Substance Use Counselor II
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.
Job Description
Job Requirements
I. General Summary
The Substance Use Counselor II is an integral member of the multidisciplinary treatment team who is primarily responsible for evaluating patients and coordinating individual and group counseling through the use of patient education, behavior modification and relapse prevention.
II. Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
1. Will perform a full range of clinical counseling services for patients and demonstrate unit focused leadership in clinical practice, professional development, service quality, or unit operations.
2. Participation or Development of a Performance Improvement Initiative.
3. Assists with education and development of Counselor I and interns.
4. Leads activities to promote Joint Commission readiness and ongoing monitoring.
5. Participates in unit based research activities, council, or committee to enhance quality of counseling practice.
6. Develops interest in a service specialty by engaging in or developing opportunities in the specialty.
7. Pursues membership in professional organization and demonstrate active participation.
8. Demonstrates support and compliance with University of Maryland mission, vision, values, philosophy, goals, objectives and policies.
9. Identifies areas impacting unit operations and assists in developing/implementing action plans.
10. Contributes to development of unit based peer review processes; actively participates in peer feedback and case reviews
Work Experience
I. Education and Experience
1. Bachelor’s degree is required.
2. Must be a Certified Supervised Counselor- Alcohol and Drug (CSC-AD), Certified Associate Counselor- Alcohol and Drug (CAC-AD), Licensed Graduate Alcohol & Drug Counselor (LGADC), Licensed Graduate Professional Counselor (LGPC) or Licensed Masters Social Worker (LMSW)
3. At least two years of Substance Use Disorder Counseling experience is preferred.
II. Knowledge, Skills and Abilities
1. Intermediate understanding of Substance Use Disorders.
2. Modern knowledge of basic insurance guidelines, professional code of ethics (professional standards), patient rights, and confidentiality and privacy, as applicable to the particular area of specialty.
3. Ability to provide therapeutic treatment recommendations based on drug screening results.
4. Ability to professionally express ideas orally and in writing; to establish effective working relationships with clients, staff members and the general public.
5. Ability to accurately apply cultural competencies to a diverse population.
III. Patient Safety
Ensures patient safety in the performance of job functions and through participation in hospital, department or unit patient safety initiatives.
1. Proactive approaches to observed risks to patient safety.
2. Reports adverse events and near misses to appropriate management authority.
3. Implements policies, procedure, and standards consistently in the performance of assigned duties.
4. Maintains effective working relationships and maintains good communication with other team members.
5. Identifies possible risks in processes, procedures, devices and communicates the same to those in charge.
Key Responsibilities
The Substance Use Counselor II evaluates patients and coordinates individual and group counseling sessions using behavior modification and relapse prevention techniques. They also provide unit-focused leadership, assist in the development of junior staff, and participate in quality improvement and research initiatives.
Requirements
Candidates must hold a bachelor's degree and possess a relevant professional certification such as CSC-AD, CAC-AD, LGADC, LGPC, or LMSW. At least two years of experience in substance use disorder counseling is preferred.
Qualifications
- Education
- Bachelor degree
- Experience
- 2+ years of experience
Key Skills
Addiction Medicine — Counselor Career Context
Of the 50 active Substance Use / Addiction Counselor listings this role was benchmarked against, 40% are remote, 46% have no call, 54% require no weekends.
The cost-of-living index for Maryland is 105.0 (US average = 100; BEA Regional Price Parities (2024)). 62.9% of Maryland clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
| Measure | This job | Market |
|---|---|---|
| Listed pay | not listed | Substance Use / Addiction Counselor median $64k (middle half $59k–$67k)14 comparable listings, Nov 2026 |
| Cost of living | Maryland index 105.0 | US average = 100BEA Regional Price Parities (2024) |
| Addiction Medicine listings in Maryland | 52 active | —live on WeekdayDoc, Nov 2026 |
| All substance use / addiction counselor listings in Maryland | 393 active | 13,281 nationallylive on WeekdayDoc, Nov 2026 |
| Work setting | on-site | peers: 40% remote · 46% no call · 54% no weekends50 benchmarked listings |
| Sign-on & loan repayment | not stated | Maryland counselor listings (all specialties): 12% state a sign-on bonus (median $5k) · 9% offer loan repayment393 active listings, Nov 2026 |
| New Addiction Medicine listings | 441 in the last 30 days | 214 the 30 days before (+106%)U.S., first seen on WeekdayDoc, Nov 2026 |
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