Horizon Health Services logo
Horizon Health Services
Buffalo, New York

Intake/Assessment Counselor

Counselor Top 10% in Substance Abuse CounselingFull-Time

Listed compensation

$50,706 - $58,552/year

The week · per this posting

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 3mo ago

Job Description

Are you a recent or soon-to-be graduate hoping to begin your counseling career in the Mental Health or Substance Use field? Perhaps you’re a seasoned professional seeking an organization where you can advance your career?

Are you interested in working for an innovative company who has been voted a Best Place to Work in New York State for the last 18 years?

Is it important to you to have scheduling flexibility, student loan assistance, generous paid time off, and quarterly bonus potential?

If you answered yes to any of the questions above, a role at Horizon Health Services might be the perfect fit for you!

“Horizon is truly a best company to work for. Our person-centered approach allows me to be flexible with my patients, resulting in strong professional bonds that work to foster dynamic change!”

  • Rachel S., LMSW, Senior Counselor II

What Will Your Day Look Like?

Our highly regarded onboarding program will offer you direct mentorship with experienced counselors, individualized training, and a team of coworkers who want to ensure your success here at Horizon! We are all about collaboration. We want to hear your thoughts, work with you as a team, and help you build confidence!

Some of the day-to-day responsibilities you will have include:

  • Be the first clinical contact with patients as they begin their path to wellness and recovery
  • Participate in short-term, person-centered assessment work focused on case conceptualization and matching patients with counselors based on clinical needs and desires
  • Utilize engagement skills with patients, family members, and other supports; setting the stage for the treatment process and increasing positive treatment outcomes
  • Receive expert training through Horizon University on evidence-based treatment approaches, as well as ongoing learning opportunities with CEUs throughout your career
  • Work with a multidisciplinary team where you will have ongoing coaching and clinical support
  • Build mentoring and leadership skills through participation in group supervisions, case conferences, and 1:1 feedback and work with clinical coach.
  • Develop collaborative relationships with staff throughout the agency company through transition of care process as you make clinical recommendations based on patient diagnosis and treatment goals.
  • Function as a therapist in a large system of additional resources such care coordination, psychiatric services, peer supports, financial social work, and crisis management.

Why choose Horizon to build your counseling career?

As a counselor, we want you to feel challenged, supported, and fulfilled in your work! The work we do is not easy, but it is rewarding. We pride ourselves on our unique corporate culture of caring and respect, while also being progressive and highly spirited!

What We Offer That You Will Love

  • Evidence-based clinical programming designed by leaders in the behavioral health field
  • Horizon offers clinicians a Behavioral Health AI-powered platform to assist with note documentation requirements.  This assist with reducing administrative burden and enhancing quality documentation/clinical outcomes.
  • State-of-the-art onboarding program, complete with your own clinical attending
  • Hundreds of clinical and nonclinical trainings available at our own Horizon University, 100% free!
  • Reimbursement of expenses for licensure, certification, and renewal
  • Career growth opportunities, including the flexibility to work in both mental health and addiction services
  • Student loan assistance. This program helps pay off our team members' student loans every month. One year after joining you will have been able to pay off an extra $600!
  • Quarterly bonuses with an annual earning potential of eight thousand dollars!
  • Horizon employees and their families (includes spouses and children up to age

30) are eligible for a 10% discount on their tuition through a partnership with Capella University.

  • Paid time off and paid holidays!

What has prepared you for this opportunity?

In addition to all of the all-nighters and cramming for exams…

  • CASAC-T (Credentialed Alcohol and Substance Abuse Counselor) Certification or higher plus a Bachelor’s Degree

OR

  • Completed Master’s degree in a program that will grant licensure in the state of New York

Location

Our beautiful and welcoming clinics are located throughout Western New York, with locations in Erie, Niagara and Genesee counties. This position is specifically for our 699 Hertel Ave, Buffalo NY clinic!

Position Hours

You’ll coordinate a personalized schedule with your supervisor that will meet both the clinic and patients’ needs as well as yours.  Our outpatient clinics offer expanded hours Monday – Thursday so we’ll ask you to be available at least 2 evenings per week, but don’t worry about jeopardizing your work-life balance… we can help you create a schedule that works for you, as many locations close earlier on Fridays!

