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Wilmington Treatment Center
Wilmington, North Carolina

Substance Use Disorder Counselor Detox

CounselorFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 4mo ago · Verified live

Job Description

PURPOSE STATEMENT:

Provide treatment and support to assist patients in their recovery from substance use, eating disorders or other behavioral problems.

Responsibilities

Essential Functions

  • Conduct group and/or family sessions, under supervision, as scheduled and documents as required.
  • Co-facilitate assigned group or family sessions and assist with modifying problem behaviors.
  • May be responsible for initial assessments, as well as follow up assessments for patients.
  • May prepare individual treatment plan for each assigned patient.
  • Ensure all documentation regarding patient care, treatment and incidents is completed timely and in a clear, concise manner.
  • May act as a liaison between referral sources and patients.
  • Provide crisis intervention to patients, as needed.
  • May plan for aftercare for assigned patients.
  • May act as a liaison with insurance carriers, as requested.
  • May provide case management duties for patients, ensuring individualized quality care.
  • Evaluate the need of the patient and determine if referrals to other programs or facilities is needed.
  • Demonstrate a positive, empathetic and professional attitude towards customers always. When patient needs are not met, acknowledge and work to resolve complaints. Recognize that patient safety is a top priority.

Other Functions

  • Perform other functions and tasks as assigned.

Qualifications

Education/Experience/Skill Requirements

  • High School diploma or equivalent required. Bachelor's degree in social or health services field preferred.
  • Experience in counseling field instruction/internship or similar practicum through education or certification process required.

Licenses/Designations/Certifications

  • Licensure or certification for counseling, as required by the state in which the facility operates; OR state license or certification eligible within the timeframe designated by the facility.
  • CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).
  • First aid may be required based on state or facility.

Additional Regulatory Requirements

  • Completion of ongoing education and training, as required by the state in which the facility operates and applicable accrediting body.

While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances (e. g. emergencies, changes in workload, rush jobs or technological developments) dictate.

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.

Qualifications

Education
Bachelor degree

Key Skills

Group CounselingFamily TherapyPatient AssessmentTreatment PlanningPatient DocumentationAftercare PlanningReferral Management

Addiction Medicine — Counselor Career Context

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)). 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Substance Use Disorder Counselor Detox at Wilmington Treatment Center a 6.6 out of 10 for work-life balance — classified as good. This places the position in the top 25% in Substance Use / Addiction Counselor — ranked against 1,008 active Substance Use / Addiction Counselor listings on WeekdayDoc.

Top Substance Use / Addiction Counselor Jobs

13 matches · ranked by pay

Salary Distribution12 jobs · 7 employers

6
<$55k
4
$55k-65k
1
$71k
1
$80k

Annual compensation range

Benefits & Perks12 jobs · 7 employers

401k / retirement match
100%
Loan repayment
75%
CME allowance
67%
PSLF eligible
67%
Sign-on bonus
25%

Share of similar jobs offering each benefit

#1

Licensed Therapist – Addiction and Mental Health

Steadfast Health · Winston-Salem, North Carolina

$70k-$80k
#2

Certified Addictions Counselor (CADC / LCAS) – Camp Lejeune, NC

MDPerm · Camp Lejeune, North Carolina

$70k-$71k
#3

Substance Use Counselor

$22-$30/hr
#4

Substance Abuse Counselor, QMHP and LCASA / LCAS - Be a Lifeline for Individuals in Need. $1K Sign-on Bonus

From $60k
+ 11 more · ranked by pay

Work-life snapshot

median 6.1this job 6.6
Better work-life than 80% 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 Wilmington

Typical 3-bedroom home value
$392k
Typical market rent
$1,706/mo
Residents’ average commute
19 min
Metro price indexU.S. average = 100
96.4
State income tax
Up to 4.8%
Sources & methodology

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

BEA 2024 · Wilmington, NC metro prices. Housing figures are city-level.

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