Alcohol and Substance Abuse Counselor

Addiction CounselorNo weekendsFull-Time

Listed compensation

$24-$28/hr

The week · per this posting · Monday – Friday

Ask the employer about the work setting, call expectations and nights and shift pattern.

Posted 35m ago · Verified live

Job Description

Professional Medical Practice, P.C., is looking for an Alcohol and Substance Abuse Counselor (CASAC-T, CASAC, CASAC2) to work in the medical department at the Monroe County Jail located in Rochester, NY.

This is a full-time position, working 40 hours per week, Monday-Friday (8:00am-4:30pm). Hourly Rate: $24.00- 28.00.

You must have a CASAC-T, CASAC, or CASAC2 to qualify for this role.

Job Responsibilities

Responsible for the clinical monitoring, coordination, and implementation of the behavioral health program in accordance with Company policies and procedures.

  • Serve as the liaison between medical and facility staff as it pertains to Medication Assisted Treatment (MAT).
  • Engage patient in therapeutic interventions with the goal of addressing substance use related concerns.
  • Facilitate group and individual sessions with patients in the MAT program.
  • Actively assist with the detection and prevention of patient suicide.
  • Document all patient encounters in a timely manner utilizing the SOAPE note format.

Assist and/or collaborate with facility staff regarding discharge planning for patients in the MAT program, where applicable.

Facilitate/participate in interdisciplinary team meetings and/or case consultations with staff across disciplines.

Participate as a member of the Quality Assurance Committee and any sub-committees. Assist in the establishment of Quality Assurance standards and audit criteria.

Serve as a member of various committees within the medical unit and facility as necessary.

Benefits

Professional Care believes in offering a competitive compensation and benefits package to all their employees! Standard benefits for full-time employees include:

Health care (i. e., medical, dental, vision, and elective health savings account (i. e., HSA).

Elective options for life insurance, as well as short & long-term disability.

Paid time off will accrue for a maximum accrual of ten (10) days (or 80 hours) per year. In addition, you will also receive six (6) floating holidays, pro-rated within your first year of employment as dictated by your effective hire date.

You are also eligible to accrue “sick and safe” leave benefits under the New York State Sick Leave Law (i. e., NYSSL). NYSSL accrues at a rate of one (1) hour for every thirty (30) hours of straight time worked, for a maximum annual accrual of fifty-six (56) hours.

  • 401k retirement with discretionary company match.
  • Clinical supervision hours provided at no cost - and more!

For a Full Job Description, Please Click Here

primecaremedical.com

Requirements

  • Must be certified as an Alcohol and Substance Abuse Counselor (CASAC-T, CASAC, CASAC2)
  • Bachelor’s Degree / Master's Degree in Social Work, Psychology, Counseling, or other related Human Services degree with a concentration in drug and alcohol course work.
  • Minimum one (1) year clinical experience preferred.
  • Effective communication skills.
  • Ability to function independently and demonstrating clinical competency.
  • Ability to gain trust of patients and build a working relationship.

Key Responsibilities

The counselor is responsible for monitoring and implementing behavioral health programs and facilitating medication-assisted treatment sessions. They also act as a liaison between medical and facility staff while ensuring accurate documentation and participating in quality assurance committees.

Qualifications

Education
Master's degree (postgraduate degree)

Key Skills

Substance abuse counselingGroup facilitationIndividual counselingSuicide preventionSOAPE documentationInterdisciplinary collaboration

Addiction Medicine — Counselor Career Context

Of the 50 active Substance Use / Addiction Counselor listings this role was benchmarked against, 54% are remote, 30% have no call, 52% 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 ~$54k midpoint carries the purchasing power of roughly $50k in an average-cost state. 64.6% of New York clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

How many Substance Use / Addiction Counselor jobs are remote?
MeasureThis jobMarket
Work-life score6.4 / 10 · above average in substance use / addiction counselorranked against 1,008 Substance Use / Addiction Counselor listingslisting-based score, 0–10
Listed pay$50k–$58kSubstance Use / Addiction Counselor median $59k (middle half $54k–$69k)55 comparable listings, Nov 2026
Cost-of-living adjusted pay~$50k in purchasing powerNew York index 107.9 (US = 100)BEA Regional Price Parities (2024)
Addiction Medicine listings in New York99 active—live on WeekdayDoc, Nov 2026
All substance use / addiction counselor listings in New York804 active13,496 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 54% remote · 30% no call · 52% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedNew York counselor listings (all specialties): 10% state a sign-on bonus (median $5k) · 11% offer loan repayment804 active listings, Nov 2026
New Addiction Medicine listings428 in the last 30 days247 the 30 days before (+73%)U.S., first seen on WeekdayDoc, Nov 2026
Sources: WeekdayDoc live listing index (1,008 Substance Use / Addiction Counselor listings), BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page. New York figures use all substance use / addiction counselors: too few New York Addiction Medicine postings state pay.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Alcohol and Substance Abuse Counselor at Professional Care Medical Practice, P.C a 6.4 out of 10 for work-life balance — classified as good. This places the position in the Above average in Substance Use / Addiction Counselor — ranked against 1,008 active Substance Use / Addiction Counselor listings on WeekdayDoc. Contributing factors include no weekend requirements.

Top Counselor Jobs

35 matches · ranked by pay

Salary Distribution

35 jobs · 25 employers
15
<$85k
10
$85k-105k
6
$105k-125k
4
$125k-145k

Annual compensation range

Benefits & Perks

22 jobs
401k / retirement match
86% this job
CME allowance
41%
Sign-on bonus
32%
Loan repayment
27%
PSLF eligible
18%

Share of similar jobs offering each benefit

#1

Licensed Mental Health Therapist

LifeStance Health · Lake Oswego, Oregon

$123k-$141k
#2

Licensed Marriage and Family Therapist (LMFT)

LifeStance Health · West Linn, Oregon

$123k-$141k
#3

Licensed Mental Health Therapist (LMFT, LCSW, LPCC)

$117k-$134k
#4

Mental Health Therapist

$131k
+ 33 more · ranked by pay

Work-life snapshot

median 6.1this job 6.4
Better work-life than 70% of Substance Use / Addiction Counselor listings

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

  • No weekends
Professional Care Medical Practice, P.C logo

About Professional Care Medical Practice, P.C

Hospitals and Health Care
Harrisburg, PA
501-1,000 employees

Benefits & Perks

Health Insurance
Dental
Vision
HSA
Life Insurance
Short & Long-Term Disability
PTO (10 days/year)
6 Floating Holidays

Living in Rochester

Typical 3-bedroom home value
$240k
Typical market rent
$1,454/mo
Residents’ average commute
19 min
Metro price indexU.S. average = 100
97.0
State income tax
Up to 10.9%
Sources & methodology

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

BEA 2024 · Rochester, NY metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.