Substance Use Counselor IV

Addiction CounselorFull-Time

Listed compensation

$74,152

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 36m ago · Verified live

Job Description

  • $5,000 Sign On Bonus!
  • Work Schedule: 5 days per week/ 8 hour day shifts
  • Salary: $74,152/Yr.

Mirror Lake Recovery Center is seeking a dedicated and experienced Substance Use Counselor IV to join our clinical team. This senior‑level role is ideal for a professional who is passionate about supporting individuals on their recovery journey and thrives in a collaborative, patient‑centered environment.

Position Summary

The Substance Use Counselor IV provides advanced clinical services, including assessments, treatment planning, individual and group counseling, and crisis support. This role also offers leadership within the counseling team by mentoring junior staff and contributing to program development.

Qualifications

  • Bachelor’s degree or higher in Counseling, Social Work, Psychology, or a related field
  • Relevant licensure or certification required (e. g., LADAC II, CADC, LPC, LCSW, or equivalent)
  • Minimum 3 years of experience in substance use treatment or behavioral health
  • Strong understanding of ASAM criteria, trauma‑informed care, and co‑occurring disorders
  • Excellent communication, documentation, and crisis‑management skills

About Mirror Lake Recovery Center

At Mirror Lake Recovery Center, we value the input of each person that we treat, and we believe that each person who chooses to heal with us has an inherent potential for change and personal growth. Our treatment approach will not be bound by past learning history, but will respond to both present and future expectations. We believe that the client has the ability to continually adapt to a changing environment that challenges the balance between disease and health.

Treatment is not something that we do to a person; instead, it is an active collaborative process. We always seek the input and participation of our clients, and endeavor to provide them with a variety of treatment options and methodologies that have been individually tailored to meet their specific strengths, needs, and treatment goals.

Essential Functions

  • Conduct individual counseling sessions and group or family sessions as scheduled and document as required.
  • Evaluate the needs of patient and determine if referrals to other programs or facilities is needed.
  • Facilitate assigned group or family sessions and assist with modifying problem behaviors.
  • Responsible for initial assessments, as well as follow up assessment for patient.
  • Prepare individual treatment plans for each assigned patient.
  • Provide counseling services to families of patient.
  • Ensure all documentation regarding patient care, treatment and incidents are completed timely and in a clear concise manner.
  • Act as a liaison between referral sources and patient.
  • Provide crisis intervention to patient, as needed.
  • Plan for aftercare for assigned patient.
  • Act as a liaison with insurance carriers, as requested.
  • Provide case management duties for patient, ensuring individualized quality care.
  • May assist in the training of new clinical staff and interns.

May coordinate the activities of other clinical and direct patient care personnel, providing direction and clinical guidance.

Demonstrate a positive, empathetic and professional attitude towards customers always. When patient needs are not met, acknowledge and work to resolve complaints. Recognize that patient safety is a top priority.

Other Functions

Perform other functions and tasks as assigned.

Education/Experience/Skill Requirements

  • Bachelor's degree in social or health services field required and
  • Six or more years' experience in counseling field required; OR
  • Bachelor's degree in other field required and
  • Eight or more years’ experience in the counseling field; OR
  • Master's degree in social or health services field required and

Four or more years' experience in the counseling field required. Degree must be from an accredited college or university.

Licenses/Designations/Certifications

  • Licensure or certification for counseling, as required by the state in which the facility operates.
  • CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).
  • First aid may be required based on state or facility.

Additional Regulatory Requirements

Completion of ongoing education and training, as required by the state in which the facility operates and applicable accrediting body.

While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances (e. g. emergencies, changes in workload, rush jobs or technological developments) dictate.

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.

AHMKT

Qualifications

Education
Master's degree (postgraduate degree)
Experience
5+ years of experience

Key Skills

Substance Use CounselingClinical AssessmentFamily CounselingPatient DocumentationAftercare PlanningStaff Mentoring

Addiction Medicine — Counselor Career Context

Of the 50 active Substance Use / Addiction Counselor listings this role was benchmarked against, 52% are remote, 36% have no call, 62% require no weekends.

The cost-of-living index for Tennessee is 91.9 (US average = 100; BEA Regional Price Parities (2024)). 58.6% of Tennessee clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

How many Substance Use / Addiction Counselor jobs are remote?
MeasureThis jobMarket
Listed paynot listedSubstance Use / Addiction Counselor median $62k (middle half $55k–$68k)220 comparable listings, Nov 2026
Cost of livingTennessee index 91.9US average = 100BEA Regional Price Parities (2024)
Substance Use / Addiction Counselor listings in Tennessee273 active13,598 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 52% remote · 36% no call · 62% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedTennessee Counselor listings: 11% state a sign-on bonus (median $5k) · 10% offer loan repayment273 active listings, Nov 2026
New Addiction Medicine listings470 in the last 30 days287 the 30 days before (+64%)U.S., first seen on WeekdayDoc, Nov 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Location & Logistics

Tennessee has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Top Counselor Jobs

36 matches · ranked by pay

Salary Distribution

36 jobs · 24 employers
17
<$80k
9
$80k-95k
6
$95k-110k
2
$120k
2
$131k

Annual compensation range

Benefits & Perks

25 jobs · 24 employers
401k / retirement match
88%
CME allowance
48%
Sign-on bonus
16% this job
Loan repayment
8%
PSLF eligible
4%

Share of similar jobs offering each benefit

#1

Licensed Clinical Professional Counselor (LCPC)-Telehealth

LifeStance Health · Brunswick, Maine

$95k-$131k
#2

Licensed Clinical Professional Counselor (LCPC)

LifeStance Health · South Portland, Maine

$95k-$131k
#3

Licensed Clinical Professional Counselor (LCPC)

$115k-$120k
#4

Licensed Professional Counselor (LPC)

$115k-$120k
+ 34 more · ranked by pay

Work-life snapshot

median 6.1this job 3.0
Better work-life than 30% of Substance Use / Addiction Counselor listings

Listing-based score, 0–10, across 1,008 comparable listings. Shaded area = the share scoring below this one.

Mirror Lake Recovery Center logo

About Mirror Lake Recovery Center

Hospitals and Health Care
Burns, Tennessee
51-200 employees

Benefits & Perks

$5,000 Sign On Bonus

Living in Burns

Typical 3-bedroom home value
$442k
Typical market rent
$2,300/mo
Residents’ average commute
30 min
Metro price indexU.S. average = 100
96.3
State income tax
None
Sources & methodology

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

BEA 2024 · Nashville-Davidson--Murfreesboro--Franklin, TN metro prices. Housing figures are city-level.

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