CO
Carolina Outreach
Wilson, North Carolina

Substance Use Disorder (SUD) Therapist (3633)

Addiction CounselorFull-Time

Listed compensation

$52K - $67K

The week · per this posting · weekdays assumed

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

Posted 5mo ago

Job Description

  • Job Location: Wilson, NC 27893
  • Position Type: Full Time
  • Education Level: Master's Degree
  • Salary Range: $52,083.00 - $66,880.00 Salary/year
  • Travel Percentage: NoneAbout Us Since 2003, we've been assisting children, families and adults across North Carolina with their behavioral health needs. Carolina Outreach is a group of highly trained behavioral health professionals dedicated to promoting the emotional and physical well-being of our community in a safe and respectful environment. We provide a comprehensive and integrative array of behavioral health services and supports for people of all ages with varying levels of need utilizing an equitable and inclusive approach. We focus on helping our clients tap into and develop their inherent strengths with the goal of supporting the highest quality of life possible for all we serve.

About the Role Carolina Outreach is seeking a Substance Use Disorder (SUD) Therapist to join our team in Wilson, North Carolina. In this role, you will provide individual and group substance use counseling, crisis support, and treatment planning to individuals working toward recovery.

This is an opportunity to work in a community-based behavioral health organization where clinicians are empowered to make a real difference every day. Provide Clinical Substance Use Treatment Deliver individual and group substance use disorder counseling using evidence-based approaches.

Support clients in developing skills for recovery, relapse prevention, and long-term stability. Provide crisis support and intervention when needed. Treatment Planning & Care Coordination Develop and maintain Person-Centered Plans (PCPs) that reflect each client’s treatment goals.

Monitor progress and revise treatment plans as needed. Coordinate services with families, community partners, and other providers.

Documentation & Compliance Maintain timely and accurate clinical documentation, including: Service notes Treatment plans Progress updates Ensure services are authorized and compliant with program requirements. Client Advocacy Advocate for clients and families within the community.

Support connections to natural supports, recovery resources, and community services.

Additional Responsibilities (May Include) DWI Services Conduct DWI assessments Facilitate DWI education and treatment groups Provide individual DWI counseling sessions Complete and submit DMV Form 508 documentation Ensure all required fees and documentation are complete prior to submission Additional duties may be assigned consistent with the responsibilities of a Substance Use Disorder Counselor.

This description outlines the general scope and level of work for this role. It is not intended to include every duty or responsibility that may be required of employees in this position.

Compensation This role is compensated on a salaried basis, providing consistent earnings aligned with the responsibilities and expectations of the position

  • Compensation: $52,083 - $66,880

This position is eligible for a $3,000 Sign on bonus Placement within the range is based on licensure level, education, and experience. What You Can Expect Administrative and scheduling support Flexible scheduling options Supportive clinical and operational leadership Opportunities to build your preferred clinical focus areas Streamlined onboarding and credentialing support

Responsibilities

Provide individual, family, and/or group therapy sessions Maintain accurate and timely clinical documentation Collaborate with care teams as needed Maintain compliance with all clinical and regulatory standards Participate in supervision (if applicable based on licensure level) Qualifications

Position Qualifications. Education: Master's degree in Pyschology, social work or counseling. Licensure: Must hold a LCAS/A in NC.

Why Join Us We are focused on creating a model where clinicians are supported, not overloaded. You’ll have the flexibility to shape your schedule, the support to maintain a steady caseload, and the opportunity to grow within a stable, mission-driven organization.

Beyond the engaging work, you'll also benefit from our competitive benefits package to support you and your loved ones, provide work/life balance, and invest in your future. The list below is for informational purposes only.

Consumer-driven health plan coverage provided by Anthem Wellness: When you enroll in a medical plan, you get complete care support on your time through Sydney app (Anthem), with exclusive access to 24/7 access to licensed doctors, therapists, and psychiatrists.

Health Savings Account (HSA) or Flex Spending Account (FSA) Two dental plan options available through Delta Dental, so you can choose the level of coverage that fits your needs and budget. Affordable vision plan available through EyeMed to keep your eyes healthy and your vision sharp.

An optional Dependent Care Flexible Spending Account to reimburse yourself on a pre-tax basis for childcare.

