Substance Use Counselor
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.
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
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).
| Measure | This job | Market |
|---|---|---|
| Work-life score | 7.7 / 10 · top 10% in substance use / addiction counselor | ranked against 1,008 Substance Use / Addiction Counselor listingslisting-based score, 0–10 |
| Listed pay | not listed | Substance Use / Addiction Counselor median $59k (middle half $59k–$71k)16 comparable listings, Oct 2026 |
| Cost of living | North Carolina index 94.3 | US average = 100BEA Regional Price Parities (2024) |
| Substance Use / Addiction Counselor listings in North Carolina | 507 active | 13,530 nationallylive on WeekdayDoc, Oct 2026 |
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 paySalary Distribution
5 jobsAnnual compensation range
Work-Life Balance Distribution
5 jobsHigher = better work-life balance
Licensed Therapist – Addiction and Mental Health
Steadfast Health · Winston-Salem, North Carolina
Addictions Counselor - Full Time
Gaudenzia · Owings Mills, Maryland
Certified Addictions Counselor (CADC / LCAS) – Camp Lejeune, NC
$70k-$71kSubstance Abuse Counselor, QMHP and LCASA / LCAS - Be a Lifeline for Individuals in Need. $1K Sign-on Bonus
From $60k