Substance Use Counselor IV

CounselorFull-Time

Listed compensation

$74,152

The week · per this posting · weekdays assumed

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

Posted 54m ago · Verified live

Job Description

  • $5,000 Sign On Bonus!
  • Work Schedule: 5 days per week/ 8 hour day shifts
  • Salary: $74,152/Yr.

Mirror Lake Recovery Center is seeking a dedicated and experienced Substance Use Counselor IV to join our clinical team. This senior‑level role is ideal for a professional who is passionate about supporting individuals on their recovery journey and thrives in a collaborative, patient‑centered environment.

Position Summary

The Substance Use Counselor IV provides advanced clinical services, including assessments, treatment planning, individual and group counseling, and crisis support. This role also offers leadership within the counseling team by mentoring junior staff and contributing to program development.

Qualifications

  • Bachelor’s degree or higher in Counseling, Social Work, Psychology, or a related field
  • Relevant licensure or certification required (e. g., LADAC II, CADC, LPC, LCSW, or equivalent)
  • Minimum 3 years of experience in substance use treatment or behavioral health
  • Strong understanding of ASAM criteria, trauma‑informed care, and co‑occurring disorders
  • Excellent communication, documentation, and crisis‑management skills

About Mirror Lake Recovery Center

At Mirror Lake Recovery Center, we value the input of each person that we treat, and we believe that each person who chooses to heal with us has an inherent potential for change and personal growth. Our treatment approach will not be bound by past learning history, but will respond to both present and future expectations. We believe that the client has the ability to continually adapt to a changing environment that challenges the balance between disease and health.

Treatment is not something that we do to a person; instead, it is an active collaborative process. We always seek the input and participation of our clients, and endeavor to provide them with a variety of treatment options and methodologies that have been individually tailored to meet their specific strengths, needs, and treatment goals.

Responsibilities

Essential Functions

  • Conduct individual counseling sessions and group or family sessions as scheduled and document as required.
  • Evaluate the needs of patient and determine if referrals to other programs or facilities is needed.
  • Facilitate assigned group or family sessions and assist with modifying problem behaviors.
  • Responsible for initial assessments, as well as follow up assessment for patient.
  • Prepare individual treatment plans for each assigned patient.
  • Provide counseling services to families of patient.
  • Ensure all documentation regarding patient care, treatment and incidents are completed timely and in a clear concise manner.
  • Act as a liaison between referral sources and patient.
  • Provide crisis intervention to patient, as needed.
  • Plan for aftercare for assigned patient.
  • Act as a liaison with insurance carriers, as requested.
  • Provide case management duties for patient, ensuring individualized quality care.
  • May assist in the training of new clinical staff and interns.

May coordinate the activities of other clinical and direct patient care personnel, providing direction and clinical guidance.

Demonstrate a positive, empathetic and professional attitude towards customers always. When patient needs are not met, acknowledge and work to resolve complaints. Recognize that patient safety is a top priority.

Other Functions

Perform other functions and tasks as assigned.

Qualifications

Education/Experience/Skill Requirements

  • Bachelor's degree in social or health services field required and
  • Six or more years' experience in counseling field required; OR
  • Bachelor's degree in other field required and
  • Eight or more years’ experience in the counseling field; OR
  • Master's degree in social or health services field required and

Four or more years' experience in the counseling field required. Degree must be from an accredited college or university.

Licenses/Designations/Certifications

  • Licensure or certification for counseling, as required by the state in which the facility operates.
  • CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).
  • First aid may be required based on state or facility.

Additional Regulatory Requirements

Completion of ongoing education and training, as required by the state in which the facility operates and applicable accrediting body.

While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances (e. g. emergencies, changes in workload, rush jobs or technological developments) dictate.

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.

AHMKT

#LI-MLRC

Qualifications

Education
Bachelor degree
Experience
5+ years of experience

Key Skills

Substance use counselingClinical assessmentPatient-centered care

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).

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

9 matches · ranked by pay

Salary Distribution9 jobs · 5 employers

4
<$50k
2
$50k-60k
1
$62k
0
$70k-80k
2
$80k+

Annual compensation range

Work-Life Balance Distribution9 jobs · 5 employers

0
1-2
0
3-4
6
5-6
3
7-8
0
9-10

Higher = better work-life balance

#1

Substance Abuse Counselor, Clinical

State of North Carolina · Cary, North Carolina

$48k-$83k
#2

Substance Use Counselor

Boston Comprehensive Treatment Center · Boston, Massachusetts

$30-$38.5/hr
#3

Addiction Counselor | ADT, CSC-AD, or CAC-AD

$25-$30/hr
#4

Substance Use Counselor

$55k-$58k
+ 7 more · ranked by pay

Work-life snapshot

median 6.1this job 3.0
Better work-life than 30% of Substance Use / Addiction Counselor listings

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

Living in Burns

Typical 3-bedroom home value
$444k
Median resident rent
$887/mo
Residents’ average commute
30 min
Metro price indexU.S. average = 100
96.3
State income tax
None
Sources & methodology

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

BEA 2024 · Nashville-Davidson--Murfreesboro--Franklin, TN metro prices. Housing figures are city-level.

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

Mirror Lake Recovery Center logo

About Mirror Lake Recovery Center

Hospitals and Health Care
Burns, Tennessee
51-200 employees

Benefits & Perks

$5,000 Sign On Bonus