Crossroads Treatment Centers logo
Crossroads Treatment Centers
Knoxville, Tennessee

Substance Abuse Counselor - Knoxville, TN (OBOT)

Addiction CounselorNo weekendsFull-Time

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.

Posted 1h ago · Verified live

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

  • Expected hours for this role are 37-40 hours per week.
  • 8:00 AM – 5:00 PM, Monday through Friday
  • Qualified candidates will hold one or more of the following certifications/licenses:
  • MSW working on licensure
  • LMSW
  • LCSW
  • LPC
  • LAPC
  • LADAC

Ladac I

  • LADAC II
  • 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 everyday!
  • Benefits Package [use updated benefits language from other postings]
  • 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
  • Calm subscription for all employees

Key Responsibilities

The counselor provides individual counseling, conducts clinical assessments, and designs treatment plans for patients with opioid use disorder. They also manage caseloads, collaborate with medical staff, and facilitate urine drug screenings.

Requirements

Qualified candidates must hold one or more certifications or licenses such as MSW, LMSW, LCSW, LPC, LAPC, or LADAC. The role requires the ability to provide evidence-based care in an outpatient clinical setting.

Qualifications

Education
Master's degree (postgraduate degree)

Key Skills

Treatment planningCaseload managementClinical complianceOpioid use disorder treatment

Addiction Medicine — Counselor Career Context

The cost-of-living index for Tennessee is 91.9 (US average = 100; BEA Regional Price Parities (2024)). 58.6% of Tennessee clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

What does the Substance Use / Addiction Counselor market look like in Tennessee?
MeasureThis jobMarket
Listed paynot listedSubstance Use / Addiction Counselor median $63k (middle half $55k–$69k)219 comparable listings, Oct 2026
Cost of livingTennessee index 91.9US average = 100BEA Regional Price Parities (2024)
Substance Use / Addiction Counselor listings in Tennessee292 active13,531 nationallylive on WeekdayDoc, Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Substance Abuse Counselor - Knoxville, TN (OBOT) at Crossroads Treatment Centers a 6.0 out of 10 for work-life balance — classified as good. This places the position in the top 35% of all Addiction Medicine counselor listings evaluated on our platform. Contributing factors include no weekend requirements.

Location & Logistics

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

Top Substance Use / Addiction Counselor Jobs

4 matches · ranked by pay
#1

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$26.64-$33.99/hr
#2

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Confidential Employer · Frederick, Maryland

$55k-$68k
#3

Substance Use Counselor

$22.83-$31.62/hr
#4

Non-Licensed Substance Abuse Counselor - MCCX

$20 per hour
+ 2 more · ranked by pay

Work-life snapshot

median 6.1this job 6.0
Better work-life than 50% of Substance Use / Addiction Counselor listings

Listing-based score, 0–10, across 1,008 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
Crossroads Treatment Centers logo

About Crossroads Treatment Centers

Medical Practices
Greenville, South Carolina
1,001-5,000 employees

Benefits & Perks

Medical, Dental, and Vision Insurance
PTO
401K with match
Annual Continuing Education Allowance
Life Insurance
Short/Long Term Disability
Paid maternity/paternity leave
Mental Health Day

Living in Knoxville

Typical 3-bedroom home value
$356k
Typical market rent
$1,701/mo
Residents’ average commute
20 min
Metro price indexU.S. average = 100
92.6
State income tax
None
Sources & methodology

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

BEA 2024 · Knoxville, TN metro prices. Housing figures are city-level.

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