Substance Abuse Counselor - Abingdon, VA (OBOT)

CounselorIncludes weekendsFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, call expectations, nights and shift pattern and time off.

Posted 4mo ago · Verified live

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.

Schedule and Hours Our clinical team enjoys an early morning schedule with early afternoon out times. It is expected for all clinical team members to participate in our Saturday rotation. The frequency of this rotation is determined by the current staff count. Expected hours for this role are 40 hours per week.

Abingdon Clinic Hours Monday 11:00 am - 5:00 pm Tuesday 9:00 am - 5:00 pm Wednesday 10:00 am - 6:00 pm Thursday 8:00 am - 4:00 pm Friday 9:00 am - 2:00 pm Wise Clinic Hours Monday 2:00 pm - 5:00 pm Tuesday 9:00 am - 2:00 pm Thursday 9:00 am - 12:00 pm Pounding Mill Clinic hours Wednesday 10:00 am - 2:00 pm Thursday 2:00 pm - 5:00 pm Friday 9:00 am - 2:00 pm Education and Experience requirements General experience working with underserved populations in a clinical setting.

Lived addiction experience is a plus. Qualified candidates will hold one or more of the following certifications/licenses: LPC, LCSW, LMFT or LSATP, CSAC or CSAC-S 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 are able to 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 Loan Forgiveness Program:

  • Crossroads is a STAR (Substance Use Disorder Treatment and Recovery) approved organization. This means our clinicians will have access to help pay off federal student loans so they can focus on what they do best: patient care!
  • Please see the website at bhw.hrsa.gov Apply to the Substance Use Disorder Treatment and Recovery Loan Repayment Program | Bureau of Health Workforce 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 complex opioid use disorders. Design treatment plans and collaborate with medical providers to ensure holistic care and compliance.

Requirements

Candidates must hold a professional license such as LPC, LCSW, LMFT, LSATP, or CSAC. Experience working with underserved populations in a clinical setting is required.

Qualifications

Experience
2+ years of experience

Key Skills

Treatment PlanningCaseload ManagementOpioid Use Disorder Treatment

Addiction Medicine — Counselor Career Context

The cost-of-living index for Virginia is 101.1 (US average = 100; BEA Regional Price Parities (2024)). 61.1% of Virginia clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Crossroads Treatment Centers holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 74/100, 39 active listings.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Substance Abuse Counselor - Abingdon, VA (OBOT) at Crossroads Treatment Centers a 6.9 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 Substance Use / Addiction Counselor Jobs

7 matches · ranked by pay

Salary Distribution7 jobs

3
<$60k
3
$60k-65k
0
$65k-70k
0
$70k-75k
1
$77k

Annual compensation range

Work-Life Balance Distribution7 jobs

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

Higher = better work-life balance

#1

Licensed Addiction Counselor

Brockton Comprehensive Treatment Center · Brockton, Massachusetts

$27-$37/hr
#2

Substance Use Counselor - ACT

Access: Supports for Living · Mount Vernon, Virginia

$28.50 - $30.50/hr
#3

Substance Use Counselor

$27.5-$30.44/hr
#4

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

From $60k
+ 5 more · ranked by pay

Work-life snapshot

median 6.1this job 6.9
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
  • Includes weekends

Living in Abingdon

Typical 3-bedroom home value
$294k
Median resident rent
$838/mo
Residents’ average commute
16 min
Metro price indexU.S. average = 100
86.4
State income tax
Up to 5.8%
Sources & methodology

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

BEA 2024 · Kingsport-Bristol, TN-VA 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
Annual Continuing Education Allowance
Life Insurance
Short/Long Term Disability
Paid maternity/paternity leave
Mental Health Day