applications Must Be Received In The Human Resources Department

No Later Than 4:30 P.M. On The Closing Date

The Spokane Tribe Reserves The Right To Hire According

 To Its Indian Preference Policy

All Applicants Are Subject To A Pre-Employment Drug Test

All Positions With The Spokane Tribe Are Subject To A-90 Day Orientation Period