Drug and Alcohol Counselor
Listed compensation
$72k-$91k
The week · per this posting · weekdays assumed
Ask the employer about the work setting, call expectations, weekend coverage and time off.
Job Description
The Opiate Treatment Outpatient Program (OTOP) and the OTOP Mobile Methadone Van Program provide methadone maintenance dosing and counseling to patients with opioid use disorder in conjunction with medical and psychiatric services.
The target population for OTOP’s methadone maintenance service is low-income medically/psychiatrically compromised individuals with opioid use disorder who reside in San Francisco, primarily in the South of Market, Mission, Castro, and Tenderloin areas.
This includes a large proportion of African Americans and Latinos, gay, lesbian, bisexual, and transgender individuals, and women of childbearing age, pregnant women, and post-partum women.
The target population includes people of all ages, races, ethnicities, sexual orientations, gender identities, religions or spiritualties, socioeconomic classes, partner statuses, and physical and mental disabilities. OTOP clients are low-income and uninsured or underinsured.
This population has multiple layers of problems, multiple substance use disorders, psychiatric difficulties, life-threatening health problems, and significant cultural barriers to receiving proper care. This population is at especially high risk for HIV.
Under the direct supervision of the Clinical Supervisor, the incumbent provides a range of social work services to OTOP patients with multiple layers of instability and vulnerability including housing, financial, legal, medical care coordination, transportation, food and clothing.
Services are provided to all OTOP patients with priority given to HIV+ clients and patients with severe and persistent mental health issues.
While OTOP is able to provide medical treatment for opioid dependence and substance use counseling, this social work position is essential for successful treatment of client, retention in treatment, and engagement in community resources.
All sites serve culturally diverse low-income opiate users with co-occurring psychiatric disorders. The incumbent provides culturally appropriate social work services, including mental health screening, brief interventions, consult with the multi-disciplinary teams from within the clinic and the community at large.
The OTOP Social Work Associate position is essential in providing the psychosocial services and interventions that are mandatory for the provision of comprehensive substance use treatment services.
Responsibilities
%
of time
Essential Function (Yes/No)
Key Responsibilities
(To be completed by Supervisor)
40
Yes
Direct Patient Care—Methadone Maintenance Counseling
- Provides: substance use intake/assessments using standardized interview protocols
- Provides clinic orientation, policy information and care planning
- Provides substance use counseling in individual, group, and family modalities as indicated
- Participates in analyzing clinical data, planning interventions, implementing direct service, evaluating patient’s response to interventions and progress toward goals
- Bases practice on research findings
- Maintains quality of care
- Provides culturally competent services
- Protects the dignity and rights of clients
- Adheres to hospital/departmental policies
- Adheres to health/safety, infection control and resource utilization standards
- May work in OTOP stabilization, maintenance or offsite on mobile methadone van
25
Yes
Indirect Patient Care—Methadone Stabilization and Maintenance Counseling
- Coordination of and linkage to services; referrals
- Collaboration as part of multi-disciplinary team
- Case conferences
- Clinical supervision
20
Yes
Documentation
Documents clinical work according to standards established by policies, Title 22, Title 9 and Federal requirements
15
Yes
Other Duties
- Participates in a unit based committee
- Supports day to day clinic operations, including: completing documentation in patients charts; coverage for other SWA colleagues, attending required staff meetings and training.
- Contributes to professional development of self and others
- Communicates effectively with others through all available mediums
- Provides leadership
100%
(To update total %, enter the amount of time in whole numbers (without the % symbol - e. g., 15, 20) then highlight the total sum (e. g., 1%) at the bottom of the column and press F9. The total sum should add up to 100%.)
Minimum Qualifications
- BA/BS degree and one year of related experience, or five years of related experience providing prevocational, job development services, substance use counseling, or employment counseling
- Knowledge of Harm Reduction theory.
- Strong interpersonal skills and experience providing culturally competent care with populations that are diverse in gender, sexual orientation, and ethnicity.
- Knowledge of the health and psycho-social problems associated with opioid dependence and other substance use disorders.
- Knowledge of effective treatments for opioid dependence and other substance use disorders.
- Ability to work cooperatively and communicate effectively with others.
- Ability to work in a high stress, high volume clinical environment, and work well under pressure and with deadlines.
- Ability to follow oral and written instructions accurately and be detailed oriented.
- Able to efficiently prepare clinical notes and written summaries of activities, set priorities and complete notes and reports within required timeframes.
- Knowledge of medical and psychiatric terminology.
- Good oral, written, and telephone communication skills.
- Demonstrate excellent attendance and reliability.
- Demonstrate professional behavior in a multi-disciplinary clinical environment.
Preferred
- One-year preferred work experience in human services.
- Motivational Interviewing training/experience preferred.
- Experience working with severely mentally ill adults, the homeless and dual diagnosis populations.
- Experience working with populations that are diverse in gender, sexual orientation, and ethnicity.
- Graduate school course work in psychology, counseling, social work, addiction studies, or public health leading to certification or licensure
- Case management experience and one-year work experience in human services
- Experience with community outreach, peer educator programs, and volunteer supervision
- One or more years of experience working in opiate treatment programs
- Prior UCSF experience
Licenses and/or Certifications
- California state registration (RADT or SUDRC). Candidates registered on/after July 1, 2025 must have already completed the required 80 hours of approved core competency education.
- Certification as an Alcohol/Drug Counselor or registration as an Associate Marriage and Family Therapist or Associate Social Worker or Associate Professional Clinical Counselor or Psychological Associate.
About UCSF
The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care.
It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world’s leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells.
Pride Values
UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values.
In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available here.
Join us to find a rewarding career contributing to improving healthcare worldwide.
Equal Employment Opportunity
The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.
Salary Information
The final salary and offer components are subject to additional approvals based on UC policy.
Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.
To learn more about the benefits of working at UCSF, including total
Compensation, Please Visit
ucnet.universityofcalifornia.edu
Qualifications
- Education
- Bachelor degree
- Experience
- 2+ years of experience
Key Skills
Addiction Counseling — Counselor Career Context
Of the 50 active Addiction Counseling listings this role was benchmarked against, 64% are remote, 16% have no call, 52% require no weekends.
In California, the Addiction Counseling weighted monthly median benchmark on WeekdayDoc is ~$60k (15 salary observations; 31 listings), vs ~$63k nationally (79 salary observations; 266 listings). Monthly aggregates cover 2026-02-01 through 2026-10-01; these are not the modal's selected comparable-job medians.
| Measure | This job | Market |
|---|---|---|
| Listed pay | $72k–$91k | Addiction Counseling median $65k (middle half $56k–$73k)20 comparable listings, Oct 2026 |
| California vs national | $60k median in California | $63k nationally (−5%)15 state / 79 national salary observations |
| Cost-of-living adjusted pay | ~$74k in purchasing power | California index 110.7 (US = 100)BEA Regional Price Parities (2024) |
| Addiction Counseling listings in California | 23 active | 119 nationallylive on WeekdayDoc, Oct 2026 |
| Work setting | on-site | peers: 64% remote · 16% no call · 52% no weekends50 benchmarked listings |
| Sign-on & loan repayment | not stated | California Counselor listings: 12% state a sign-on bonus (median $3k) · 9% offer loan repayment1,000 active listings, Oct 2026 |
| Addiction Counseling pay trend | +4.2% vs prior quarter | —through Sep 2026 |
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