Milieu Floor Counselor
Listed compensation
$20-$28.2/hr
The week · per this posting · weekdays assumed
Ask the employer about call expectations, weekend coverage, nights and shift pattern and time off.
Job Description
Outreach Development Corporation
Outreach is a non-profit organization that helps people address issues stemming from substance use and behavioral health disorders by providing the highest quality, life-changing treatment, training, and tools to build healthy lives. Our mission is to inspire individuals and families to achieve a life of unlimited potential. For more information, please visit opiny.org.
Position: Milieu / Floor Counselor (SAC)
The Milieu/ Floor Counselor is responsible for the delivery and implementation of long term supervision, support and clinical services to a population of chemically dependent adults with co-occurring and mental health problems. The Milieu/ Floor Counselor serves as a member of the interdisciplinary treatment team.
Job Scope
- Initial and ongoing screening of resident and resident property in accordance with unit procedure.
- Facilitate group counseling formats on time and in a professional, ethical and caring manner and documents client’s progress through the use of group notes.
- Supervise clients in self-medication (under supervision).
- Communicate all pertinent information, incidents and emergencies using the appropriate system including the SAC communication log, incident reports and 24 hour on-call supervisor.
- Provide crisis interventions and follow up including documentation of the incident, accident and/or elopement reports.
- Overall supervision and management of client population in the facilitation of the daily house schedule.
- Other duties as assigned.
- Use agency vehicles (15-passenger van, or car) to provide transportation to required appointments
Each role at Outreach has identified production and outcome goals. These goals may be stated as a number or as an outcome within an identified time frame. These goals are intended to provide each job holder the knowledge they need about expected performance. Accomplishments against these goals will be a discussion point in the annual evaluation.
Supervised by: Site Director
Qualifications
- CASAC-T; CASAC, or higher preferred.
- 1 year of experience working with clients with substance abuse disorders.
- 1 year of experience working in an OASAS funded facility a plus
- Commitment to providing quality services and outcome driven performance measures.
- Excellent organizational and crisis management skills, ability to prioritize competing demands, familiarity with treatment planning
- Act as liaison to community-based service providers
- Strong communication skills, ability to navigate multiple service providers for each client
- Action-oriented, adaptable, and innovative approach to program planning.
- Ability to work effectively in collaboration with diverse groups of people
Position Status: This is a full-time non-exempt position.
Work Environment
This job operates in a professional office environment and outside in the field. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Must be able to travel among assigned sites and locations as needed.
The intent of this job description is to provide a representative summary of duties and responsibilities that will be required of this position and title and shall not be construed as a declaration of the specific duties and responsibilities of any position.
Employees may be requested to perform job-related tasks other than those specifically presented in this description. This job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer.
Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the job.
Outreach is an equal opportunity employer. The agency does not discriminate on the basis of race, color, gender, socio-economic status, marital status, national or ethnic origin, age, religion or creed, disability, or political or sexual orientation. Diversity is celebrated as a strength at Outreach.
Key Responsibilities
The Milieu/Floor Counselor delivers long-term supervision, support, and clinical services to chemically dependent adults with co-occurring mental health issues, serving as a member of the interdisciplinary treatment team. Responsibilities include facilitating group counseling, screening residents, managing the daily house schedule, and providing crisis interventions.
Key Skills
Addiction Medicine — Counselor Career Context
Of the 50 active Addiction Medicine listings this role was benchmarked against, 34% are remote, 28% have no call, 64% 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 ~$50k midpoint carries the purchasing power of roughly $46k in an average-cost state. 64.6% of New York clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
Outreach Development ranks #11 of 17 employers hiring Counselor on WeekdayDoc by average advertised pay.
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