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Helio Health
Syracuse, New York

Substance Use Disorder Counselor- Opioid Treatment Program

CounselorFull-Time

Listed compensation

$24-$28/hr

The week · per this posting

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 3h ago · Verified live

Job Description

Helio Health is on a mission to treat and promote recovery from the effects of substance use, mental health disorders, and other behavioral healthcare issues. The Substance Use Disorder Counselor (CASAC) will work on a Full-Time basis out of Helio Health’s Syracuse Opioid Treatment Program (OTP).

In addition to Helio Health’s comprehensive benefits package, Full-Time hires for this position are eligible for a Sign-On Incentive up to $3,000!

Pay: $24.00 - $28.00 per hour.

Responsibilities

Maintain a case load of patients seeking treatment from the effects of substance use and/or mental health disorders.

Perform essential counseling responsibilities including screening, intake and orientation, assessment, evaluation and intervention, treatment planning, referrals, crisis intervention, counseling, patient education, case management, reporting and record keeping.

  • Participate in program, administrative and clinical committees as assigned.
  • Relate effectively with staff, clients, and community while upholding confidentiality requirements.

Qualifications

  • High School Diploma or GED required, associates or bachelors preferred.
  • CASAC-T required or CASAC-P eligible.
  • One year counseling experience preferred.
  • Equivalent alternative combination of education and experience may be substituted for the educational requirements.
  • Knowledge of addiction/recovery, behavioral health, self-help group process and principles of counseling.
  • Proficiency with basic computer applications.

Our Comprehensive Employee Benefits Package Includes

  • Health insurance including dental and vision for employees and families.
  • Paid Vacation and Sick leave - No Waiting Period for accruals.
  • Paid holidays, including a floating birthday holiday.
  • 401(k) plan with up to 5% company match.
  • Company paid short-term disability insurance.
  • Company sponsored life insurance.
  • Employee Assistance Program (EAP).

Helio Health provides equal opportunity to all employees and applicants for employment, without regard to race, creed, color, sex (including pregnancy, gender identity and sexual orientation), parental status, religion, national origin, citizenship, status as a victim of domestic violence, age, military or veteran status, handicap or disability, family medical history or predisposing genetic characteristics or carrier status, marital status, family status, political affiliation, felony conviction record, status as a victim of a crime, or status as an employee who has complained about discrimination, filed a charge of discrimination, or participated in an employment discrimination investigation or lawsuit, or any other categories, status or activity protected by federal, state or local law.

Salary and hourly compensation ranges are provided in accordance with NYS law and are based on Helio Health's good faith belief of what is accurate at the time of posting. Salary and hourly compensation offers are based on candidate's education level and experience relevant to the position and also take into account information provided by the hiring manager and program.

Key Skills

Substance use counselingPatient assessmentAddiction recovery supportComputer proficiency

Addiction Medicine — Counselor Career Context

Of the 50 active Substance Use / Addiction Counselor listings this role was benchmarked against, 34% are remote, 20% have no call, 62% require no weekends.

The cost-of-living index for New York is 107.9 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$54k midpoint carries the purchasing power of roughly $50k in an average-cost state. 64.6% of New York clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Counselor Jobs

46 matches · ranked by pay

Salary Distribution46 jobs · 37 employers

13
<$75k
16
$75k-90k
8
$90k-105k
4
$105k-120k
5
$120k+

Annual compensation range

Benefits & Perks37 jobs

401k / retirement match
84% this job
CME allowance
35%
Sign-on bonus
24% this job
Loan repayment
11%
PSLF eligible
8%

Share of similar jobs offering each benefit

#1

Licensed Marriage and Family Therapist (LMFT, LPC, LCSW)

LifeStance Health · Madison, Wisconsin

$92k-$125k
#2

Remote Mental Health Counselor (LMFT, LCSW, LMHC)

Gotham Enterprises · Watertown, New York

$115k-$120k
#3

NY Licensed DBT Therapist - DBT Master’s or Doctoral - Telehealth - Full-Time

$93k-$120k
#4

Licensed Mental Health Counselor (LMFT, LMHC, LCSW)

$115k-$120k
+ 44 more · ranked by pay

Work-life snapshot

median 6.1this job 3.0
Better work-life than 20% of Addiction Medicine (Counseling) listings

Listing-based score, 0–10, across 1,276 comparable listings. Shaded area = the share scoring below this one.

Living in Syracuse

Typical 3-bedroom home value
$219k
Typical market rent
$1,541/mo
Residents’ average commute
18 min
Metro price indexU.S. average = 100
95.7
State income tax
Up to 10.9%
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Syracuse, NY metro prices. Housing figures are city-level.

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

Helio Health logo

About Helio Health

Mental Health Care
Syracuse, NY
501-1,000 employees

Benefits & Perks

Sign-On Incentive up to $3,000
Health insurance including dental and vision
Paid Vacation and Sick leave - No Waiting Period
Paid holidays including floating birthday holiday
401(k) plan with up to 5% company match
Company paid short-term disability insurance
Company sponsored life insurance
Employee Assistance Program (EAP)