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Milieu Manager Jobs in Oregon (NOW HIRING)

Discovery Behavioral Health

Program Director

Portland, OR · On-site

$90K - $100K/yr

Milieu Management * Communication Skills * Evaluate and apprise each member of the professional staff, completes a written narrative clearly identifying strengths, weaknesses, and goals for the ...

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Milieu Manager information

See Oregon salary details

$25.9K

$62.9K

$122.6K

How much do milieu manager jobs pay per year?

As of Aug 22, 2026, the average yearly pay for milieu manager in Oregon is $62,935.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,400.00 and $72,400.00 per year, depending on experience, location, and employer.

What is a milieu manager?

Milieu Managers are professionals who oversee the environment and daily operations within psychiatric, behavioral health, or residential treatment settings. They are responsible for maintaining a safe, therapeutic, and structured atmosphere that supports patient or resident well-being and recovery. This includes supervising staff, managing crises, implementing treatment plans, and ensuring adherence to facility policies and protocols. Milieu Managers work closely with clinical teams to foster positive group dynamics and address behavioral issues as they arise.

What skills and qualifications are needed to be a milieu manager?

To thrive as a Milieu Manager, you need a background in psychology, social work, or mental health, often with a relevant degree and experience in behavioral health settings. Familiarity with electronic health records, crisis intervention protocols, and staff scheduling systems is typically required. Strong leadership, conflict resolution, and communication skills help manage both staff and clients effectively. These competencies ensure a safe, therapeutic environment that supports positive outcomes for patients and cohesive team dynamics.

How does a milieu manager collaborate with clinical staff and support teams to maintain a therapeutic environment?

A Milieu Manager works closely with clinical staff such as nurses, therapists, and social workers, as well as support staff, to ensure the therapeutic environment is safe, structured, and conducive to patient growth. This involves regularly communicating with team members during shift handovers, participating in multidisciplinary meetings, and implementing behavior management strategies. The Milieu Manager also monitors group dynamics, resolves conflicts, and supports both staff and patients in following therapeutic protocols. Strong collaboration skills are essential, as the role requires balancing administrative duties with direct engagement in the daily operations of the treatment setting.

What is the difference between Milieu Manager vs Behavior Technician?

AspectMilieu ManagerBehavior Technician
Required CredentialsTypically requires a bachelor's degree in psychology, social work, or related field; certification may be preferredRequires high school diploma; often requires certification such as RBT (Registered Behavior Technician)
Work EnvironmentSupervises residential or community settings, managing overall program operationsWorks directly with clients in clinical or home settings, implementing behavior plans
Employer & Industry UsageUsed in residential care, community programs, and behavioral health agenciesCommonly employed in ABA therapy clinics, schools, and home-based services

While both roles focus on behavioral support, the Milieu Manager oversees program operations and staff in residential or community settings, requiring higher education and supervisory skills. The Behavior Technician works directly with clients, implementing behavior plans under supervision, often with certification like RBT. Understanding these differences helps clarify career paths and job expectations in behavioral health.

What does a milieu manager do?

A milieu manager oversees the daily operations of a therapeutic or residential environment, ensuring a safe and supportive setting for clients. They coordinate activities, supervise staff, and implement treatment plans to promote positive behavior and development. Strong communication, crisis management skills, and relevant certifications are often required for this role.

What are popular job titles related to Milieu Manager jobs in Oregon?

For Milieu Manager jobs in Oregon, the most frequently searched job titles are:

What job categories do people searching Milieu Manager jobs in Oregon look for?

The top searched job categories for Milieu Manager jobs in Oregon are:

What cities in Oregon are hiring for Milieu Manager jobs?

Cities in Oregon with the most Milieu Manager job openings:

Milieu Manager jobs near you
Infographic showing various Milieu Manager job openings in Oregon as of August 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 100% In-person job distribution, with an average salary of $62,935 per year, or $30.3 per hour.

Addiction Medicine Counselor (Per Diem, Variable)

Kaiser Permanente

Clackamas, OR • On-site

$45.57/hr

Other

Posted 8 days ago

Job description

Job Summary:

Addiction Medicine (AM) Counselors provide engagement, counseling, and case management services to members that are affected by substance use disorders. AM Counselors are generalists who are flexible in their job duties serving a population that has a variety of needs including treatment for substance use disorders, co-occurring mental health disorders, and support and education for their family members. AM Counselors function within a multidisciplinary treatment team to support members that present in all phases of readiness for change.

Essential Responsibilities:

  • Provide high quality clinical services (individual, group, and family) to our adult and adolescent members through screening, assessment, diagnosis, and formulation/implementation of service plan in outpatient or residential settings. Provide all care in accordance with accepted best practice standards and department protocols (including supervision). Provide case management through appropriate triaging and referrals, consultation with other providers, contact with members and their families, and coordinating with outside agencies. Coordinate care for patients receiving medications from the Addiction Medicine Medical Team.
  • Document all member care in the electronic medical record in accordance with accepted medical/legal standards.
  • Provide other member or department services, such as program development, in-service training, and participation in process improvement activities.

