Milieu Counselor
Compensation
Pay not listed
The week · per this posting · weekdays assumed
Ask the employer about the pay range, weekend coverage, nights and shift pattern and time off.
Job Description
Position: Milieu/Floor Counselor
The Milieu/ Floor Counselor is responsible for the delivery and implementation of long term supervision, support and clinical services to a population of chemically dependent adults with co-occurring and mental health problems. The Milieu/ Floor Counselor serves as a member of the interdisciplinary treatment team.
This position is based at our Young Adult’s Residential Center located at 400 Crooked Hill Road, Brentwood, NY
Essential Duties
- Initial and ongoing screening of resident and resident property in accordance with unit procedure.
- Facilitate group counseling formats on time and in a professional, ethical and caring manner and documents client’s progress through the use of group notes.
- Supervise clients in self-medication (under supervision).
- Communicate all pertinent information, incidents and emergencies using the appropriate system including the SAC communication log, incident reports and 24 hour on-call supervisor.
- Provide crisis interventions and follow up including documentation of the incident, accident and/or elopement reports.
- Overall supervision and management of client population in the facilitation of the daily house schedule.
- Use agency vehicles (15-passenger van, or car) to provide transportation to required appointments
- Perform other duties as assigned.
Minimum Requirements
- CASAC-T; CASAC, or higher preferred.
- 1 year of experience working with clients with substance abuse disorders.
- 1 year of experience working in an OASAS funded facility a plus
Preferred Qualifications
- Commitment to providing quality services and outcome driven performance measures.
- Excellent organizational and crisis management skills, ability to prioritize competing demands, familiarity with treatment planning
- Act as liaison to community-based service providers
- Strong communication skills, ability to navigate multiple service providers for each client
- Action-oriented, adaptable, and innovative approach to program planning.
- Ability to work effectively in collaboration with diverse groups of people
Key Responsibilities
The Milieu Counselor provides clinical support and supervision to adults with substance abuse and co-occurring mental health disorders. Responsibilities include facilitating group counseling, managing daily house schedules, and performing crisis interventions.
Requirements
Candidates must possess a CASAC-T or CASAC certification and have at least one year of experience working with substance abuse disorders. Strong organizational and communication skills are required to effectively collaborate within an interdisciplinary team.
Qualifications
- Education
- Professional certificate or licensure
Key Skills
Substance Abuse Counseling — Counselor Career Context
Of the 50 active Counselor listings this role was benchmarked against, 48% are remote, 24% have no call, 60% require no weekends.
The cost-of-living index for New York is 107.9 (US average = 100; BEA Regional Price Parities (2024)). 64.6% of New York clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
Outreach Development ranks #21 of 21 employers hiring Counselor on WeekdayDoc by average advertised pay.
Counselor pay on WeekdayDoc is up 8.8% vs. the prior quarter (through Sep 2026).
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Milieu Counselor at Outreach Development a 6.4 out of 10 for work-life balance — classified as good. This places the position in the top 25% in Substance Abuse Counseling — ranked against 65 active Substance Abuse Counseling listings on WeekdayDoc. Contributing factors include no on-call duties.
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