Substance Use Counselor

Counselor 8.0 Work-LifeNo 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 1h ago · Verified live

Job Description

  • Outpatient MAT Opioid Treatment Program (OTP)
  • Seeking: Substance Use Counselor
  • CADC-I, CADC, LCAS-A, LCAS, LCSW-A, LCSW, LCMHC-A, or LCMHC

Full-Time Hours

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

Our Benefits

  • Semi-Annual Bonus Program
  • 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

Winston-Salem Comprehensive Treatment Center (CTC), located in Winston-Salem, 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

Qualifications

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.

#LI-CTC

#LI-JW1

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

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Substance Use Counselor at Winston Salem Comprehensive Treatment Center 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 1,285 active Addiction Medicine (Counseling) listings on WeekdayDoc. Contributing factors include no on-call duties, no weekend requirements.

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).

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Work-life snapshot

median 6.1this job 8.0
Among the best 10% of Addiction Medicine (Counseling) listings for work-life

Listing-based score, 0–10, across 1,285 comparable listings. Shaded area = the share scoring below this one.

  • No call
  • No weekends

Living in Winston-Salem

Typical 3-bedroom home value
$263k
Typical market rent
$1,507/mo
Residents’ average commute
22 min
Metro price indexU.S. average = 100
92.0
State income tax
Up to 4.8%
Sources & methodology

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

BEA 2024 · Winston-Salem, NC metro prices. Housing figures are city-level.

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

Winston Salem Comprehensive Treatment Center logo

About Winston Salem Comprehensive Treatment Center

Hospitals and Health Care
Winston-Salem, North Carolina

Benefits & Perks

Semi-Annual Bonus Program
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 Continuing Education Units (CEUs)
Employee Assistance Program (EAP)
Student loan forgiveness through HRSA (if eligible)