Basic Qualifications:
Experience

  • Minimum one (1) year working in a setting that is specific to substance use disorder treatment within the last five (5) years OR completion of KP Addiction Medicine department internship before hire/transfer.
  • A completed training on American Society of Addiction Medicine Criteria within the first 3 months of hire or within the most recent 2 years prior to hire.
Education

  • Masters level degree in counseling, social work, or closely related field (M.S.W., M.S., M.A., M.Ed.) required at time of hire/transfer.

License, Certification, Registration
  • Licensed Marriage and Family Therapist (Washington) required at hire OR Drug and Alcohol Counselor Certificate (Oregon) required at hire OR Substance Use Disorder Professional Trainee Certification (Washington) required at hire OR Substance Use Disorder Professional License (Washington) required at hire OR Licensed Clinical Social Worker (Oregon) required at hire OR Licensed Marriage and Family Therapist (Oregon) required at hire OR Licensed Independent Clinical Social Worker (Washington) required at hire OR Licensed Advanced Social Worker License (Washington) required at hire OR Professional Counselor License (Oregon) required at hire OR Mental Health Counselor License (Washington) required at hire
  • National Provider Identifier required at hire

Additional Requirements:
  • Thorough and working knowledge of current best practice treatment for; adolescents and adults and their family members needing substance use disorder treatment services; including treatment principles for individual, family, and group counseling; and treatment/intervention options for common co-occurring mental health disorders.
  • Thorough and working knowledge of legal requirements for reporting abuse and maintaining confidentiality.
  • Thorough and working knowledge of accepted best practice protocols and ethical guidelines and behaviors for counselors.
  • Thorough and working knowledge of best practices for delivering culturally aware services.
  • Ability to assess, diagnose, and treat members affected by substance use.
  • Ability to recognize, assess, and provide treatment for members with co-occurring mental health disorders.
  • Ability to effectively apply ASAM criteria to make placement decisions. Ability to use appropriate procedural/testing equipment and tools.
  • Ability to provide case management for patients with a variety of needs including legal issues and social determinants of health.
  • Ability to interface with large multidisciplinary systems.
  • Competency in computer skills including email, and other typical office applications.
  • Competency in computer skills including ability to access and utilize web-based resources.
  • Proficient in providing both face to face and virtual care.
  • Ability to learn and teach patients to use electronic recovery aids, apps, etc.
  • Oregon licensure/certification is required for Oregon positions. Washington licensure/certification is required for Washington positions, dual licensure is encouraged.

  • Develops and documents full assessments, treatment planning, monitors patients- clinical progress in treatment, and discharge planning.
  • Demonstrated ability to provide crises intervention and milieu management.
  • Demonstrates ability to attend, support, and manage patients, their families and visitors in large group settings
  • Ability to utilize de-escalation skills and direct/support others in behavioral interventions.
  • Proficiency in using standardized comprehensive risk assessment tools and coordinating safety plans.
  • Ability to work effectively with complex patients, both independently and collaboratively within a multidisciplinary team. Ability to assess and treat adults across a wide age range (18-geriatric population), who have a combination of DSM Axis I and II disorders, along with a broad spectrum of co-occurring problems including those related to trauma, substance use disorders, chronic pain, complex medical problems, and eating disorders.
Preferred Qualifications:

  • Minimum Two (2) years of post-masters experience working in a substance use disorder treatment setting within the last 5 years.
  • Experience working in an integrated healthcare setting including primary care services
  • Experience or specialized training in treating adolescents with substance use disorders
  • Experience or specialized training in family therapy and working with family members that have a family member with a substance use disorder
  • Experience or specialized training in treating trauma
  • Experience in applying Motivational Interviewing techniques to engage and triage new patients
  • Experience working with an interdisciplinary treatment team including medical providers
  • Experience working with patients that are receiving either prescribed or dispensed medications for substance use disorders
  • Experience using Feedback Informed Care tools in direct patient care
  • Experience providing crisis management services
  • Experience working with electronic health record systems
  • Certified Addiction Counselor in practicing state required at time of hire/transfer, and Current license to treat mental health disorders without restriction, LPC, LMFT, LCSW, LICSW, LMHC in practicing state required at time of hire/transfer.
  • Certified Addiction Counselor in both OR and WA state.
  • For licensed mental health professionals that do not hold a drug and alcohol certification are required to demonstrate at least 60 contact hours of academic or continuing professional education in the treatment of substance use disorders.

  • Minimum four (4) years of clinical experience, with four (4) of those years spent conducting co-occurring assessments and/or facilitating crisis stabilization interventions for high acuity patients in a state licensed setting (such as an inpatient residential addiction treatment, a community and addictions co-occurring program, or equivalent.
  • Minimum three (3) years of experience in the areas of milieu management, case management, and facilitating treatment groups (including family) within a program model, such as an IOP or Day Treatment program, or a residential setting, or equivalent.
  • Minimum one (1) years working within a mental health program, conducting comprehensive triage/crisis assessments and facilitating treatment

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