Substance Abuse Counselor -Danville, VA (OTP)

Counselor 8.0 Work-LifeNo callNo weekendsFull-Time

Compensation

Pay not listed

The week · per this posting · Monday – Friday

Ask the employer about the pay range, the work setting, nights and shift pattern and time off.

Posted 1h ago · Verified live

Job Description

Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder.

Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery.

This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery. We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients.

Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia. As an equal opportunity employer, we celebrate diversity and are committed to an inclusive environment for all employees and patients.

Day in the Life of a Substance Abuse Counselor

  • Provides individual counseling to highly complex patients
  • Conducts clinical assessments to appropriately assess patient’s treatment needs
  • Designs and updates the patient’s treatment plan, including care coordination, referrals, and discharge planning
  • Manages assigned caseload and compliance with clinical treatment requirements
  • Collaborates with nurses and providers to provide holistic treatment services
  • Facilitates urine drug screening for patients

Schedule and Hours

Our clinical team enjoys an early morning schedule with early afternoon out times. It is expected for all clinical team members to participate in our Saturday rotation. The frequency of this rotation is determined by the current staff count. Expected hours for this role are 37-40 hours per week.

4:45 AM – 1:00 PM, Monday through Friday

6:00 AM – 8:00 AM, rotating Saturdays

Education and Experience Requirements

  • General experience working with underserved populations in a clinical setting.
  • Lived addiction experience is a plus.
  • No legal impediments to serving in a licensed opiate treatment program.
  • Qualified candidates will hold one or more of the following certifications/licenses::
  • Must have an active LPC, LCSW, LMFT or LSATP. or CSAC
  • Counselors shall be licensed by the applicable Virginia health regulatory board or by a nationally recognized certification board or eligible for this license.
  • Must have a valid driver's license.

Position Benefits

  • Consistent schedule with early in times and out times
  • Advancement opportunities. Clear, climbable structure into Counselor levels (1, 2, 3) based on the certification or license held
  • Targeted caseload. Caseloads follow state regulations and can range from 40-55 patients.
  • Excellent training if you are new to our field. We are able to offer necessary training/supervision to those in process of becoming fully certified or licensed.
  • Opportunity to save lives everyday!

Benefits Package

  • Medical, Dental, and Vision Insurance.
  • PTO
  • Variety of 401K options including a match program with no vesture period.
  • Annual Continuing Education Allowance (in related field)
  • Life Insurance
  • Short/Long Term Disability
  • Paid maternity/paternity leave
  • Mental Health day
  • Calm subscription for all employees

Key Responsibilities

The counselor provides individual counseling, conducts clinical assessments, and designs treatment plans for patients with opioid use disorder. They also manage caseloads, collaborate with medical staff, and facilitate urine drug screenings.

Requirements

Candidates must hold an active license such as LPC, LCSW, LMFT, LSATP, or CSAC in Virginia. A valid driver's license and experience working with underserved populations in a clinical setting are required.

Key Skills

Clinical assessmentTreatment planningReferral managementCaseload managementClinical complianceOpioid use disorder treatment

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Substance Abuse Counselor -Danville, VA (OTP) at Crossroads Treatment Centers a 8.0 out of 10 for work-life balance — classified as excellent. This places the position in the top 5% in Addiction Medicine (Counseling) — ranked against 1,285 active Addiction Medicine (Counseling) listings on WeekdayDoc. Contributing factors include no on-call duties, no weekend requirements.

Addiction Medicine — Counselor Career Context

Crossroads Treatment Centers holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 74/100, 38 active listings.

Of the 50 active Substance Use / Addiction Counselor listings this role was benchmarked against, 42% are remote, 26% have no call, 52% require no weekends.

The cost-of-living index for Virginia is 101.1 (US average = 100; BEA Regional Price Parities (2024)). 61.1% of Virginia clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Counselor Jobs

50 matches · ranked by pay

Salary Distribution50 jobs · 43 employers

16
<$75k
12
$75k-95k
12
$95k-115k
10
$115k-135k

Annual compensation range

Benefits & Perks41 jobs

401k / retirement match
98% this job
CME allowance
49% this job
Sign-on bonus
24%
Loan repayment
22%
PSLF eligible
12%

Share of similar jobs offering each benefit

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Work-life snapshot

median 6.1this job 8.0
Among the best 10% of Addiction Medicine (Counseling) listings for work-life

Listing-based score, 0–10, across 1,285 comparable listings. Shaded area = the share scoring below this one.

  • No call
  • No weekends

Living in Danville

Typical 3-bedroom home value
$190k
Typical market rent
$1,128/mo
Residents’ average commute
20 min
State income tax
Up to 5.8%
Sources & methodology

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

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

Crossroads Treatment Centers logo

About Crossroads Treatment Centers

Medical Practices
Greenville, South Carolina
1,001-5,000 employees

Benefits & Perks

Medical, Dental, and Vision Insurance
PTO
401K with match
Annual Continuing Education Allowance
Life Insurance
Short/Long Term Disability
Paid maternity/paternity leave
Mental Health day