OH
One Health
Lewistown, Montana

Licensed Addiction Counselor (LAC)

Counselor 8.0 Work-LifeNo weekendsNo nightsFull-Time

Listed compensation

$67K–$69K /yr

The week · per this posting · Monday – FridayWeekdays only

Ask the employer about call expectations and time off.

Posted 3mo ago

Job Description

Make a Difference. Change Lives. Grow Your Career.

Are you passionate about helping individuals overcome addiction and build healthier futures? Join a collaborative, mission-driven care team where your expertise directly impacts lives every day. At One Health, you’ll provide compassionate, integrated behavioral health services in a supportive, team-based environment.

  • Location: Lewistown
  • Schedule: Full-time Monday-Friday 8am-5pm
  • Salary: $66,665.00 - $69,368/year (DOE)

What You’ll Do

  • Assess: Conduct substance use and mental health evaluations and develop individualized treatment plans.
  • Treat: Deliver evidence-based addiction and behavioral health services within your licensed scope of practice.
  • Collaborate: Partner with medical and behavioral health teams to provide holistic, patient-centered care.
  • Coordinate: Manage referrals, continuity of care, and case management across multiple care settings.
  • Document: Maintain accurate, timely, and confidential patient records in compliance with regulations.

Engage: Participate in outreach, training, and continuous improvement activities to support patient and community needs.

What You Bring

Associate's of Art or Applied Science degree in alcohol and drug studies or substance abuse from an accredited college or university (Master's degree in alcohol drug studies preferred)

  • Licensed in Montana as an addiction counselor
  • Certified Prime for Life instructor within 90 days of hire
  • BLS Certification upon hire
  • Valid Driver's license
  • Strong communication, collaboration, and clinical decision-making skills
  • Commitment to compassionate, patient-centered care

Why Lewistown?

Nestled in the Heart of Montana, Lewistown Offers

  • A friendly, welcoming community with a strong sense of connection.
  • Access to outdoor adventures like hiking, fishing, and hunting.
  • A charming downtown with local shops, cafes, and events.
  • A slower pace of life with big sky views and fresh mountain air.
  • A perfect blend of rural tranquility and modern amenities.

What We Offer

Competitive salary: $66,665.00 - $69,371.00/year (DOE)

Full Benefits Package Including

  • Health, dental, and vision insurance
  • 2 Medical health plans that are 0 cost to the employee
  • $10,000 group life insurance
  • Health savings account
  • Matching retirement plan
  • Paid holidays and PTO

Discounted Healthcare for Employee and Their Families

  • No late evenings or weekends, which mean great work-life balance.
  • Loan repayment eligibility for those that qualify

Why One Health?

One Health is a nonprofit Federally Qualified Health Center (FQHC) dedicated to improving the health and well-being of rural communities across Montana and Wyoming. We take an integrated, whole-person approach to care, offering:

  • Medical services for all ages
  • On-site pharmacy
  • Behavioral health support

Community and Public Health Programs

  • As part of our team, you'll be joining a mission-driven organization that values accessibility, compassion, and collaboration.
  • We’re here to make a difference—and we hope you are too. To learn more check out our website: onechc.org

One Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.

Ready to Make a Difference?

If you're excited about rural health care and want to be part of a mission-driven team, we’d love to hear from you!

Apply today or reach out to learn more about life in Lewistown and working with One Health.

Key Responsibilities

Conduct substance use and mental health evaluations to develop individualized treatment plans for patients. Deliver evidence-based behavioral health services while collaborating with medical teams to provide holistic, patient-centered care.

Requirements

Requires an Associate's degree in alcohol and drug studies and a valid Montana addiction counselor license. Must obtain BLS and Prime for Life certifications and possess a valid driver's license.

Qualifications

Education
Associate degree
Experience
2+ years of experience

Key Skills

Substance Use EvaluationMental Health EvaluationTreatment PlanningEvidence-Based PracticePatient Documentation

Addiction Medicine — Counselor Career Context

Of the 47 active Substance Use / Addiction Counselor listings this role was benchmarked against, 72% are remote, 43% have no call, 66% require no weekends.

The cost-of-living index for Montana is 94.6 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$68k midpoint carries the purchasing power of roughly $72k in an average-cost state. 59.2% of Montana clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

One Health holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 75/100, 17 active listings.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Licensed Addiction Counselor (LAC) at One Health a 8.0 out of 10 for work-life balance — classified as excellent. This places the position in the top 5% in Substance Use / Addiction Counselor — ranked against 1,008 active Substance Use / Addiction Counselor listings on WeekdayDoc. Contributing factors include no weekend requirements, no night shifts.

Top Counselor Jobs

29 matches · ranked by pay

Salary Distribution29 jobs · 8 employers

4
<$80k
6
$80k-95k
5
$95k-110k
12
$110k-125k
2
$125k+

Annual compensation range

Benefits & Perks28 jobs · 8 employers

401k / retirement match
96% this job
Sign-on bonus
75%
CME allowance
21%
Loan repayment
4% this job
PSLF eligible
4% this job

Share of similar jobs offering each benefit

#1

Licensed Clinical Mental Health Therapist - LICSW/LPCC/LMFT

LifeStance Health · Saint Louis Park, Minnesota

$74k-$126k
#2

Licensed Marriage and Family Therapist (LMFT, LPC, LCSW)

LifeStance Health · Milwaukee, Wisconsin

$92k-$125k
#3

Licensed Professional Counselor (LPC)

$115k-$120k
#4

Licensed Clinical Professional Counselor (LCPC)

$115k-$120k
+ 27 more · ranked by pay

Work-life snapshot

median 6.1this job 8.0
Among the best 10% of Substance Use / Addiction Counselor listings for work-life

Listing-based score, 0–10, across 1,008 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
  • No nights
  • On-site

Living in Lewistown

Typical 3-bedroom home value
$324k≈ 4.9× annual pay
Median resident rent
$1,007/mo≈ 18% of gross pay
Residents’ average commute
13 min
State income tax
Up to 6.8%
Sources & methodology

Sources: Zillow home values (Aug 2026), U.S. Census ACS 2024 five-year.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.

OH

About One Health

Hospitals and Health Care
HARDIN, Montana
51-200 employees

Benefits & Perks

Health, dental, vision insurance
2 medical plans at $0 cost to employee
$10,000 group life insurance
Health savings account
Matching retirement plan
Paid holidays and PTO
Discounted healthcare for employee and family
No late evenings or weekends