Co-Occurring Program Manager

Helping children, youth, young adults, and their families find their path to healing and hope is at the core of our work. We can only achieve this by striving for excellence and providing an array of services that are needed and wanted by the community we serve. We are continuing to expand our service array and locations where we provide services, with therapists in more schools and social service agencies. As we expand our services to serve more than 800 children, youth, and young adults each month – regardless of payer, gender identity, sexual orientation, race or ethnicity, or place of origin – we do so with the intention that we would want our own families to use these services should they need them. The staff at Ryther are committed to creating and maintaining a culture that is informed and reflective of trauma recovery and racial equity and social justice principles.


The Co-Occurring Program Manager will provide comprehensive and culturally responsive co-occurring services and chemical dependency assessments for children, youth, and their families.  This individual will provide consultation, supervision, leadership, and support to members of the outpatient team pursuing their CDP.  Additionally, will act as the supervisor of record for the Group Care Enhancement Program Staff. Help grow Ryther’s Co-Occurring program.


  • Complete substance use assessments as assigned and create treatment recommendations following an ASAM-approved format utilized by the clinic as well as maintaining a proportionate caseload of co-occurring and mental health clients (no more than 10).  Develop initial psychosocial assessments, diagnosis formulation, crisis plans, and treatment plans for assigned co-occurring clients.

  • Provide individual, group, and family therapy, which addresses the needs of the client within the context of the individual's home and community.

  • Provide required case management services and inter-agency collaboration.

  • May provide crisis services to clients and families.

  • Provide intensive school-based services if indicated and in accordance with the designated treatment plan.

  • Encourage and utilize individual and family strengths and capabilities.

  • Write treatment notes, managed care documentation, reports, and summaries as necessary.

  • Maintain case records in accordance with licensing, accreditation, and agency requirements.

  • Develop cooperative and collaborative working relationships with off-site agency staff and potential referral sources.

  • Maintain appropriate personal and professional boundaries with clients, families, co-workers, and community resources.

  • Provide assigned CDPT staff with supervision including, but not limited to, assessment, treatment, continuing care, transfer and discharge practices. 

  • Complete documentation of quarterly reviews and sign off on co-occurring treatment as necessary.

  • Write performance appraisals, with input from the Program Director, for assigned staff.

  • Provide supervision and consultation to help ensure high-quality OPMH services, to determine potential high-risk clients for the CQI committee, and to confirm clinicians complete all required paperwork correctly and in a timely fashion.

  • Lead weekly co-occurring consultation group.

  • Provide group consultation related to EBP’s as assigned (PCIT, DBT, etc…).

  • Perform or assist with marketing to new potential referral sources as assigned.

  • Maintain all necessary credentials per agency and licensing requirements.

  • Maintain a proportionate caseload of private pay therapy clients.

  • For Group Care Enhancement Program staff, the Lead Co-Occurring Therapist will be the Supervisor of Record.  This entails taking on additional administrative tasks including screening, interviewing, and recommending for hire potential employees. Providing supervision and direction including performance appraisals, corrective actions, promotions, terminations, etc… 

  • Meet with Program Director on a weekly basis to review assigned cases, assigned supervision caseload, and participate in program development.

  • Demonstrate a high degree of skill in communication and positive interaction with all Ryther employees, prospective employees, external agencies/companies, and the community at large.

  • Perform related administrative tasks as assigned.


  • Commitment to the Vision and Mission of the agency.

  • Acceptance of a variety of lifestyles, behaviors, cultural and spiritual practices.

  • 21 or more years of age.

  • Master's degree in social work, counseling, or related field.

  • Licensure as a Social Worker, Mental Health Counselor, or Marriage and Family Counselor required.  Licensure as a Chemical Dependency Professional required.

  • Documented competency in clinical supervision.

  • Meet the requirements of a Mental Health Professional as defined by Washington Administrative Code.           

  • Minimum two years of experience working with children and youth.

  • Knowledge and understanding of family-centered practice principles.

  • Knowledge, understanding, and acceptance of evidence-based practices.

  • Skills in clinical assessment and treatment that are goal-oriented and solution-focused.  Knowledge of community mental health systems, adolescent substance abuse and dependency resources, ARY, Seattle Public Schools, DCFS, and resources within the Seattle area is highly desirable.

  • Knowledge and understanding of case management practices.

  • Valid state driver's license and liability insurance.

  • Ability to cooperate as a member of an inter-disciplinary treatment team

  • Ability to exercise discretion and maintain both client and employee confidentiality.

  • Effective written and verbal communication