Crossroads Treatment Centers logo
Crossroads Treatment Centers
Greensboro, North Carolina

Substance Abuse Counselor- Greensboro, NC (OTP)

Counselor Top 25% in Addiction Medicine (Counseling)Full-Time

Compensation

Pay not disclosed

Listing transparency2 of 6 stated

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

Employment & setting
Full-Time · on-site
Call expectations
Not specified
Weekends
Not specified
Posted 3mo 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

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 Addiction Medicine (Counseling) — ranked against 1,299 active Addiction Medicine (Counseling) listings on WeekdayDoc.

Addiction Medicine — Counselor Career Context

Crossroads Treatment Centers holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 74/100, 38 active listings.

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).

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Work-life snapshot

median 6.1this job 6.6
Higher than about 8 in 10 of 1,299 Addiction Medicine (Counseling) listings

Listing-based score, 0–10. Shaded area = share of comparable listings scoring below this one.

  • On-site

Living in Greensboro

Typical 3-bedroom home value
$257k
Typical market rent
$1,392/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 (Aug 2026), Zillow market rents (Aug 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.

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