Substance Use Counselor

Addiction 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 45m ago · Verified live

Job Description

Outpatient MAT Opioid Treatment Program

*SIGN ON BONUS AVAILABLE*

  • Seeking: Substance Use Counselor
  • CADC-I, CADC, LCAS-A, LCAS, LCSW-A, LCSW, LCMHC-A, or LCMHC Required

Full-Time Hours

  • Monday - Friday 5 AM - 1:30 PM
  • Rotating Saturdays 6 AM - 8 AM

Our Benefits

  • Medical, Dental, and Vision insurance
  • Competitive 401(k) plan
  • Paid vacation and sick time
  • Employer-paid clinical supervision (free to employees)
  • Free and unlimited access to 500+ accredited Continuing Education Units (CEUs)
  • Employee Assistance Program (EAP) offering continued support to employee lifestyle and well-being
  • Early morning hours offering a great work/life balance
  • Opportunity for growth that is second to none in the industry

Our Team

North Wilkesboro Comprehensive Treatment Center (CTC), located in North Wilkesboro, NC, is part of Acadia Healthcare's Comprehensive Treatment Centers, the leading provider of medication-assisted treatment in the nation. Our counseling team provides compassionate, high-quality counseling and therapy to patients that are seeking recovery from Opioid Use Disorder.

Your Job as a Substance Use Counselor

The Substance Use Counselor is instrumental in our patient’s treatment and recovery from opioid use disorder. Substance Use Counselors provide high quality, compassionate care through various mediums which include both individual and group counseling sessions.

Job Responsibilities

  • Provide high quality, compassionate guidance in both individual and group counseling sessions.
  • Plan, oversee, facilitate and document patient's recovery.
  • Co-facilitate assigned group or family sessions as needed.
  • Ensure all documentation regarding patient care, treatment, and incidents is completed timely and in a clear, concise manner.
  • Prepare individual treatment plans for each assigned patient.
  • Initial assessments as well as follow up assessments.
  • Evaluate patient needs and determine if referrals to other programs or facilities are needed.
  • May plan for aftercare for assigned patients.
  • Provide crisis intervention to patients, as needed.
  • Provide case management duties for patients, ensuring individualized quality care as needed.
  • Act as a liaison between referral sources and patients, as needed.

Eligible positions may qualify for student loan forgiveness through HRSA, depending on clinic site eligibility. Check your eligibilty here: HRSA Eligibility

Required Education, Skills and Qualifications

  • High School Diploma or GED equivalent required;
  • Prefer Bachelor's or Master's degree in social or health services field;
  • Degree must be from an accredited college or university with practicum in order to be licensed.
  • Previous experience in addiction recovery or behavioral health settings, such as outpatient, residential, or correctional facilities.
  • Familiarity with Medication-Assisted Treatment (MAT), including methadone, buprenorphine, and naltrexone.
  • Experience conducting individual and group counseling sessions focused on substance use recovery.

Knowledge of evidence-based practices, such as Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and relapse prevention techniques.

Documentation experience, including maintaining clinical notes, treatment plans, and progress updates in accordance with state and federal guidelines.

Familiarity with state regulatory standards (e. g., 42 CFR Part 2, HIPAA, Joint Commission standards).

Experience collaborating in a multidisciplinary team with medical staff, case managers, and peer support specialists.

  • Licenses/Certifications
  • CADC-I, CADC, LCAS-A, LCAS, LCSW-A, LCSW, LCMHC-A, or LCMHC
  • License or Certification is required to apply.
  • We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.
  • AHCTC

Key Responsibilities

The Substance Use Counselor provides compassionate individual and group therapy to patients recovering from opioid use disorder. Responsibilities include developing treatment plans, documenting patient progress, and providing crisis intervention as needed.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Substance use counselingIndividual counselingTreatment planningClinical documentationHIPAA compliancePatient assessment

Addiction Medicine — Counselor Career Context

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)). 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

What does the Substance Use / Addiction Counselor market look like in North Carolina?
MeasureThis jobMarket
Work-life score6.6 / 10 · top 25% in substance use / addiction counselorranked against 1,008 Substance Use / Addiction Counselor listingslisting-based score, 0–10
Listed paynot listedSubstance Use / Addiction Counselor median $60k (middle half $55k–$71k)18 comparable listings, Nov 2026
Cost of livingNorth Carolina index 94.3US average = 100BEA Regional Price Parities (2024)
Addiction Medicine listings in North Carolina52 active—live on WeekdayDoc, Nov 2026
All substance use / addiction counselor listings in North Carolina464 active12,948 nationallylive on WeekdayDoc, Nov 2026
Sign-on & loan repaymentsign-on bonus · loan repaymentNorth Carolina counselor listings (all specialties): 14% state a sign-on bonus (median $5k) · 15% offer loan repayment464 active listings, Nov 2026
New Addiction Medicine listings419 in the last 30 days235 the 30 days before (+78%)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. North Carolina figures use all substance use / addiction counselors: too few North Carolina Addiction Medicine postings state pay.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Substance Use Counselor at North Wilkesboro Comprehensive Treatment Center a 6.6 out of 10 for work-life balance — classified as good. This places the position in the top 25% 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

6 matches · ranked by pay

Salary Distribution

6 jobs · 5 employers
2
<$50k
1
$58k
2
$60k-70k
1
$72k

Annual compensation range

Work-Life Balance Distribution

6 jobs · 5 employers
0
1-2
0
3-4
2
5-6
4
7-8
0
9-10

Higher = better work-life balance

#1

Clinical Counselor (CASAC)

Noble Hearts HR Consulting · Corona, New York

$32-$34.48/hr
#2

Substance Use Counselor

Fitchburg Comprehensive Treatment Center · Fitchburg, Massachusetts

$27.91-$32.45/hr
#3

Addiction Counselor (LAC Candidate)

$27-$29/hr
#4

Addiction Counselor (CADC/ LCAS)

$52k-$58k
+ 4 more · ranked by pay

Work-life snapshot

median 6.1this job 6.6
Better work-life than 80% 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 call
  • No weekends
North Wilkesboro Comprehensive Treatment Center logo

About North Wilkesboro Comprehensive Treatment Center

Hospitals and Health Care
North Wilkesboro, North Carolina

Benefits & Perks

Sign-on bonus available
Medical, Dental, and Vision insurance
Competitive 401(k) plan
Paid vacation and sick time
Employer-paid clinical supervision
Free and unlimited access to 500+ accredited CEUs
Employee Assistance Program (EAP)
Early morning hours for work/life balance

Living in North Wilkesboro

Typical 3-bedroom home value
$235k
Median resident rent
$599/mo
Residents’ average commute
15 min
State income tax
Up to 4.8%
Sources & methodology

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

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