Licensed Addiction Counselor
Listed compensation
$21.5-$34.5/hr
The week · per this posting · weekdays assumed
Ask the employer about the work setting, call expectations, weekend coverage and time off.
Job Description
Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
Work Shift
Day (United States of America)
Scheduled Weekly Hours
40
Compensation
Salary Range: $21.50 - $34.50 Sign-On Bonus Available!
Union Position
- No
- Department Details
Summary
The Licensed Addictions Counselor provides behavioral treatment and support to help clients or patients recover from addiction and address related issues in emotional, social, occupational, and mental health functioning. Has working knowledge of the American Society of Addiction Medicine (ASAM) criteria.
Job Description
Assesses the severity of addiction and related issues and issues that may help or hinder recovery. Develops individualized treatment plans specific to client issues and delivers treatment interventions to guide and support behavior change.
Plans and provides treatment and continuous assessment through a variety of modalities, including individual treatment, therapy groups, and case management. Documents and maintains treatment records, including assessments, summaries, progress notes, and discharge summaries.
Serves as a primary source of education to other team members regarding chemical dependency and health. Collaborates with others in the treatment planning and support of clients, including other treatment providers, primary care providers, and legal officials, when needed.
Has knowledge of referral sources and community resources that are available to support treatment. Performs work duties within the scope of individual competence and licensure. Assists with program development and provides clinical oversight to Licensed Addiction Counselors.
Qualifications
Master’s degree in Addiction Counseling preferred. Requires completion of 40 hours of continuing education every two years, including diversity and ethics, and completion of annual/bi-annual mandatory trainings.
In North Dakota, Must Have the Following
- Licensed Addiction Counselor (LAC)
- Basic Life Support (BLS) training and certification within six months of hire.
- Sanford is an EEO/AA Employer M/F/Disability/Vet.
If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to talent@sanfordhealth.org.
Key Responsibilities
The Licensed Addiction Counselor provides behavioral treatment and support to help clients recover from addiction through individualized treatment plans and therapy modalities. They also document treatment records and collaborate with other healthcare providers to ensure comprehensive patient care.
Qualifications
- Education
- Professional certificate or licensure
- Experience
- 2+ years of experience
Key Skills
Addiction Medicine — Counselor Career Context
Of the 50 active Substance Use / Addiction Counselor listings this role was benchmarked against, 54% are remote, 46% have no call, 80% require no weekends.
The cost-of-living index for North Dakota is 89.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$58k midpoint carries the purchasing power of roughly $65k in an average-cost state. 58.8% of North Dakota clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
| Measure | This job | Market |
|---|---|---|
| Listed pay | $45k–$72k | Substance Use / Addiction Counselor median $58k (middle half $51k–$64k)441 comparable listings, Oct 2026 |
| Cost-of-living adjusted pay | ~$65k in purchasing power | North Dakota index 89.0 (US = 100)BEA Regional Price Parities (2024) |
| Substance Use / Addiction Counselor listings in North Dakota | 36 active | 13,541 nationallylive on WeekdayDoc, Oct 2026 |
| Work setting | on-site | peers: 54% remote · 46% no call · 80% no weekends50 benchmarked listings |
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