Substance Abuse Counselor - Charleston, SC (OTP)
Compensation
Pay not listed
The week · per this posting · Monday – Friday
Ask the employer about the pay range, the work setting, call expectations and time off.
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 37-40 hours per week. 4:45 AM – 1:00 PM, Monday through Friday 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: Bachelor's degree in human services or a related field. Certified/licensed in addiction counseling in the state of SC is preferred. Must be willing/able to get certified in SC. 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 for Full-Time employees.
- Calm subscription for all employees 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 opioid use disorder. Design treatment plans and collaborate with medical providers to deliver holistic care and manage patient caseloads.
Requirements
Requires a Bachelor's degree in human services or a related field and experience working with underserved populations. Certification or licensure in addiction counseling in South Carolina is preferred or required.
Qualifications
- Education
- Bachelor degree
- Experience
- 2+ years of experience
Key Skills
Addiction Medicine — Counselor Career Context
The cost-of-living index for South Carolina is 93.7 (US average = 100; BEA Regional Price Parities (2024)). 60.6% of South Carolina 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.
Addiction Medicine pay on WeekdayDoc is up 2.4% vs. the prior quarter (through Sep 2026).
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Substance Abuse Counselor - Charleston, SC (OTP) at Crossroads Treatment Centers a 6.4 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 Substance Use / Addiction Counselor Jobs
5 matches · ranked by paySalary Distribution5 jobs · 4 employers
Annual compensation range
Work-Life Balance Distribution5 jobs · 4 employers
Higher = better work-life balance
Substance Use Counselor
St. Anthony Foundation · San Francisco, California
SUD Counselor - COAT
DESC · Seattle, Washington
Substance Use Counselor
$29-$32.5/hrSubstance Abuse Counselor II
$24.00 per hour