Crossroads Treatment Centers logo
Crossroads Treatment Centers
Knoxville, Tennessee

Substance Abuse Counselor - Fountain City, TN (OBOT)

CounselorNo weekendsFull-Time

Compensation

Pay not listed

The week · per this posting · Monday – Friday

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 2h 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

Schedule and Hours

Our clinical team enjoys an early morning schedule with early afternoon out times. It is expected for all clinical team members to participate in our Saturday rotation. The frequency of this rotation is determined by the current staff count. Expected hours for this role are 37-40 hours per week.

Monday-Friday; 7:45am-5:00pm

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:

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!

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

Key Responsibilities

The counselor provides individual therapy and clinical assessments to patients with opioid use disorder while designing and updating personalized treatment plans. They also collaborate with a multidisciplinary team to manage caseloads and ensure compliance with clinical requirements.

Requirements

Candidates must have experience working with underserved populations in a clinical setting and hold relevant professional certifications or licenses. Lived addiction experience is considered a plus for this role.

Key Skills

Substance abuse counselingClinical assessmentTreatment planningReferral managementCaseload managementOpioid use disorder treatment

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Substance Abuse Counselor - Fountain City, TN (OBOT) at Crossroads Treatment Centers a 6.4 out of 10 for work-life balance — classified as good. This places the position in the Above average in Addiction Medicine (Counseling) — ranked against 1,276 active Addiction Medicine (Counseling) listings on WeekdayDoc. Contributing factors include no weekend requirements.

Addiction Medicine — Counselor Career Context

Crossroads Treatment Centers holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 74/100, 38 active listings.

Of the 50 active Substance Use / Addiction Counselor listings this role was benchmarked against, 42% are remote, 24% have no call, 64% require no weekends.

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).

Location & Logistics

Tennessee has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Top Counselor Jobs

47 matches · ranked by pay

Salary Distribution47 jobs · 40 employers

16
<$70k
12
$70k-95k
6
$95k-120k
11
$120k-145k
2
$146k

Annual compensation range

Benefits & Perks36 jobs

401k / retirement match
81% this job
CME allowance
50% this job
Sign-on bonus
22%
Loan repayment
14%
PSLF eligible
8%

Share of similar jobs offering each benefit

#1

Psychotherapist Outpatient Clinic – LCSW / LMHC / LMFT/Full-Time Employment/Signing Bonus 5000USDContract

Harmony United Psychiatric Care · Winter Garden, Florida

$60-$70/hr
#2

Licensed Therapist

BlueSky Telepsych · Memphis, Tennessee

$60-$70/hr
#3

Virtual School Based Counselor

$66 per hour
#4

Remote Licensed Professional Counselor-Virginia

$66/hr
+ 45 more · ranked by pay

Work-life snapshot

median 6.1this job 6.4
Better work-life than 70% of Addiction Medicine (Counseling) listings

Listing-based score, 0–10, across 1,276 comparable listings. Shaded area = the share scoring below this one.

  • No weekends

Living in Knoxville

Typical 3-bedroom home value
$358k
Typical market rent
$1,712/mo
Residents’ average commute
20 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
Annual Continuing Education Allowance
Life Insurance
Short/Long Term Disability
Paid maternity/paternity leave
Mental Health Day