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Rochester Regional Health
Clifton Springs, New York

Addiction Therapist

Addiction CounselorNo weekendsFull-Time

Listed compensation

$61k-$78k

The week · per this posting · Monday – Friday

Ask the employer about the work setting, call expectations, nights and shift pattern and time off.

Posted 57m ago · Verified live

Job Description

  • Job Title: Addiction Therapist
  • Department: Behavioral Health
  • Location: Clifton Springs
  • Hours Per Week: 40
  • Schedule: M-F Days

Summary

The Addiction Therapist provides addiction diagnostic assessment, treatment planning, case management, and individual/group counseling for clients with chemical dependency. Treatment is provided in the context of a clinical team, supervised by the staff psychiatrist.

Responsibilities

Serves as a primary therapist providing Substance Use Disorder treatment through individual and group counseling.

  • Responsible for the timely completion of progress summaries and all patient documentation
  • Conducts quality audits of patient records and processes
  • Provides initial and ongoing assessment for clients in order to determine diagnosis and appropriate level of care.
  • Provides individual, family and group counseling, which engages and motivates clients throughout treatment.
  • Develops treatment plans that are individualized and culturally sensitive.
  • Communicates with other care providers and referral sources to increase understanding of client problems and assets.
  • Participates in professional supervision and education that supports continuous improvement of client care.

Completes required medical record documentation in a timely and comprehensive manner and in compliance with regulatory standards.

Meets productivity requirements by utilizing various techniques to engage clients and minimize failed appointments.

Participates as a contributing member of an interdisciplinary team in coordination and delivery of patient care.

Preferred Qualifications

  • Associates, Bachelors, or Master’s Degree in Human service field preferred.

Minimum Qualifications

  • Masters Degree not required for CASAC-T, CASAC-P or CASAC.

OR

  • Masters Degree in corresponding OASAS QHP license or permit.
  • If hired on or after 10/05/2023 Completion of a clinical internship in chemical dependency or at least 1 year of work experience in chemical dependency or mental health program.

New Graduates

  • Official transcript from accredited school or letter emailed directly from the school’s registrar’s office confirming program completion will be accepted upon graduation.
  • Primary source education verification required within 90 days of start date.

Required Licensure/Certifications

If Hired on or After 11/30/2021

  • Full CASAC (or higher)
  • OR
  • CASAC-T or CASAC-P permitted with the condition that full certification is obtained within 36 months
  • OR
  • OASAS QHP (LCSW, LMSW, LMHC, LCAT, LMFT or permit holder in one of these professions required). Limited permit or license required within 1 year of hire.

Education

LICENSES / CERTIFICATIONS:

Physical Requirements

Sedentary - Sedentary roles are primarily office-based and require prolonged sitting (67–100% of the workday) with minimal physical effort and lifting limited to under 10 lbs. Fine motor skills are necessary for computer work, writing, and telephone use, supported by clear visual and auditory ability.

Cognitive and emotional demands are high due to extended concentration, frequent interruptions, independent decision-making, and information processing. Although physical exposure is low, administrative areas within healthcare environments may occasionally involve contact with infectious agents. Some roles may require flexible hours, TB screening, or a valid driver’s license.

For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.

Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.

Pay Range

$61,000.00 - $78,000.00

City

Clifton Springs

Postal CODE

14432

The posted pay range is a good faith representation of potential base pay for this position. It may be modified in the future and eligible for additional pay components. Individual annual salaries/hourly rates could vary based on position details and FTE. Pay is determined by considering factors including, but not limited to, experience, relevant qualifications, specialty, internal equity, locations, and contracts.

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

Requirements

Candidates must hold a relevant degree in a human services field and possess or be eligible for a CASAC or OASAS QHP license. Experience in chemical dependency or mental health programs is required, along with strong clinical documentation skills.

Key Skills

Addiction counselingIndividual counselingFamily counselingInterdisciplinary collaborationCrisis interventionRegulatory complianceMotivational interviewing

Addiction Medicine — Counselor Career Context

Of the 50 active Substance Use / Addiction Counselor listings this role was benchmarked against, 38% are remote, 34% 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)), so the posted ~$70k midpoint carries the purchasing power of roughly $64k in an average-cost state. 64.6% of New York clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

How many Substance Use / Addiction Counselor jobs are remote?
MeasureThis jobMarket
Listed pay$61k–$78kSubstance Use / Addiction Counselor median $74k (middle half $66k–$95k)27 comparable listings, Nov 2026
Cost-of-living adjusted pay~$64k in purchasing powerNew York index 107.9 (US = 100)BEA Regional Price Parities (2024)
Addiction Medicine listings in New York97 active—live on WeekdayDoc, Nov 2026
All substance use / addiction counselor listings in New York791 active12,837 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 38% remote · 34% no call · 60% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedNew York counselor listings (all specialties): 10% state a sign-on bonus (median $5k) · 11% offer loan repayment791 active listings, Nov 2026
New Addiction Medicine listings427 in the last 30 days212 the 30 days before (+101%)U.S., first seen on WeekdayDoc, Nov 2026
Rochester Regional Health#4 of 15 for payTop Employers work-life index
Sources: WeekdayDoc live listing index, Top Employers work-life index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page. New York figures use all substance use / addiction counselors: too few New York Addiction Medicine postings state pay.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Addiction Therapist at Rochester Regional Health a 6.1 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.

Top Counselor Jobs

32 matches · ranked by pay

Salary Distribution

32 jobs · 22 employers
11
<$75k
13
$75k-90k
4
$90k-105k
4
$105k-120k

Annual compensation range

Benefits & Perks

19 jobs
401k / retirement match
84%
CME allowance
37%
Loan repayment
32%
PSLF eligible
26%
Sign-on bonus
21%

Share of similar jobs offering each benefit

#1

Licensed Clinical Therapist (LCSW, LPC, LMFT)

LifeStance Health · Brookfield, Wisconsin

$84k-$113k
#2

Remote Licensed Talk Therapist - Fee For Service

Thriveworks · New York

$112,200
#3

Licensed Talk Therapist - Fee For Service

$112,200
#4

Licensed Marriage and Family Therapist (LMFT)

$82k-$110k
+ 30 more · ranked by pay

Work-life snapshot

median 6.1this job 6.1
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

Living in Clifton Springs

Typical 3-bedroom home value
$251k≈ 4.1× annual pay
Median resident rent
$680/mo≈ 13% of gross pay
Residents’ average commute
24 min
Metro price indexU.S. average = 100
97.0
State income tax
Up to 10.9%
Sources & methodology

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

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

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.