Substance Use Therapist

CounselorFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

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

Posted 3mo ago

Job Description

At Integrea Community Mental Health System, you’re not just joining a workplace—you’re joining a mission‑driven team that cares deeply about its consumers, its community, and each other. We invest in our employees with comprehensive benefits—including Blue Cross/Blue Shield health and dental, vision and supplemental insurance options, and the security of participating in the Retirement Systems of Alabama (RSA).

Position Summary

The Substance Use Therapist provides outpatient behavioral health services to individuals experiencing substance use disorders. This role involves conducting assessments, developing individualized treatment plans, and delivering therapeutic services to support clients in achieving and maintaining recovery. The ideal candidate will have a strong understanding of co-occurring disorders, trauma-informed care, and motivational interviewing techniques.

Key Responsibilities

  • Conduct comprehensive substance use assessments and diagnostic evaluations.
  • Develop and implement individualized, strengths-based treatment plans.
  • Provide individual and group therapy focused on substance use recovery and co-occurring mental health issues.
  • Utilize evidence-based treatment approaches, including but not limited to CBT, DBT, MI, and relapse prevention strategies.
  • Collaborate with medical and clinical teams, including prescribers and case managers.
  • Maintain accurate, timely, and confidential clinical documentation in accordance with agency and regulatory standards.
  • Coordinate care with external providers and community resources as appropriate.
  • Participate in case reviews, staff meetings, and clinical supervision.
  • Stay current with developments in substance use treatment and engage in ongoing professional education.
  • All other duties as assigned
  • Please note this position will require evening flexibility

Requirements

The ideal candidate must have a strong understanding of trauma-informed care, motivational interviewing, and co-occurring disorders. Flexibility for evening shifts is required for this position.

Qualifications

Experience
2+ years of experience

Key Skills

Substance Use AssessmentTreatment PlanningIndividual TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Co-occurring Disorders Management

Addiction Medicine — Counselor Career Context

Of the 50 active Addiction Medicine listings this role was benchmarked against, 58% are remote, 18% have no call, 66% require no weekends.

The cost-of-living index for Alabama is 88.8 (US average = 100; BEA Regional Price Parities (2024)). 60.3% of Alabama clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

How many Addiction Medicine jobs are remote?
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 listedAddiction Medicine median $63k (middle half $55k–$69k)219 comparable listings, Oct 2026
Cost of livingAlabama index 88.8US average = 100BEA Regional Price Parities (2024)
Work settingon-sitepeers: 58% remote · 18% no call · 66% no weekends50 benchmarked listings
Addiction Medicine pay trend+2.3% vs prior quarter—through Sep 2026
Sources: WeekdayDoc live listing index (1,008 Substance Use / Addiction Counselor listings), BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Substance Use Therapist at Integrea Community Mental Health Systems 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.

Top Counselor Jobs

43 matches · ranked by pay

Salary Distribution

41 jobs · 33 employers
18
<$85k
5
$85k-110k
8
$110k-135k
10
$135k-160k

Annual compensation range

Benefits & Perks

32 jobs
401k / retirement match
81% this job
CME allowance
50%
Sign-on bonus
25%
Loan repayment
9%
PSLF eligible
9%

Share of similar jobs offering each benefit

#1

Mental Health Therapist, Contractor - WI / (Remote)Contract

Cartwheel · Remote - Nationwide

$65-$75/hr
#2

Mental Health Therapist, Contractor - IN / (Remote)Contract

Cartwheel · Remote - Nationwide

$65-$75/hr
#3

Dental Therapist

From $155k
#4

Florida-Licensed Couples & Individual Therapist (Remote, Contract)

$70 - $80/session
+ 41 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.

Integrea Community Mental Health Systems logo

About Integrea Community Mental Health Systems

Mental Health Care
Opelika, AL
51-200 employees

Benefits & Perks

Health Insurance (Blue Cross/Blue Shield)
Dental
Vision
Supplemental Insurance
Retirement Systems of Alabama (RSA) Pension

Living in Opelika

Typical 3-bedroom home value
$293k
Typical market rent
$1,485/mo
Residents’ average commute
22 min
Metro price indexU.S. average = 100
87.9
State income tax
Up to 5%
Sources & methodology

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

BEA 2024 · Auburn-Opelika, AL metro prices. Housing figures are city-level.

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