St Judes Ranch for Children BO logo
St Judes Ranch for Children BO
Boulder City, Nevada

Licensed Alcohol and Drug Counselor -Contract

Addiction CounselorContract

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 3mo ago

Job Description

Summary of Job Purpose

Our core purpose of providing substance use treatment is to guide our youth and families toward an understanding of and overcoming substance use, building essential life skills, and fostering resilience.

LADC will be responsible for direct client service, clinical assessments, treatment planning, treatment progress notes, and 90-day treatment plan updates to evaluate effectiveness of treatment.

Responsible for maintaining adherence to regulations set forth by NV Medicaid and grant funding, as applicable to each client’s treatment. Contractor will provide clinical services for St. Jude’s Ranch for Children within the scope of Contractor’s professional license.

Essential Functions

This class specification lists the major duties and requirements of the job and is not all-inclusive. Incumbent(s) may be expected to perform job-related duties other than those contained in this document and may be required to have specific job-related knowledge and skills.

  • Conduct substance use screenings, assessments, and intakes in compliance with Medicaid and grant requirements.
  • Provide individual and group counseling using evidence-based or evidence-informed practices.
  • Develop, implement, and update medical-necessity-driven quarterly treatment plans.
  • Deliver crisis intervention, relapse prevention, and harm-reduction support as appropriate

Maintain timely, accurate, and compliant documentation in accordance with Medicaid Chapters 100 and 400, grants, HIPAA, and 42 CFR Part 2 Standards.

Coordinate care with multidisciplinary teams, schools, case managers, medical providers, and community partners to enhance coordination of care.

  • Support youth and families using trauma-informed, culturally responsive, and strengths-based approaches.
  • Participate in monthly clinical supervision with Clinical Director or designee.
  • Contribute to the efficiency and effectiveness of the Clinical Department, and represent the organization with dignity, integrity, and a spirit of cooperation in all interactions with staff and the community.
  • Perform other job-related duties as assigned.

Qualifications

Clinical Specialist must meet the requirements of a QMHP or QMHA through Nevada Medicaid. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

Education and Experience

A master’s degree with a clinical license in Alcohol and Drug Counseling.

Knowledge and Skill

  • Minimum two years post-graduate experience providing substance use services.
  • Experience working with children, adolescents, transitional-age youth, and/or families.
  • Knowledge of trauma-informed care and co-occurring disorders (preferred).
  • Experience with Medicaid-billable or grant-funded programs (preferred).
  • Ability to work independently while aligning with agency policies and funding requirements (preferred).
  • Willingness to supervise other clinicians, interns, and trainees (preferred).
  • Maintain professional and general liability insurance.
  • Maintain licensure, certifications, and continuing education.
  • Responsible for own taxes and business expenses.
  • Valid Nevada state driver's license, good driving record, ability to provide own transportation, and proof of current automobile insurance.
  • CPR/first aid certification.
  • Complete annual continuing education as required by department of family services and Medicaid to maintain approved provider status.
  • Age minimum of 21 years.

Required Certificates, Licenses, and Registrations

Continued employment is contingent upon all required licenses and certificates being maintained in active status without suspension or revocation.

  • Active Nevada LADC license in good standing.
  • Nevada driver’s license and proof of current automobile insurance.
  • CPR and First Aid certification.
  • $3,000,000 professional liability insurance for QMHP.
  • QMHP must be a Nevada Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), or
  • Licensed Clinical Professional Counselor (LCPC).

Physical Demands and Working Environment

The physical demands described herein are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Mobility to work in a clinical office setting; use of standard office equipment; drive a motor vehicle; stamina to sit, stand, and walk for extended periods of time; strength to lift and carry up to 60 pounds unassisted and up to 120 pounds or more with assistance; vision to read printed materials and a computer screen; and hearing and speech to communicate in person and over the telephone.

Possibility of injury when lifting moving, or interacting with youth or objects, if employee fails to use proper body mechanics, or if proper techniques are not used when the use of SAMA restraint techniques are required.

Given the nature of working with children who have been abused, neglected, and/or exploited, the work environment can be somewhat stressful and emotionally challenging.

Campus is smoke-free. Possibility of exposure to blood borne pathogens exists, if universal precautions are not followed.

Key Responsibilities

The Licensed Alcohol and Drug Counselor is responsible for providing direct clinical services, including assessments, treatment planning, and evidence-based counseling for youth and families. They must maintain compliant documentation according to Medicaid and HIPAA standards while coordinating care with multidisciplinary teams.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Substance use counselingDocumentation complianceMedicaid regulationsHIPAA complianceCare coordinationEvidence-based practicesIndividual counseling

Addiction Medicine — Counselor Career Context

Of the 50 active Counselor listings this role was benchmarked against, 86% are remote, 22% have no call, 60% require no weekends.

The cost-of-living index for Nevada is 100.0 (US average = 100; BEA Regional Price Parities (2024)). 57.5% of Nevada clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

How many Counselor jobs are remote?
MeasureThis jobMarket
Work-life score6.6 / 10 · top 25% in addiction medicine (counseling)ranked against 1,106 Addiction Medicine (Counseling) listingslisting-based score, 0–10
Listed paynot listedCounselor median $83k (middle half $67k–$114k)25 comparable listings, Nov 2026
Cost of livingNevada index 100.0US average = 100BEA Regional Price Parities (2024)
Addiction Medicine listings in Nevada6 active—live on WeekdayDoc, Nov 2026
All counselor listings in Nevada52 active12,845 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 86% remote · 22% no call · 60% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedUS counselor listings (all specialties): 13% state a sign-on bonus (median $4k) · 10% offer loan repayment1,000 active listings, Nov 2026
New Addiction Medicine listings433 in the last 30 days231 the 30 days before (+87%)U.S., first seen on WeekdayDoc, Nov 2026
Counselor pay trend (all specialties)−1.6% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index (1,106 Addiction Medicine (Counseling) listings), BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page. Nevada figures use all counselors: too few Nevada Addiction Medicine postings state pay.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Licensed Alcohol and Drug Counselor -Contract at ST JUDES RANCH FOR CHILDREN BO 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 1,106 active Addiction Medicine (Counseling) listings on WeekdayDoc.

Location & Logistics

Nevada has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Top contract/1099 Counselor Jobs

46 matches · ranked by pay

Salary Distribution

26 jobs
6
<$85k
4
$85k-105k
4
$105k-125k
12
$125k-145k

Annual compensation range

Benefits & Perks

23 jobs
401k / retirement match
78%
CME allowance
52%
Sign-on bonus
39%
Visa sponsorship
4%

Share of similar jobs offering each benefit

#1

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$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 5.1this job 6.6
Better work-life than 80% of Addiction Medicine (Counseling) listings

Listing-based score, 0–10, across 1,106 comparable listings. Shaded area = the share scoring below this one.

St Judes Ranch for Children BO logo

About St Judes Ranch for Children BO

Individual and Family Services
Boulder City, NV
51-200 employees

Living in Boulder City

Typical 3-bedroom home value
$480k
Typical market rent
$1,567/mo
State income tax
None
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026).

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