Substance Abuse Counselor - Fountain City, TN (OBOT)
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.
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
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.
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