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Crossroads Treatment Centers
Greensboro, North Carolina

Substance Abuse Counselor- Greensboro, NC (OTP)

Addiction CounselorFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, call expectations, weekend coverage and time off.

Posted 5mo ago

Job Description

Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder.

Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery.

This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery. We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients.

Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia. As an equal opportunity employer, we celebrate diversity and are committed to an inclusive environment for all employees and patients.

Day in the Life of a Substance Abuse Counselor Provides individual counseling to highly complex patients. Conducts clinical assessments to appropriately assess patient’s treatment needs. Designs and updates the patient’s treatment plan, including care coordination, referrals, and discharge planning.

Manages assigned caseload and compliance with clinical treatment requirements. Collaborates with nurses and providers to provide holistic treatment services. Facilitates urine drug screening for patients. The most qualified candidates will possess the following: High School Diploma or equivalent.

Bachelor's Degree preferred. Must be registered with the North Carolina Substance Abuse Professional Certification board - applicants who are not registered will not be considered for employment. (LCAS, LCAS-A, LPC, LCSW or CADC). LCAS preferred.

Experience treating opiate-addicted patients is not a requirement but is preferred. Candidate must be willing to start early in the morning, as work hours start at 5:00 AM. If recovering, three years of continuous verifiable abstinence is required. Position

Benefits

Consistent schedule with early in times and out times Advancement opportunities. Clear, climbable structure into Counselor levels (1, 2, 3) based on the certification or license held. Targeted caseload. Caseloads follow state regulations and can range from 40-55 patients. Excellent training if you are new to our field. We can offer necessary training/supervision to those in process of becoming fully certified or licensed. Opportunity to save lives every day!

Benefits Package

Medical, Dental, and Vision Insurance. PTO Variety of 401K options including a match program with no vesture period.

Annual Continuing Education Allowance (in related field) Life Insurance Short/Long Term Disability Paid maternity/paternity leave Mental Health Day Calm subscription for all employees Crossroads Treatment Centers is an equal opportunity employer.

We celebrate diversity and are committed to creating an inclusive environment for all employees. Our Story Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder.

Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery.

This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery. We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients.

Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia. Our Mission Is Focused: We exist to improve health equity in order to create superior outcomes.

Our Vision Is Clear: To provide the most convenient, comprehensive, high-quality care through specialty medical homes. Our Culture Is Inspiring: Our culture is based on one simple tenet: we would treat others as we would like to be treated – with respect and empathy. We pride ourselves on how we serve our patients.

Our INSPIRE culture sets us apart in how we interact not just with patients, but with our communities and each other on a day-to-day basis.

Key Responsibilities

Provide individual counseling and clinical assessments for patients with opioid use disorder. Design treatment plans and collaborate with medical providers to deliver holistic care and manage patient caseloads.

Requirements

Must be registered with the North Carolina Substance Abuse Professional Certification board (LCAS, LCAS-A, LPC, LCSW, or CADC). A high school diploma is required, though a bachelor's degree is preferred.

Qualifications

Education
Bachelor degree

Key Skills

Treatment PlanningCaseload ManagementCrisis InterventionPatient Advocacy

Addiction Medicine — Counselor Career Context

Of the 50 active Substance Use / Addiction Counselor listings this role was benchmarked against, 48% are remote, 42% have no call, 58% require no weekends.

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).

How many Substance Use / Addiction Counselor jobs are remote?
MeasureThis jobMarket
Work-life score6.6 / 10 · top 25% in substance use / addiction counselorranked against 1,008 Substance Use / Addiction Counselor listingslisting-based score, 0–10
Listed paynot listedSubstance Use / Addiction Counselor median $59k (middle half $59k–$71k)19 comparable listings, Nov 2026
Cost of livingNorth Carolina index 94.3US average = 100BEA Regional Price Parities (2024)
Addiction Medicine listings in North Carolina51 active—live on WeekdayDoc, Nov 2026
All substance use / addiction counselor listings in North Carolina462 active12,809 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 48% remote · 42% no call · 58% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedNorth Carolina counselor listings (all specialties): 14% state a sign-on bonus (median $5k) · 15% offer loan repayment462 active listings, Nov 2026
New Addiction Medicine listings422 in the last 30 days230 the 30 days before (+83%)U.S., first seen on WeekdayDoc, Nov 2026
Sources: WeekdayDoc live listing index (1,008 Substance Use / Addiction Counselor listings), BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page. North Carolina figures use all substance use / addiction counselors: too few North Carolina Addiction Medicine postings state pay.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Substance Abuse Counselor- Greensboro, NC (OTP) at Crossroads Treatment Centers 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 Counselor Jobs

46 matches · ranked by pay

Salary Distribution

46 jobs · 35 employers
25
<$80k
10
$80k-105k
3
$105k-130k
8
$130k-155k

Annual compensation range

Benefits & Perks

33 jobs
401k / retirement match
88% this job
CME allowance
24% this job
Sign-on bonus
21%
Loan repayment
9%
PSLF eligible
9%

Share of similar jobs offering each benefit

#1

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LifeStance Health · Lake Oswego, Oregon

$123k-$141k
#2

Licensed Marriage and Family Therapist (LMFT)

LifeStance Health · West Linn, Oregon

$123k-$141k
#3

Mental Health Clinician (LCSW or LMFT), Suicide Risk and Assessment (ASSIST Program)

$59.42-$66.62/hr
#4

Remote Licensed Mental Health Therapist

$66/hr
+ 44 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.

  • On-site
Crossroads Treatment Centers logo

About Crossroads Treatment Centers

Medical Practices
Greenville, South Carolina
1,001-5,000 employees

Benefits & Perks

Medical, Dental, and Vision Insurance
PTO
401K with match (no vesture period)
Annual Continuing Education Allowance
Life Insurance
Short/Long Term Disability
Paid maternity/paternity leave
Mental Health Day

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.