Substance Use Counselor | Behavioral Health
Listed compensation
$26.14-$32.67/hr
The week · per this posting · weekdays assumed
Ask the employer about the work setting, call expectations, nights and shift pattern and time off.
Job Description
Current Employees
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- Primary Location
- Rapid City, SD USA
Department: RCH Behavioral Health
- Scheduled Weekly Hours
- 40
- Starting Pay Rate Range
- $26.14 - $32.67
- (Determined by the knowledge, skills, and experience of the applicant.)
Job Summary
Delivers quality treatment and assessment services to chemically dependency patients across the Behavioral Health Center's continuum of care.
Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:
*Supportive work culture
*Medical, Vision and Dental Coverage
*Retirement Plans, Health Savings Account, and Flexible Spending Account
*Instant pay is available for qualifying positions
*Paid Time Off Accrual Bank
*Opportunities for growth and advancement
*Tuition assistance/reimbursement
*Excellent pay differentials on qualifying positions
*Flexible scheduling
Job Description
Essential Functions
Assists and supports staff/students, as evidenced by observation and feedback.
Completes hospital-wide mandatory inservices as well as age-specific unit education requirements (pediatrics, adolescents, adults, and geriatrics).
Conducts educational sessions in community and schools as needed, as observed by supervisor. Uses age-specific techniques and didactic materials to meet target group needs.
- Conducts initial and care plan reviews according to unit policies as observed by chart review.
- Reviews and updates target dates on care plan.
- Conducts screening and/or assessments to make appropriate referral to inpatient and outpatient providers consistent with the needs of the patient.
- Develops and implements an individualized treatment approach.
Facilitates age-appropriate groups which reflect treatment plans being carried out and an ability to prioritize and intervene in crises as observed by chart review and supervisor.
Facilitates communication between nursing personnel, physicians, referral sources, community partners and other departments, as evidenced by observation and feedback.
Meets regularly with the Social Services Coordinator to coordinate roles, functions and planning.
Meets with patients routinely to review and update care plan. Communicates the process with the assigned staff member as observed by chart review. Uses age-specific criteria in developing and assessing the plan of care.
All other duties as assigned.
Additional Requirements
Required
Education - Bachelors Degree in Related Field
Certification - Licensed Addiction Counselor (LAC) - Accredited University or accredited training facility or South Dakota Board of Addiction & Prevention Professionals (BAPP)
Preferred
- Certification - Licensed Professional Counselor - South Dakota Department of Social Services
- Experience - 3+ years of Chemical Dependency Experience
- Education - Masters degree in Related Field
Physical Requirements
Light work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Possible exposure to blood, bodily fluids, or tissues. Possible exposure to radiation and frequent exposure to contaminated needles and infectious body substances.
- Job Category
- Rehabilitation
- Job Family
Mental Health
Shift: Requires the ability to work assigned schedules and hours as determined by the department
- Employee Type
- Regular
10 Monument Health Rapid City Hospital, Inc.
Make a difference. Every day.
Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.
Key Responsibilities
The counselor delivers quality treatment and assessment services to patients with chemical dependency across the continuum of care. They are responsible for developing individualized treatment plans, facilitating group sessions, and coordinating care with interdisciplinary teams.
Requirements
Candidates must hold a Bachelor's degree in a related field and possess a Licensed Addiction Counselor (LAC) certification. A minimum of 3 years of experience in chemical dependency is preferred.
Qualifications
- Education
- Bachelor degree
- Experience
- 2+ years of experience
Key Skills
Addiction Medicine — Counselor Career Context
Of the 50 active Counselor listings this role was benchmarked against, 84% are remote, 34% have no call, 70% require no weekends.
The cost-of-living index for South Dakota is 88.6 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$61k midpoint carries the purchasing power of roughly $69k in an average-cost state. 58.2% of South Dakota clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
Counselor pay on WeekdayDoc is up 2.5% vs. the prior quarter (through Sep 2026).
Location & Logistics
South Dakota has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$61k midpoint, that is roughly $2k–$4k a year versus a typical 4–7% state rate.
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