Full-time Outpatient Counselor

Counselor 8.0 Work-LifeNo weekendsNo nightsFull-Time

Listed compensation

$45K - $100K

The week · per this posting · Monday – FridayWeekdays only

Ask the employer about call expectations, benefits and time off.

Posted 1mo ago

Job Description

  • St. Joseph’s Addiction Treatment and Recovery Centers
  • Location: Saranac Lake Outpatient Clinic - Saranac Lake, NY
  • Position: Full-time Counselor
  • Shift/schedule: Monday-Friday / 8:00a-4:30p
  • Pay Range: $45,000.00/yr to $100,000.00/yr

Position Summary

The Counselor is responsible for assessment, case management, treatment and individual and group counseling for clients and significant others.

Education and Training

High school graduate or equivalent and a NYS Qualified Health Professional. Credentialed Substance Abuse Counselor or Credentialed Alcoholism Counselor preferred. Must be CPR certified.

Qualifications and Requirements: Two years specific work experience in the alcoholism field. Demonstrate knowledge of substance abuse, counseling and therapeutic techniques as related to alcoholism treatment. Ability to communicate as necessary to perform job duties.

Essential Duties

  • Conduct emergency assessments.
  • Conduct and interpret comprehensive biopsychosocial assessments.
  • Develop measurable treatment plans based on initial and ongoing assessment.
  • Initiate weekly progress notes and treatment plan review notes that clearly documents all treatment received.
  • Conduct open-ended focused Small Group Therapy.
  • Conduct Individual Chemical Dependency counseling including conjoint sessions with significant others.
  • Develop comprehensive aftercare plan.
  • Develop comprehensive discharge summaries.
  • Actively participate in meetings, committees and quality assurance activities.
  • Responsible for additional duties as may be assigned by Site Supervisor.
  • Assess clients who may be at risk of withdrawal.

Key Responsibilities

The counselor is responsible for conducting comprehensive biopsychosocial assessments and developing measurable treatment plans for clients. They also facilitate individual and small group therapy sessions while maintaining accurate documentation of all treatment services.

Requirements

Candidates must be a high school graduate or equivalent and hold a NYS Qualified Health Professional credential. A minimum of two years of specific work experience in the alcoholism field and current CPR certification are required.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Individual counselingSubstance abuse treatmentBiopsychosocial assessmentTreatment planningAftercare planning

Addiction Medicine — Counselor Career Context

Of the 50 active Addiction Medicine listings this role was benchmarked against, 34% are remote, 36% have no call, 58% require no weekends.

The cost-of-living index for New York is 107.9 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$73k midpoint carries the purchasing power of roughly $67k in an average-cost state. 64.6% of New York clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Addiction Medicine pay on WeekdayDoc is up 2.8% vs. the prior quarter (through Sep 2026).

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Full-time Outpatient Counselor at St. Joseph's Addiction Treatment & Recovery Centers a 8.0 out of 10 for work-life balance — classified as excellent. This places the position in the top 5% in Addiction Medicine (Counseling) — ranked against 1,306 active Addiction Medicine (Counseling) listings on WeekdayDoc. Contributing factors include no weekend requirements, no night shifts.

Top Counselor Jobs

47 matches · ranked by pay

Salary Distribution47 jobs · 38 employers

15
<$80k
20
$80k-95k
6
$95k-110k
5
$110k-125k
1
$125k

Annual compensation range

Benefits & Perks30 jobs

401k / retirement match
93%
Sign-on bonus
33%
CME allowance
20%
Relocation assistance
7%
PSLF eligible
7%

Share of similar jobs offering each benefit

#1

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

LifeStance Health · Brookfield, Wisconsin

$92k-$125k
#2

Licensed Professional Counselor (LPC)

Gotham Enterprises · Warren, Michigan

$115k-$120k
#3

NY Licensed DBT Therapist - DBT Master’s or Doctoral - Telehealth - Full-Time

$93k-$120k
#4

Licensed Mental Health Counselor (LMFT, LCSW, LMHC)

$115k-$120k
+ 45 more · ranked by pay

Work-life snapshot

median 6.0this job 8.0
Among the best 10% of Addiction Medicine (Counseling) listings for work-life

Listing-based score, 0–10, across 1,306 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
  • No nights
  • On-site

Living in Saranac Lake

Typical 3-bedroom home value
$358k≈ 7.9× annual pay
Median resident rent
$853/mo≈ 23% of gross pay
Residents’ average commute
16 min
State income tax
Up to 10.9%
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.

St. Joseph's Addiction Treatment & Recovery Centers logo

About St. Joseph's Addiction Treatment & Recovery Centers

Hospitals and Health Care
Saranac Lake, NY
51-200 employees