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Job Survey: Office Specialist 1

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Location: Portland
Company: Cascadia Behavioral Healthcare
Experience: Entry-level
Highest Level of Education: Undergraduate Degree



Job Responsibilities
I work in a crisis walk-in mental health clinic. My clerical duties include assisting clients with paper work, explaining procedures, looking up data and completing and inputing insurance information. I spend about 50% of my time doing this. I offer general support, listen, offer cold water and keep impatient and ill clients as comfortable as possible. I spend 30% of my time doing this. I spend my remaining time communicating with the clinical staff (QMHP-Qualified Mental Health Professional)about the clients and my assessment of the waiting room, include triage.
Job Requirements
This position did not require a degree but I had hoped it would lead to my QMHA (Qualified Mental Health Associate). This requires a degree in the social sciences OR 3 years working with the mentally ill. I learned very late in the game that my 3 years of work was not considered clinical--although the QMHPs and medical practioners disagree with HR. I earned my degree very slowly, always working full time, and because of this ended up with a major in Liberal Studies with a minor in psychology. I had HR do a degree audit and they found my academic work an acceptable substitute for the social science degree but I still have to be signed off on some clinical competenties, which is next to impossible in what HR considers "a non-clinical setting." I would advise any students who hope for a career in the field to major in one of the social sciences and get clinical exerience. I began work on the MAT--Masters of Arts in teaching--including taking and passing my entrance exams: CBEST an MSAT. The exams were not easy and I recommend much study and review. The School of Education has been very supportive and the pre-requisit courses applicable and fun--not to say they won't work. It was very easy to get my classes even while working around my work schedule. I took my first college math course--Teaching Elementary Math--very challenging but quite necessary. I aim for A's but was proud of the B I received. My MAT goal has been curtailed by a serious and progressive illness.
Uppers
Working with the mentally ill, and with those having mental health crisises can be very rewarding, especially in a non-profit clinic that does not charge if you have no insurance. I love the truly compassionate and professional clinical staff I work with. I like the wide range of trainings offered, including a lengthy, but free CDAC. Social services has always been good as far as relevant trainings. I like using my assessment skills, using my judgement skills regarding triage and safety issues. The mentally ill are still terribly stigmatized and there is not health insurance parity so many people go untreated. What is true is that the majority of mental illness had physiological roots and responds to medication. It feels good to show my compassion. So many people who come to the clinic are destitute. If you do this work, aim for a Master's Degree in psychology, social work or counseling. You won't make a lot of money--our QMHPs are in the 35,000 range--but you will feel rewarded.
Downers
It is very stressful to work with the mentally ill. You have to tailor your interactions with the illness in mind. Many people go off their medications. Many people don't follow through. Their illnesses have often created multiple problems in housing, employment and health care. If these elements discourage you, don't enter the profession.
Lifestyle
Working with the SPMI (severe and persistent mentally ill) is a 24/7 job. There are 9-5 jobs but they are rare. My company has a built in benefit of substantial accrued paid time off because they understand how stressful the work is. Company events are ususually pot luck. There are no fringe benefits like free meals or travel. But the pharmacutical companies cater wonderful meals with their medication trainings. They used to give away a lot more (paid trips or spendy dinners out to the doctors) but this has been curtailed much due to ethical reasons. If you have a nose piercing, tatoo sleeve, or any of the like, it won't keep you from being hired. Our dress code--if there is one--is very casual although I've always tried to dress neat casual.
Compensation
I'm only paid $10.68 an hour but we have a good benefit package. If you work full-time, the company will pay the full premium for your dental and health insurance. There is generous paid time off, retirement accounts where they match your contributions and company paid life insurance with the option to purchase more for yourself and your spouse/partner. Domestic partnerships are recognized in regard to benefits. All benefits are pro-rated from 20 hours.
Advice to Jobseekers
Major in psychology, sociology or social sciences. Get a Master's degree if you want to earn a living wage. Learn about mental illnesses before you begin a position. You should have good boundaries. Your compassion is needed and appreciated.

This Office Specialist 1 career survey is just one of 1000s of exclusive career surveys available on Vault. Find out what it's actually like on the job with Vault's job surveys.

Read all Vault Career Surveys for the inside scoop on specific jobs
Read Vault Employee Surveys for the inside scoop on specific employers
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