Crossroads Treatment Centers logo
Crossroads Treatment Centers
Seneca, South Carolina

Substance Abuse Counselor

Counselor Above average in Addiction Medicine (Counseling)No weekendsFull-Time

Compensation

Pay not disclosed

The week, per this posting

Ask the employer about the pay range, the work setting and call expectations.

Employment & setting
Full-Time
Call expectations
Not specified
Weekends
No weekends
Posted 1mo 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 hours per week.

Monday - Friday 4:45 am - 12:45 pm

Education and Experience Requirements

  • General experience working with underserved populations in a clinical setting.
  • Lived addiction experience is a plus.
  • Qualified candidates will hold one or more of the following certifications/licenses:
  • Bachelor’s degree in a related field required.
  • Master’s degree in a behavioral health field preferred.

Must Be Licensed or Certified in SC

  • Experience treating opiate-addicted patients is a plus.
  • Candidate must be willing to start early in the morning, as work hours start at 5:00 AM
  • No legal impediments to serving in a licensed opiate treatment program.
  • Must have a valid driver's 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 every day!

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
  • Loan Forgiveness Program
  • Crossroads is a STAR (Substance Use Disorder Treatment and Recovery) approved organization. This means our clinicians will have access to help pay off federal student loans so they can focus on what they do best: patient care!
  • Please see the website at https://bhw.hrsa.gov/funding/apply-loan-repayment/star-lrp

Apply to the Substance Use Disorder Treatment and Recovery Loan Repayment Program | Bureau of Health Workforce

Key Responsibilities

The Substance Abuse Counselor provides individual counseling, conducts clinical assessments, and designs personalized treatment plans for patients with opioid use disorder. They also manage assigned caseloads, collaborate with clinical staff, and ensure compliance with treatment requirements.

Requirements

Candidates must hold a bachelor's degree in a related field and be licensed or certified in South Carolina. Experience working with underserved populations and treating opiate-addicted patients is preferred.

Qualifications

Education
Bachelor degree

Key Skills

Treatment planningCaseload managementClinical complianceOpioid use disorder treatmentCrisis interventionPatient advocacy

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Substance Abuse Counselor at Crossroads Treatment Centers a 6.4 out of 10 for work-life balance — classified as good. This places the position in the Above average in Addiction Medicine (Counseling) — ranked against 1,299 active Addiction Medicine (Counseling) listings on WeekdayDoc. Contributing factors include no weekend requirements.

Addiction Medicine — Counselor Career Context

Crossroads Treatment Centers holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 74/100, 38 active listings.

Of the 50 active Counselor listings this role was benchmarked against, 54% are remote, 28% have no call, 72% require no weekends.

The cost-of-living index for South Carolina is 93.7 (US average = 100; BEA Regional Price Parities (2024)). 60.6% of South Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Counselor Jobs

41 matches · ranked by pay

Salary Distribution35 jobs · 33 employers

14
<$70k
4
$70k-90k
3
$90k-110k
14
$110k-130k

Annual compensation range

Benefits & Perks35 jobs · 33 employers

401k / retirement match
74% this job
CME allowance
51% this job
Sign-on bonus
29%
Loan repayment
23% this job
PSLF eligible
9%

Share of similar jobs offering each benefit

#1

West Virginia Licensed Professional Counselor (Remote)

Adjuvant Behavior Health · Morgantown, West Virginia

$60-$62/hr
#2

Clinical Supervisor & Therapist

Mindfully Behavioral Health · Longmont, Colorado

#3

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

$92k-$125k
#4

Licensed Telehealth Therapist / Mental Health Counselor (South Carolina)

$55-$60/hr
+ 39 more · ranked by pay

Work-life snapshot

median 6.1this job 6.4
Better work-life than 70% of Addiction Medicine (Counseling) listings

Listing-based score, 0–10, across 1,299 comparable listings. Shaded area = the share scoring below this one.

  • No weekends

Living in Seneca

Typical 3-bedroom home value
$298k
Typical market rent
$1,430/mo
Residents’ average commute
16 min
State income tax
Up to 6.5%
Sources & methodology

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

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 options with match program
Annual Continuing Education Allowance
Life Insurance
Short/Long Term Disability
Paid maternity/paternity leave
Mental Health Day