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Winston Salem Comprehensive Treatment Center
Winston-Salem, North Carolina · Hybrid

Substance Use Counselor

Addiction CounselorNo callNo weekendsFull-Time

Compensation

Pay not listed

The week · per this posting · Monday – Friday

Ask the employer about the pay range, nights and shift pattern and time off.

Posted 1h ago · Verified live

Job Description

  • Outpatient MAT Opioid Treatment Program (OTP)
  • Seeking: Substance Use Counselor - Hybrid
  • 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

Optional Hybrid Schedule: Hybrid schedules are available to those who have extensive experience in the substance use counseling field. Hybrid clinicians will be provided a laptop and permitted to work partially in the clinic and partially from home after the initial on-site training period.

Our Benefits

  • 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

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.

Key Responsibilities

The Substance Use Counselor provides compassionate individual and group therapy to patients recovering from opioid use disorder. Responsibilities include developing treatment plans, conducting assessments, and maintaining clinical documentation in accordance with regulatory standards.

Qualifications

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

Key Skills

Individual counselingTreatment planningHIPAA compliancePatient assessment

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).

How many Substance Use / Addiction Counselor jobs are remote?
MeasureThis jobMarket
Work-life score7.7 / 10 · top 10% in substance use / addiction counselorranked against 1,008 Substance Use / Addiction Counselor listingslisting-based score, 0–10
Listed paynot listedSubstance Use / Addiction Counselor median $59k (middle half $59k–$71k)16 comparable listings, Oct 2026
Cost of livingNorth Carolina index 94.3US average = 100BEA Regional Price Parities (2024)
Substance Use / Addiction Counselor listings in North Carolina507 active13,530 nationallylive on WeekdayDoc, Oct 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 Counselor at Winston Salem Comprehensive Treatment Center a 7.7 out of 10 for work-life balance — classified as very good. This places the position in the top 10% in Substance Use / Addiction Counselor — ranked against 1,008 active Substance Use / Addiction Counselor listings on WeekdayDoc. Contributing factors include no on-call duties, no weekend requirements, remote work flexibility.

Top Substance Use / Addiction Counselor Jobs

5 matches · ranked by pay

Salary Distribution

5 jobs
1
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1
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2
$65k-75k
1
$80k

Annual compensation range

Work-Life Balance Distribution

5 jobs
0
1-2
0
3-4
1
5-6
4
7-8
0
9-10

Higher = better work-life balance

#1

Licensed Therapist – Addiction and Mental Health

Steadfast Health · Winston-Salem, North Carolina

$70k-$80k
#2

Addictions Counselor - Full Time

Gaudenzia · Owings Mills, Maryland

$26.44-$34.61/hr
#3

Certified Addictions Counselor (CADC / LCAS) – Camp Lejeune, NC

$70k-$71k
#4

Substance Abuse Counselor, QMHP and LCASA / LCAS - Be a Lifeline for Individuals in Need. $1K Sign-on Bonus

From $60k
+ 3 more · ranked by pay

Work-life snapshot

median 6.1this job 7.7
Among the best 10% of Substance Use / Addiction Counselor listings for work-life

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

  • No call
  • No weekends
  • Hybrid
  • Remote
Winston Salem Comprehensive Treatment Center logo

About Winston Salem Comprehensive Treatment Center

Hospitals and Health Care
Winston-Salem, North Carolina

Benefits & Perks

Medical Insurance
Dental Insurance
Vision Insurance
401(k)
Paid Vacation
Paid Sick Time
Employer-paid Clinical Supervision
Free CEUs