Acadia logo
Acadia
North Wilkesboro, North Carolina

Substance Use Counselor

Counselor Top 10% in Addiction Medicine (Counseling)No callNo weekendsFull-Time

Compensation

Pay not disclosed

Employment & setting
Full-Time
Call expectations
No call
Weekends
No weekends
Posted 38m ago · Verified live

Job description

Outpatient MAT Opioid Treatment Program
*SIGN ON BONUS AVAILABLE*
Seeking: Substance Use Counselor
CADC-I, CADC, LCAS-A, LCAS, LCSW-A, LCSW, LCMHC-A, or LCMHC Required
Full-Time Hours:
Monday - Friday 5 AM - 1:30 PM
Rotating Saturdays 6 AM - 8 AM
Our Benefits:
Semi-Annual Bonus Program
Medical, Dental, and Vision insurance
Competitive 401(k) plan
Paid vacation and sick time
Employer-paid clinical supervision (free to employees)
Free and unlimited access to 500+ accredited Continuing Education Units (CEUs)
Employee Assistance Program (EAP) offering continued support to employee lifestyle and well-being
Early morning hours offering a great work/life balance
Opportunity for growth that is second to none in the industry
Our Team:
North Wilkesboro Comprehensive Treatment Center (CTC), located in North Wilkesboro, NC, is part of Acadia Healthcare's Comprehensive Treatment Centers, the leading provider of medication-assisted treatment in the nation. Our counseling team provides compassionate, high-quality counseling and therapy to patients that are seeking recovery from Opioid Use Disorder.
Your Job as a Substance Use Counselor:
The Substance Use Counselor is instrumental in our patient’s treatment and recovery from opioid use disorder. Substance Use Counselors provide high quality, compassionate care through various mediums which include both individual and group counseling sessions.
Job Responsibilities:
Provide high quality, compassionate guidance in both individual and group counseling sessions.
Plan, oversee, facilitate and document patient's recovery.
Co-facilitate assigned group or family sessions as needed.
Ensure all documentation regarding patient care, treatment, and incidents is completed timely and in a clear, concise manner.
Prepare individual treatment plans for each assigned patient.
Initial assessments as well as follow up assessments.
Evaluate patient needs and determine if referrals to other programs or facilities are needed.
May plan for aftercare for assigned patients.
Provide crisis intervention to patients, as needed.
Provide case management duties for patients, ensuring individualized quality care as needed.
Act as a liaison between referral sources and patients, as needed.
Eligible positions may qualify for student loan forgiveness through HRSA, depending on clinic site eligibility. Check your eligibilty here: HRSA Eligibility

Required Education, Skills and Qualifications

High School Diploma or GED equivalent required; Prefer Bachelor's or Master's degree in social or health services field; Degree must be from an accredited college or university with practicum in order to be licensed. Previous experience in addiction recovery or behavioral health settings, such as outpatient, residential, or correctional facilities. Familiarity with Medication-Assisted Treatment (MAT), including methadone, buprenorphine, and naltrexone. Experience conducting individual and group counseling sessions focused on substance use recovery. Knowledge of evidence-based practices, such as Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and relapse prevention techniques. Documentation experience, including maintaining clinical notes, treatment plans, and progress updates in accordance with state and federal guidelines. Familiarity with state regulatory standards (e. g., 42 CFR Part 2, HIPAA, Joint Commission standards). Experience collaborating in a multidisciplinary team with medical staff, case managers, and peer support specialists. Licenses/Certifications CADC-I, CADC, LCAS-A, LCAS, LCSW-A, LCSW, LCMHC-A, or LCMHC License or Certification is required to apply 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. AHCTC #LI-CTC #LI-JW1

Key Responsibilities

The Substance Use Counselor provides compassionate individual and group therapy to patients recovering from opioid use disorder. Responsibilities include developing treatment plans, documenting patient progress, and coordinating care within a multidisciplinary team.

Requirements

Candidates must hold a valid CADC, LCAS, LCSW, or LCMHC license or certification. A high school diploma is required, though a bachelor's or master's degree in a social or health services field is preferred.

Qualifications

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

Key Skills

Substance use counselingIndividual counselingTreatment planningClinical documentationHIPAA complianceMultidisciplinary collaboration

Addiction Medicine — Counselor Career Context

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)). 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Substance Use Counselor at Acadia a 7.2 out of 10 for work-life balance — classified as very good. This places the position in the top 10% in Addiction Medicine (Counseling) — ranked against 1,286 active Addiction Medicine (Counseling) listings on WeekdayDoc. Contributing factors include no on-call duties, no weekend requirements.

7.2/10 work-life score · Top 10% in Addiction Medicine (Counseling) — ranked against 1,286 active roles in this specialty

Top Substance Use / Addiction Counselor Jobs

4 matches · ranked by pay
#1

Substance Use Counselor - Detention Center North

County of Mecklenburg, NC · Charlotte, North Carolina

$53k-$71k
#2

Substance Use Counselor

Acadia · Providence, Rhode Island

$29.93-$34/hr
#3

Substance Use Counselor

$29.93-$34/hr
#4

Substance Abuse Counselor (SACOT/SAIOP) QP/CADC - Wilson, NC

$17-$24/hr
+ 2 more · ranked by pay

Work-life snapshot

7.2/ 10
Listing-based score

Top 10% in Addiction Medicine (Counseling)

A signal to investigate—not a guarantee about the workplace.

  • No call
  • No weekends
Acadia logo

About Acadia

Mental Health Care
Franklin, Tennessee
1,001-5,000 employees

Benefits & Perks

Semi-Annual Bonus Program
Medical, Dental, and Vision insurance
Competitive 401(k) plan
Paid vacation and sick time
Employer-paid clinical supervision
Free and unlimited access to 500+ accredited Continuing Education Units (CEUs)
Employee Assistance Program (EAP)
Student loan forgiveness through HRSA (site-dependent)