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Crossroads Treatment Centers
Winchester, Virginia

Substance Abuse Counselor - Winchester. VA (OTP)

CounselorNo callNo weekendsFull-Time

Compensation

Pay not listed

The week · per this posting · Monday – Friday

Ask the employer about the pay range, the work setting, nights and shift pattern and time off.

Posted 55m 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.

4:45 AM – 1:00 PM, Monday through Friday

5:00 AM – 8:00 AM, rotating Saturdays

Education and Experience Requirements

  • General experience working with underserved populations in a clinical setting.
  • Lived addiction experience is a plus.
  • No legal impediments to serving in a licensed opiate treatment program.

Qualified candidates will hold one or more of the following certifications/licenses::

Must have an active LPC, LCSW, LMFT or LSATP. or CSAC

Counselors shall be licensed by the applicable Virginia health regulatory board or by a nationally recognized certification board or eligible for this license.

Position Benefits

  • Consistent schedule with early in times and out times
  • 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 everyday!

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 counseling and conducts clinical assessments to design and update patient treatment plans. They also collaborate with medical staff to provide holistic care and manage a caseload while ensuring clinical compliance.

Requirements

Candidates must hold an active license such as LPC, LCSW, LMFT, LSATP, or CSAC in Virginia. Experience working with underserved populations in a clinical setting is required.

Qualifications

Experience
2+ years of experience

Key Skills

Clinical assessmentTreatment planningReferral managementCaseload managementOpioid use disorder treatmentClinical documentationCrisis intervention

Addiction Medicine — Counselor Career Context

The cost-of-living index for Virginia is 101.1 (US average = 100; BEA Regional Price Parities (2024)). 61.1% of Virginia clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Substance Abuse Counselor - Winchester. VA (OTP) at Crossroads Treatment Centers a 7.2 out of 10 for work-life balance — classified as very good. This places the position in the top 10% in Substance Use / Addiction Counselor — ranked against 1,008 active Substance Use / Addiction Counselor listings on WeekdayDoc. Contributing factors include no on-call duties, no weekend requirements.

Top Substance Use / Addiction Counselor Jobs

11 matches · ranked by pay

Salary Distribution10 jobs · 5 employers

4
<$50k
1
$52k
2
$55k-60k
3
$60k-65k

Annual compensation range

Benefits & Perks10 jobs · 5 employers

401k / retirement match
100% this job
Loan repayment
80%
CME allowance
80% this job
PSLF eligible
70%
Sign-on bonus
20%

Share of similar jobs offering each benefit

#1

Substance Use Counselor - ACT

Access: Supports for Living · Mount Vernon, Virginia

$28.50 - $30.50/hr
#2

Substance Use Counselor

Christiansburg Comprehensive Treatment Center · Christiansburg, Virginia

$27.5-$30.44/hr
#3

Substance Use Counselor

$22-$30/hr
#4

Substance Use Disorder Counselor

$22.75-$28/hr
+ 9 more · ranked by pay

Work-life snapshot

median 6.1this job 7.2
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 call
  • No weekends

Living in Winchester

Typical 3-bedroom home value
$371k
Typical market rent
$1,818/mo
Residents’ average commute
20 min
Metro price indexU.S. average = 100
96.5
State income tax
Up to 5.8%
Sources & methodology

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

BEA 2024 · Winchester, VA-WV 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