Substance Abuse Counselor – CADC / LCAS

Addiction 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 1h ago · Verified live

Job Description

About Amethyst

At Amethyst, we believe recovery is possible when people are given the right tools, support, and guidance. Our Adult and Adolescent Substance Abuse Intensive Outpatient Programs (SAIOP) create structured, supportive environments where clients can rebuild their lives while staying connected to family, school, and community. We are seeking a counselor who is passionate about helping individuals and families find hope and stability through high-quality, evidence-based care.

What You’ll Do

  • Lead therapeutic group sessions for adults and adolescents participating in SAIOP.
  • Provide individual counseling and engage families in the treatment process when appropriate.
  • Complete initial assessments and develop treatment plans tailored to each client’s needs and goals.
  • Track client progress, update treatment goals, and make referrals when additional services are needed.
  • Document all services promptly and accurately in our electronic health record.
  • Work as part of a team that includes therapists, psychiatric providers, case managers, and community partners.

Help clients and families understand substance use, relapse prevention, and recovery resources in the community.

Contribute to staff trainings, team meetings, and supervision to support professional growth and best practices.

What We’re Looking For

  • Bachelor’s degree in a human services field required; Master’s degree preferred.
  • Current North Carolina CADC, LCAS-A, or Qualified Professional credential required.
  • Prior experience facilitating groups or providing treatment for substance use disorders.
  • Strong communication skills and ability to connect with both adults and adolescents.
  • Organized, dependable, and committed to ethical, high-quality care.

Schedule: Full-time, with some flexibility for evening programming.

In-person group facilitation required at Amethyst locations.

Your Impact

As a Substance Abuse Counselor with Amethyst, you’ll help adults and adolescents strengthen their recovery, rebuild relationships, and move forward with purpose. You’ll be joining a team that values collaboration, compassion, and innovation in behavioral health care.

What We Offer

  • Amethyst provides a competitive benefits package that includes:
  • Comprehensive medical, dental, and vision coverage
  • Life insurance and disability insurance
  • 401(k) plan
  • Personal time off (PTO)
  • Paid birthday
  • Paid approved trainings and ongoing development
  • Discretionary bonuses
  • Travel and mileage reimbursement in line with our policies
  • You’ll be eligible for benefits after completing a 90-day introductory period.
  • Apply today and take the next step in a career where your care makes a difference!
  • Please submit your resume and a brief cover letter explaining why you’re interested in this role.

Key Responsibilities

The counselor will lead therapeutic group sessions and provide individual counseling for adults and adolescents in an intensive outpatient program. They are also responsible for completing initial assessments, developing treatment plans, and documenting client progress in electronic health records.

Requirements

Candidates must hold a bachelor's degree in a human services field and possess a current North Carolina CADC or LCAS-A credential. Prior experience in facilitating substance use disorder treatment groups is required.

Qualifications

Education
Bachelor degree
Experience
2+ years of experience

Key Skills

Substance abuse counselingGroup therapyTreatment planningClinical documentationCrisis interventionCase managementEvidence-based practiceAssessment

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).

What does the Substance Use / Addiction Counselor market look like in North Carolina?
MeasureThis jobMarket
Listed paynot listedSubstance Use / Addiction Counselor median $59k (middle half $59k–$71k)18 comparable listings, Oct 2026
Cost of livingNorth Carolina index 94.3US average = 100BEA Regional Price Parities (2024)
Substance Use / Addiction Counselor listings in North Carolina499 active13,597 nationallylive on WeekdayDoc, Oct 2026
Sign-on & loan repaymentnot statedNorth Carolina Counselor listings: 15% state a sign-on bonus (median $5k) · 13% offer loan repayment499 active listings, Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Substance Use / Addiction Counselor Jobs

9 matches · ranked by pay

Salary Distribution

9 jobs
3
<$50k
3
$50k-60k
1
$60k
1
$71k
1
$80k

Annual compensation range

Work-Life Balance Distribution

9 jobs
0
1-2
0
3-4
2
5-6
7
7-8
0
9-10

Higher = better work-life balance

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

From $60k
#4

Addiction Counselor (CADC/ LCAS)

$52k-$58k
+ 7 more · ranked by pay

Work-life snapshot

median 6.1this job 4.8
Better work-life than 40% of Substance Use / Addiction Counselor listings

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

Amethyst Consulting & Treatment Solutions logo

About Amethyst Consulting & Treatment Solutions

Mental Health Care
Greensboro, North Carolina
11-50 employees

Benefits & Perks

Medical, Dental, and Vision Coverage
Life Insurance
Disability Insurance
401(k) Plan
Paid Time Off (PTO)
Paid Birthday
Paid Approved Trainings
Discretionary Bonuses

Living in Greensboro

Typical 3-bedroom home value
$254k
Typical market rent
$1,395/mo
Residents’ average commute
22 min
Metro price indexU.S. average = 100
92.9
State income tax
Up to 4.8%
Sources & methodology

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

BEA 2024 · Greensboro-High Point, NC metro prices. Housing figures are city-level.

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