Substance Abuse Counselor – CADC / LCAS
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.
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
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).
| Measure | This job | Market |
|---|---|---|
| Listed pay | not listed | Substance Use / Addiction Counselor median $59k (middle half $59k–$71k)18 comparable listings, Oct 2026 |
| Cost of living | North Carolina index 94.3 | US average = 100BEA Regional Price Parities (2024) |
| Substance Use / Addiction Counselor listings in North Carolina | 499 active | 13,597 nationallylive on WeekdayDoc, Oct 2026 |
| Sign-on & loan repayment | not stated | North Carolina Counselor listings: 15% state a sign-on bonus (median $5k) · 13% offer loan repayment499 active listings, Oct 2026 |
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