Compensation

Horizon is consistently evaluating our compensation and benefit packages to ensure we remain competitive. The range of pay for this position is $50,706 - $58,552. Starting pay may be impacted based on experience and education. This position includes a bonus earning opportunity, with an annual max potential of $9,000, based on volume of service visits provided and cash equivalent opt out benefits. Compensation adjustments are evaluated annually.

Physical Demands Associated with This Position Include

  • Sitting for extended periods, alternating between standing and sitting
  • Mobility required with repetitive wrist, hand, and finger movements
  • Handling light duties, occasionally lifting objects up to 20 pounds

Horizon DEIB Statement

Horizon is committed to fostering a respectful, inclusive environment where dignity, safety, and opportunity are core values. We uphold principles that support autonomy and authenticity, creating a culture of accountability and collaboration that prioritizes well-being, drives innovation, and expands opportunities for our employees, patients, and communities.

Disclaimer

Horizon endorses public health measures including vaccinations. We encourage all applicants to be mindful of the fact that Horizon is a healthcare agency proving in person services throughout our community.

This information is intended to provide a general overview of the position; it is not a full job description.

Key Responsibilities

Serve as the first clinical contact for patients, performing person-centered assessments and matching them with appropriate counselors. Collaborate with a multidisciplinary team to provide clinical recommendations and facilitate the transition of care.

Requirements

Requires a Bachelor's degree with CASAC-T certification or higher, or a Master's degree from a program granting licensure in New York State. Candidates must be able to work at least two evenings per week.

Qualifications

Education
Master's degree (postgraduate degree)

Key Skills

Clinical AssessmentPatient EngagementMultidisciplinary CollaborationMental Health CounselingSubstance Use CounselingClinical Documentation

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Intake/Assessment Counselor at Horizon Health Services a 7.2 out of 10 for work-life balance — classified as very good. This places the position in the top 10% in Substance Abuse Counseling — ranked against 45 active Substance Abuse Counseling listings on WeekdayDoc.

Substance Abuse Counseling — Counselor Career Context

Of the 50 active Substance Abuse Counseling listings this role was benchmarked against, 44% are remote, 38% have no call, 54% require no weekends.

The cost-of-living index for New York is 107.9 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$55k midpoint carries the purchasing power of roughly $51k in an average-cost state. 64.6% of New York clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Counselor Jobs

36 matches · ranked by pay

Salary Distribution36 jobs · 29 employers

12
<$80k
13
$80k-95k
6
$95k-110k
5
$110k-125k

Annual compensation range

Benefits & Perks26 jobs

401k / retirement match
81%
CME allowance
46% this job
Sign-on bonus
38% this job
Loan repayment
12% this job
PSLF eligible
8%

Share of similar jobs offering each benefit

#1

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LifeStance Health · Kirkland, Washington

$90k-$115k
#2

Licensed Mental Health Counselor (LMHC)

LifeStance Health · Greenville, Rhode Island

$72k-$115k
#3

Mental Health Clinician (LCSW, LMFT, LPC) | $73.9K–$111.6K

$74k-$112k
#4

Licensed Mental Health Therapist (LMFT, LPCC, LPP, LCSW)

$100k-$110k
+ 34 more · ranked by pay

Work-life snapshot

median 6.0this job 7.2
Among the best 10% of Substance Abuse Counseling listings for work-life

Listing-based score, 0–10, across 45 comparable listings. Shaded area = the share scoring below this one.

  • On-site

Living in Buffalo

Typical 3-bedroom home value
$251k≈ 5.0× annual pay
Typical market rent
$1,425/mo≈ 34% of gross pay
Residents’ average commute
20 min
Metro price indexU.S. average = 100
95.8
State income tax
Up to 10.9%
Sources & methodology

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

BEA 2024 · Buffalo-Cheektowaga, NY metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.

Horizon Health Services logo

About Horizon Health Services

Hospitals and Health Care
Getzville, New York
501-1,000 employees

Benefits & Perks

Quarterly bonus potential up to $9,000
Student loan assistance
Generous paid time off
Paid holidays
Licensure reimbursement
Free clinical trainings
Tuition discount at Capella University
AI-powered documentation platform