Crossroads Treatment Centers logo
Crossroads Treatment Centers
Harriman, Tennessee

Substance Abuse Counselor -Harriman, TN (OBOT)

CounselorFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

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Posted 4m 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.

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

Treatment planningCaseload managementOpioid 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).

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.

Top Substance Use / Addiction Counselor Jobs

3 matches · ranked by pay
#1

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Affect · New Mexico

$55k-$75k
#2

Arizona | Addiction Counselor | Telehealth

Affect · Arizona

$55k-$70k
#3

Oregon | Addiction Counselor | Telehealth

$55k-$70k
+ 1 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.

Living in Harriman

Typical 3-bedroom home value
$285k
Typical market rent
$1,175/mo
Residents’ average commute
29 min
Metro price indexU.S. average = 100
92.6
State income tax
None
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 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.

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 (no vesting period)
Annual Continuing Education Allowance
Life Insurance
Short/Long Term Disability
Paid Maternity/Paternity Leave
Mental Health Day