Substance Use Counselor

Counselor Above average in Addiction Medicine (Counseling)No weekendsNo nightsFull-Time

Listed compensation

$26-$29.82/hr

Listing transparency4 of 6 stated

Ask the employer about the work setting and call expectations.

Employment & setting
Full-Time
Call expectations
Not specified
Weekends
No weekends
Posted 24m ago · Verified live

Job Description

Overview

  • Outpatient MAT Opioid Treatment Program
  • Seeking: Substance Use Counselor
  • CSAC-R, CSAC, or CSAC eligible (required)

Full-Time Hours

  • Sunday - Saturday 5 AM - 3 PM
  • Rotating Schedule

Our Benefits

  • Semi-Annual Bonus Program
  • Medical, Dental, and Vision insurance
  • Competitive 401(k) plan
  • Paid vacation and sick time
  • Employer-paid clinical supervision (free to employees)
  • Free and unlimited access to 500+ accredited Continuing Education Units (CEUs)
  • Employee Assistance Program (EAP) offering continued support to employee lifestyle and well-being
  • Early morning hours offering a great work/life balance
  • Opportunity for growth that is second to none in the industry

Our Team

Clinch Valley Comprehensive Treatment Center (CTC), located in Cedar Bluff, VA, is part of Acadia Healthcare's Comprehensive Treatment Centers, the leading provider of medication-assisted treatment in the nation. Our counseling team provides compassionate, high-quality counseling and therapy to patients that are seeking recovery from Opioid Use Disorder.

Your Job as a Substance Use Counselor

The Substance Use Counselor is instrumental in our patient’s treatment and recovery from opioid use disorder. Substance Use Counselors provide high quality, compassionate care through various mediums which include both individual and group counseling sessions.

Job Responsibilities

  • Provide high quality, compassionate guidance in both individual and group counseling sessions.
  • Plan, oversee, facilitate and document patient's recovery.
  • Co-facilitate assigned group or family sessions as needed.

Ensure all documentation regarding patient care, treatment, and incidents is completed timely and in a clear, concise manner.

  • Prepare individual treatment plans for each assigned patient.
  • Initial assessments as well as follow up assessments.
  • Evaluate patient needs and determine if referrals to other programs or facilities are needed.
  • May plan for aftercare for assigned patients.
  • Provide crisis intervention to patients, as needed.
  • Provide case management duties for patients, ensuring individualized quality care as needed.
  • Act as a liaison between referral sources and patients, as needed.

Eligible positions may qualify for student loan forgiveness through HRSA, depending on clinic site eligibility. Check your eligibility here: HRSA Eligibility

  • Role Location: Virginia
  • Calculated Salary Range for role: $26.00 - $29.82 per hour

Qualifications

Required Education, Skills, and Qualifications:

Bachelor's degree in counseling, social, or health services field, with 2+ years’ experience in counseling or social services field;

  • Master's degree in counseling, social, or health services field, with 1 year of professional work experience;
  • Degree must be from an accredited college or university.

Previous experience in addiction recovery or behavioral health settings, such as outpatient, residential, or correctional facilities.

  • Familiarity with Medication-Assisted Treatment (MAT), including methadone, buprenorphine, and naltrexone.
  • Experience conducting individual and group counseling sessions focused on substance use recovery.

Knowledge of evidence-based practices, such as Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and relapse prevention techniques.

Documentation experience, including maintaining clinical notes, treatment plans, and progress updates in accordance with state and federal guidelines.

Familiarity with state regulatory standards (e. g., 42 CFR Part 2, HIPAA, Joint Commission standards).

Experience collaborating in a multidisciplinary team with medical staff, case managers, and peer support specialists.

Required Licenses/Certifications

Certified Substance Use Disorder Counselor: CSAC-R, CSAC – must be eligible to obtain within 90 days of employment.

Licensed Mental Health Professionals: LPC-R, LPC, LCSW-R, LCSW, LSATP

Please note that anyone with an “R” on their license is required to have their supervisor sign off on all documentation notes.

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.

AHCTC

#LI-CTC

#LI-JW1

Key Responsibilities

The Substance Use Counselor provides compassionate individual and group therapy to patients recovering from Opioid Use Disorder. Responsibilities include developing treatment plans, documenting patient progress, and coordinating care within a multidisciplinary team.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Substance Use CounselingIndividual CounselingTreatment PlanningClinical DocumentationHIPAA CompliancePatient Assessment

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Substance Use Counselor at Clinch Valley Comprehensive Treatment Center a 6.4 out of 10 for work-life balance — classified as good. This places the position in the Above average in Addiction Medicine (Counseling) — ranked against 1,273 active Addiction Medicine (Counseling) listings on WeekdayDoc. Contributing factors include no weekend requirements, no night shifts.

Addiction Medicine — Counselor Career Context

Of the 50 active Substance Use / Addiction Counselor listings this role was benchmarked against, 44% are remote, 40% have no call, 70% require no weekends.

The cost-of-living index for Virginia is 101.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$58k midpoint carries the purchasing power of roughly $57k in an average-cost state. 61.1% of Virginia clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

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Annual compensation range

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401k / retirement match
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Loan repayment
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Sign-on bonus
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PSLF eligible
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Work-life snapshot

6.4/ 10
Listing-based score

Above average in Addiction Medicine (Counseling)

  • No weekends
  • No nights

Living in Cedar Bluff

Typical 3-bedroom home value
$194k
Median resident rent
$860/mo
Residents’ average commute
24 min
State income tax
Up to 5.8%
Sources & methodology

Sources: Zillow home values (Aug 2026), U.S. Census ACS 2024 five-year.

City-level figures. Not a cost-of-living guarantee.

Clinch Valley Comprehensive Treatment Center logo

About Clinch Valley Comprehensive Treatment Center

Hospitals and Health Care
Cedar Bluff, Virginia

Benefits & Perks

Semi-Annual Bonus Program
Medical, Dental, and Vision insurance
Competitive 401(k) plan
Paid vacation and sick time
Employer-paid clinical supervision
Free and unlimited access to 500+ accredited Continuing Education Units (CEUs)
Employee Assistance Program (EAP)
Student loan forgiveness through HRSA (if eligible)