Substance Abuse Counselor -Harriman, TN (OBOT)
Compensation
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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.
Position Benefits
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 every day!
Education and Experience Requirements
General experience working with underserved populations in a clinical setting.
Lived addiction experience is a plus.
- Qualified candidates will hold one or more of the following certifications/licenses:
- LMSW
- LCSW
- LPC
LADAC
Schedule and Hours
- Expected hours for this role are 37-40 hours per week.
- Monday: 7:30 am- 4:00 pm
- Tuesday: 7:30 am- 4:00 pm
- Wednesday: 7:30 am- 4:00 pm
- Thursday: 7:30 am- 4:00 pm
- Friday: 8:30 am - 3:00pm
Benefits Package
- 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
Loan Forgiveness Program
- Crossroads is a STAR (Substance Use Disorder Treatment and Recovery) approved organization. This means our clinicians will have access to help pay off federal student loans so they can focus on what they do best: patient care!
- Please see the website at bhw.hrsa.gov
Apply to the Substance Use Disorder Treatment and Recovery Loan Repayment Program | Bureau of Health Workforce
Key Responsibilities
The counselor provides individual counseling, conducts clinical assessments, and designs treatment plans for patients with opioid use disorder. They also manage a caseload, collaborate with medical staff, and facilitate urine drug screenings.
Requirements
Candidates must hold a professional license or certification such as LMSW, LCSW, LPC, or LADAC. Previous experience working with underserved populations in a clinical setting is required.
Qualifications
- Education
- Professional certificate or licensure
- Experience
- 2+ years of experience
Key Skills
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).
Crossroads Treatment Centers holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 74/100, 38 active listings.
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Substance Abuse Counselor -Harriman, 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.
Location & Logistics
Tennessee has no state income tax, which can significantly increase take-home pay compared to high-tax states.
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