Substance Abuse Counselor (CASAC)

Addiction CounselorFull-Time

Listed compensation

$66k-$75k

The week · per this posting · weekdays assumed

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

Posted 1h ago · Verified live

Job Description

Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high-quality, compassionate care to some of the state’s most vulnerable and underserved residents.

Founded in 1999, we’ve grown from a single primary care office into a network of 50+ locations offering urgent care, primary care and specialty services, from women’s health to endocrinology and psychiatry. We also provide nursing home support, care management, and in-home care through our Essen House Calls program.

Guided by a Population Health model, our team of 500+ providers deliver care in-person, at home, or via telehealth, ensuring patients get the support they need when and where they need it.

We’re looking for talented, motivated individuals to join our growing team. Whether you’re a medical provider, administrator, or operations professional, there’s a career here for you. Join us in making a real difference in the health of our community.

Job Summary

Our program is seeking dedicated and compassionate clinicians to provide high-quality treatment services to individuals affected by substance use and co-occurring mental health disorders. The Counselor will maintain a caseload, deliver evidence-based interventions, and work as part of a multidisciplinary team to support patient recovery and wellness.

This is a full-time or part-time position, with supervision and training provided. Telehealth service delivery may be required.

Responsibilities

  • Maintain a caseload of patients receiving treatment for substance use and/or co-occurring mental health disorders.
  • Conduct screenings, intakes, and assessments
  • Develop and implement individualized treatment and discharge plans.
  • Provide evidence-based counseling interventions (individual and group).
  • Deliver patient education, psychoeducation, and relapse prevention interventions.
  • Facilitate case management, referrals, and crisis intervention services.
  • Document all services accurately and in compliance with OASAS and federal guidelines.
  • Collaborate effectively with staff, patients, and community providers while maintaining professional boundaries and confidentiality.
  • Participate in multidisciplinary team meetings and ongoing supervision.
  • Stay current with best practices through continuing education and professional development.

Qualifications

  • Credentialed Alcoholism and Substance Abuse Counselor (CASAC), CASAC-Trainee (CASAC-T), bachelor's degree in a human services field with active CASAC-T or enrollment in a licensure-track graduate program (MSW, Mental Health Counseling, MFT, etc.).
  • Preferred: Bi-Lingual (Spanish, French, Bengali)

Additional Requirements

  • Minimum one year of counseling or human services experience preferred (recent graduates considered).
  • Strong knowledge of addiction, recovery, behavioral health, and counseling principles.
  • Familiarity with self-help group processes.
  • Proficiency in basic computer applications and electronic health records (EHR).

Equal Opportunity Employer

ESSEN HEALTH CARE IS PROUD TO BE AN EQUAL OPPORTUNITY EMPLOYER

Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.

Key Skills

Substance abuse counselingMental health assessmentTreatment planningDocumentationMultidisciplinary collaborationOASAS compliance

Addiction Medicine — Counselor Career Context

Of the 50 active Substance Use / Addiction Counselor listings this role was benchmarked against, 56% are remote, 32% have no call, 52% 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 ~$71k midpoint carries the purchasing power of roughly $65k in an average-cost state. 64.6% of New York clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

How many Substance Use / Addiction Counselor jobs are remote?
MeasureThis jobMarket
Listed pay$66k–$75kSubstance Use / Addiction Counselor median $60k (middle half $55k–$67k)13 comparable listings, Nov 2026
Cost-of-living adjusted pay~$65k in purchasing powerNew York index 107.9 (US = 100)BEA Regional Price Parities (2024)
Substance Use / Addiction Counselor listings in New York806 active13,523 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 56% remote · 32% no call · 52% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedNew York Counselor listings: 10% state a sign-on bonus (median $5k) · 11% offer loan repayment806 active listings, Nov 2026
New Addiction Medicine listings438 in the last 30 days255 the 30 days before (+72%)U.S., first seen on WeekdayDoc, Nov 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Counselor Jobs

36 matches · ranked by pay

Salary Distribution

36 jobs · 24 employers
14
<$85k
10
$85k-105k
6
$105k-125k
6
$125k-145k

Annual compensation range

Benefits & Perks

23 jobs
401k / retirement match
87%
CME allowance
39%
Sign-on bonus
35%
Loan repayment
26%
PSLF eligible
17%

Share of similar jobs offering each benefit

#1

Licensed Mental Health Therapist

LifeStance Health · Lake Oswego, Oregon

$123k-$141k
#2

Licensed Marriage and Family Therapist (LMFT)

LifeStance Health · West Linn, Oregon

$123k-$141k
#3

Licensed Mental Health Therapist (LMFT, LCSW, LPCC)

$117k-$134k
#4

Mental Health Therapist

$131k
+ 34 more · ranked by pay

Work-life snapshot

median 6.1this job 3.0
Better work-life than 30% of Substance Use / Addiction Counselor listings

Listing-based score, 0–10, across 1,008 comparable listings. Shaded area = the share scoring below this one.

Living in New York

Typical 3-bedroom home value
$875k≈ 13.2× annual pay
Typical market rent
$4,089/mo≈ 74% of gross pay
Residents’ average commute
40 min
State income tax
Up to 10.9%
Sources & methodology

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

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