Generous paid time off 401k or Roth IRA Retirement Programs administered by Empower Financial planning and education services at no cost to you Voluntary supplemental benefits (Accident, Critical Illness, Short-Term Disability) Educational Assistance (your position, date of hire and years of service determine your eligibility) Licensure Residency Program for Full-time Clinical Staff Advancement and Career Development Opportunities Legal Notice: We are an equal opportunity employer.

Employment is at-will and contingent upon successful completion of background checks and credential verification. We participate in E-Verify to confirm employment eligibility in the United States. Reasonable accommodations are available upon request in accordance with the Americans with Disabilities Act (ADA). Must be authorized to work in the United States.

Key Responsibilities

Provide individual and group substance use disorder counseling and crisis support to clients working toward recovery. Develop person-centered treatment plans and maintain accurate clinical documentation while coordinating care with community partners.

Requirements

Requires a Master's degree in Psychology, Social Work, or Counseling. Must hold a valid LCAS/A licensure in North Carolina.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Crisis InterventionPerson-Centered PlanningIndividual Therapy

Addiction Medicine — Counselor Career Context

Of the 50 active Substance Use / Addiction Counselor listings this role was benchmarked against, 38% are remote, 42% have no call, 60% require no weekends.

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$59k midpoint carries the purchasing power of roughly $63k in an average-cost state. 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

How many Substance Use / Addiction Counselor jobs are remote?
MeasureThis jobMarket
Work-life score6.5 / 10 · above average in substance use / addiction counselorranked against 1,008 Substance Use / Addiction Counselor listingslisting-based score, 0–10
Listed pay$52k–$67kSubstance Use / Addiction Counselor median $59k (middle half $55k–$71k)18 comparable listings, Nov 2026
Cost-of-living adjusted pay~$63k in purchasing powerNorth Carolina index 94.3 (US = 100)BEA Regional Price Parities (2024)
Addiction Medicine listings in North Carolina51 active—live on WeekdayDoc, Nov 2026
All substance use / addiction counselor listings in North Carolina461 active12,900 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 38% remote · 42% no call · 60% no weekends50 benchmarked listings
Sign-on & loan repayment$3k sign-onNorth Carolina counselor listings (all specialties): 14% state a sign-on bonus (median $5k) · 15% offer loan repayment461 active listings, Nov 2026
New Addiction Medicine listings422 in the last 30 days230 the 30 days before (+83%)U.S., first seen on WeekdayDoc, Nov 2026
Carolina Outreachsilver tier, 72/100Top Employers work-life index17 active listings
Sources: WeekdayDoc live listing index (1,008 Substance Use / Addiction Counselor listings), 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. North Carolina figures use all substance use / addiction counselors: too few North Carolina Addiction Medicine postings state pay.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Substance Use Disorder (SUD) Therapist (3633) at Carolina Outreach a 6.5 out of 10 for work-life balance — classified as good. This places the position in the Above average in Substance Use / Addiction Counselor — ranked against 1,008 active Substance Use / Addiction Counselor listings on WeekdayDoc.

Top Counselor Jobs

33 matches · ranked by pay

Salary Distribution

33 jobs · 25 employers
15
<$75k
6
$75k-90k
8
$90k-105k
0
$105k-120k
4
$120k+

Annual compensation range

Benefits & Perks

26 jobs · 25 employers
401k / retirement match
92% this job
CME allowance
19%
PSLF eligible
19%
Sign-on bonus
15% this job
Loan repayment
4%

Share of similar jobs offering each benefit

#1

Licensed Mental Health Therapist

LifeStance Health · Lake Oswego, Oregon

$123k-$141k
#2

Licensed Marriage and Family Therapist (LMFT)

LifeStance Health · West Linn, Oregon

$123k-$141k
#3

Licensed Marriage & Family Therapist (LMFT)

$115k-$120k
#4

Licensed Marriage and Family Therapist (LMFT)

$115k-$120k
+ 31 more · ranked by pay

Work-life snapshot

median 6.1this job 6.5
Better work-life than 70% of Substance Use / Addiction Counselor listings

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

CO

About Carolina Outreach

Mental Health Care
Durham, North Carolina
201-500 employees

Benefits & Perks

Flexible scheduling
Health insurance
Dental
Vision
401k or Roth IRA
Generous PTO
Educational Assistance
Licensure Residency Program

Living in Wilson

Typical 3-bedroom home value
$224k≈ 4.3× annual pay
Typical market rent
$1,494/mo≈ 34% of gross pay
Residents’ average commute
21 min
State income tax
Up to 4.8%
Sources & methodology

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

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