Substance Use Counselor

Counselor Top 10% in Addiction Medicine (Counseling)No callNo weekendsFull-Time

Compensation

Pay not disclosed

Listing transparency3 of 6 stated

Ask the employer about the pay range, the work setting and nights and shift pattern.

Employment & setting
Full-Time
Call expectations
No call
Weekends
No weekends
Posted 58m ago · Verified live

Job Description

Overview

  • Outpatient MAT Opioid Treatment Program
  • Seeking: Substance Use Counselor

LCAS, LCAS-a, LCSW-a, LCSW, CADC

  • Full-Time Hours:
  • Monday - Friday 5 AM - 1:30 PM
  • Saturday 6 AM - 8:30 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

Fayetteville Comprehensive Treatment Center (CTC), located in Fayetteville, 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/Counselor Lead

The Substance Use Counselor Lead is a counseling professional who is instrumental in providing treatment and support to assist patients in their recovery from Opioid Use Disorder. Substance Use Counselors provide high quality, compassionate care through various mediums which include individual and group counseling sessions, modify problem behaviors, and may also provide counseling services to families of patient’s through an outpatient setting.

Job Responsibilities

  • Conducts individual counseling sessions, as scheduled and documents;
  • Conducts group and/or family sessions, as scheduled and document;
  • May co-facilitate assigned group or family sessions;
  • Responsible for initial patient assessments, as well as follow up assessment;
  • Prepares individual treatment plan for each assigned patient;
  • May act as a liaison between referral sources and patient;
  • Provides crisis intervention to patients, as needed;
  • May plan for aftercare for assigned patients;
  • May act as a liaison with insurance carriers, as requested;
  • May provide case management duties for patients, ensuring individualized quality care.
  • Evaluates patient’s needs and determines if referrals to other programs or facilities is needed;

Ensures all documentation regarding patient care, treatment and incidents are completed timely and in a clear, concise manner and within policy guidelines;

May assist in the training of new clinical staff and interns;

May serve as lead for the team coordinating the activities of other clinical or direct patient care personnel, providing direction and clinical guidance; and,

Perform other duties as assigned.

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

Qualifications

  • Education Requirements:
  • Minimum education as required to obtain certification or licensure in the state the facility operates applies:
  • Minimum Bachelor’s degree in any field of study from an accredited college or university.
  • Prefer a Master’s degree in social or health services from an accredited college or university.
  • Experience Requirements
  • Master’s degree: Minimum 6 years counseling work experience
  • Bachelor’s or Associate degree: 8 years of work experience; or
  • No degree: 10 years of counseling work experience

Your Skills and Qualifications

Experience providing counseling in an addiction recovery, detox, substance use disorder (SUD), or opioid treatment program (OTP) environment

  • Prior knowledge/experience working with MAT (medication-assisted treatment) is highly preferred
  • Previous experience providing guidance and direction to others

Licenses/Certifications

LCAS, LCAS-A, LCSW-A, LCSW, CADC

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

#LI-CTC

#LI-JW1

Key Responsibilities

The Substance Use Counselor provides compassionate, high-quality individual and group therapy to patients recovering from Opioid Use Disorder. Responsibilities include conducting assessments, developing treatment plans, providing crisis intervention, and ensuring accurate clinical documentation.

Qualifications

Education
Bachelor degree
Experience
5+ years of experience

Key Skills

Substance Use CounselingOpioid Use Disorder TreatmentFamily CounselingPatient AssessmentTreatment PlanningLiaison Services

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Substance Use Counselor at Fayetteville Comprehensive Treatment Center a 7.2 out of 10 for work-life balance — classified as very good. This places the position in the top 10% in Addiction Medicine (Counseling) — ranked against 1,286 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).

7.2/10 work-life score · Top 10% in Addiction Medicine (Counseling) — ranked against 1,286 active roles in this specialty

Top Substance Use / Addiction Counselor Jobs

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$43k-$76k
#3

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#4

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+ 2 more · ranked by pay

Work-life snapshot

7.2/ 10
Listing-based score

Top 10% in Addiction Medicine (Counseling)

A signal to investigate—not a guarantee about the workplace.

  • No call
  • No weekends

Living in Fayetteville

  • Typical 3-bed home value $207k
  • Typical rent $1,367/mo
  • Residents' average commute 19 min
  • Metro price index 92.0 · U.S. average 100
  • State income tax up to 4.8%
Sources & calculation

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

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

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

Fayetteville Comprehensive Treatment Center logo

About Fayetteville Comprehensive Treatment Center

Hospitals and Health Care
Fayetteville, North Carolina
11-50 employees

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)
Early morning hours offering a great work/life balance