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Helio Health
Rochester, New York

Licensed Mental Health/Substance Use Disorder Therapist- Per Diem

Addiction CounselorNo weekendsPer Diem

Listed compensation

$26-$33/hr

The week · per this posting · Monday – Friday

Ask the employer about the work setting, call expectations, nights and shift pattern and time off.

Posted 1h ago · Verified live

Job Description

Helio Health is on a mission to treat and promote recovery from the effects of substance use, mental health disorders, and other behavioral healthcare issues. To support the mission of Helio Health we are seeking a dedicated and passionate Licensed Mental Health/Substance Use Disorder Clinician to work on a Per-Diem basis providing counseling and therapy to patients at our Rochester Comprehensive Outpatient Program.

The hours we are preferrably looking for however flexible with are Monday-Fridays, 6:00am-4:30pm. The minimum requirement is 6 hours per week and the maximum is 20 hours per week (dependent upon program needs). The schedule is flexible and will be determined one month in advance.

Pay Rate: $26.00- $33.00 per hour.

Responsibilities

  • Maintain a case load.
  • Primarily running group sessions.
  • Perform essential counseling/therapist responsibilities including screening, intake and orientation, evaluation and intervention, treatment planning, referrals, crisis intervention, counseling, patient education, case management, reporting and record keeping.
  • Assist with the training of staff, volunteers and student interns as assigned.

Exhibit exemplary knowledge of the biopsychosocial process of substance use disorders/recovery, behavioral health, self-help group processes, and principles of counseling.

Relate effectively with staff, patients, and professional community while upholding appropriate standards of confidentiality.

Qualifications

  • Must hold a valid professional License (including but not limited to LMSW, LCSW, LMHC) or Credential (CASAC)
  • Limited Permit (LP) Licenses are acceptable.
  • Master’s Degree preferred, Bachelor's degree required.
  • Two years employment experience in the Human Services field.
  • An equivalent combination of training and experience may be substituted for the educational requirements.
  • Proficiency with basic computer applications.

Helio Health provides equal opportunity to all employees and applicants for employment, without regard to race, creed, color, sex (including pregnancy, gender identity and sexual orientation), parental status, religion, national origin, citizenship, status as a victim of domestic violence, age, military or veteran status, handicap or disability, family medical history or predisposing genetic characteristics or carrier status, marital status, family status, political affiliation, felony conviction record, status as a victim of a crime, or status as an employee who has complained about discrimination, filed a charge of discrimination, or participated in an employment discrimination investigation or lawsuit, or any other categories, status or activity protected by federal, state or local law.

Salary and hourly compensation ranges are provided in accordance with NYS law and are based on Helio Health's good faith belief of what is accurate at the time of posting. Salary and hourly compensation offers are based on candidate's education level and experience relevant to the position and also take into account information provided by the hiring manager and program.

Qualifications

Education
Bachelor degree
Experience
2+ years of experience

Key Skills

Substance use disorder treatmentMental health assessmentGroup facilitationBiopsychosocial assessmentReferral coordination

Addiction Medicine — Counselor Career Context

The cost-of-living index for New York is 107.9 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$61k midpoint carries the purchasing power of roughly $57k in an average-cost state. 64.6% of New York clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

What does the Substance Use / Addiction Counselor market look like in New York?
MeasureThis jobMarket
Work-life score6.3 / 10 · above average in substance use / addiction counselorranked against 1,008 Substance Use / Addiction Counselor listingslisting-based score, 0–10
Listed pay$54k–$69kSubstance Use / Addiction Counselor median $59k (middle half $54k–$66k)53 comparable listings, Oct 2026
Cost-of-living adjusted pay~$57k in purchasing powerNew York index 107.9 (US = 100)BEA Regional Price Parities (2024)
Substance Use / Addiction Counselor listings in New York840 active13,741 nationallylive on WeekdayDoc, Oct 2026
Sign-on & loan repaymentnot statedNew York Counselor listings: 12% state a sign-on bonus (median $5k) · 10% offer loan repayment840 active listings, Oct 2026
Sources: WeekdayDoc live listing index (1,008 Substance Use / Addiction Counselor listings), BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Licensed Mental Health/Substance Use Disorder Therapist- Per Diem at Helio Health a 6.3 out of 10 for work-life balance — classified as good. This places the position in the Above average in Substance Use / Addiction Counselor — ranked against 1,008 active Substance Use / Addiction Counselor listings on WeekdayDoc. Contributing factors include no weekend requirements.

Top contract/1099 Substance Use / Addiction Counselor Jobs

16 matches · ranked by pay

Salary Distribution

15 jobs · 13 employers
5
<$70k
3
$70k-80k
3
$80k-90k
4
$90k-100k

Annual compensation range

Benefits & Perks

10 jobs
401k / retirement match
90%
CME allowance
50%
Sign-on bonus
20%
Loan repayment
20%
PSLF eligible
20%

Share of similar jobs offering each benefit

#1

On Call Addiction CounselorPer Diem

Catholic Charities of Long Island · Bohemia, New York

$32/hr
#2

Senior Credentialed Alcoholism and Substance Abuse Counselor (CASAC) - Social Work

NewYork-Presbyterian Hospital · New York, New York

$38.85-$45.55/hr
#3

Therapist (LMFT, AMFT, LCSW, ASW, APCC) Los Angeles - Mental Health and Substance Use

$34-$45/hr
#4

Therapist (LMFT, AMFT, LCSW, ASW, APCC) Santa Clarita - Mental Health and Substance Use

$34-$45/hr
+ 14 more · ranked by pay

Work-life snapshot

median 6.1this job 6.3
Better work-life than 60% of Substance Use / Addiction Counselor listings

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

  • No weekends

Living in Rochester

Typical 3-bedroom home value
$240k
Typical market rent
$1,454/mo
Residents’ average commute
19 min
Metro price indexU.S. average = 100
97.0
State income tax
Up to 10.9%
Sources & methodology

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

BEA 2024 · Rochester, NY metro prices. Housing figures are city-level.

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