Lead Counselor

CounselorNo weekendsFull-Time

Listed compensation

$32-$36.5/hr

The week · per this posting · Monday – Friday

Ask the employer about the work setting, call expectations, nights and shift pattern and time off.

Posted 1h ago · Verified live

Job Description

  • Outpatient MAT Opioid Treatment Program
  • Seeking: Substance Use Counselor
  • LPC or LCSW

Full-Time Hours

  • Monday - Friday 5 AM - 2 PM
  • Rotating Saturday mornings

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

Roanoke Comprehensive Treatment Center (CTC) located in Roanoke, VA, 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 eligibility here: HRSA Eligibility
  • Role Location: Virginia
  • Calculated Salary Range for role: $32.00 - $36.50 per hour

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

LPC or LCSW

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 Lead 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 coordinating clinical activities for the team.

Qualifications

Education
Bachelor degree
Experience
10+ years of experience

Key Skills

Substance Use CounselingFamily TherapyTreatment PlanningClinical DocumentationPatient Assessment

Substance Use Counseling — Counselor Career Context

Of the 50 active Counselor listings this role was benchmarked against, 4% are remote, 62% have no call, 88% require no weekends.

The cost-of-living index for Virginia is 101.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$71k midpoint carries the purchasing power of roughly $70k in an average-cost state. 61.1% of Virginia clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Counselor pay on WeekdayDoc is up 2.5% vs. the prior quarter (through Sep 2026).

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Lead Counselor at Roanoke Comprehensive Treatment Center a 6.4 out of 10 for work-life balance — classified as good. This places the position in the top 5% in Substance Use Counseling — ranked against 41 active Substance Use Counseling listings on WeekdayDoc. Contributing factors include no weekend requirements.

Top Counselor Jobs

19 matches · ranked by pay

Salary Distribution19 jobs · 18 employers

6
<$70k
5
$70k-80k
5
$80k-90k
2
$90k-100k
1
$101k

Annual compensation range

Benefits & Perks15 jobs

401k / retirement match
100% this job
Sign-on bonus
40% this job
CME allowance
27% this job
PSLF eligible
20% this job
Loan repayment
13% this job

Share of similar jobs offering each benefit

#1

Outpatient Therapist Chemical Dependency

Avera Health · Sioux Falls, South Dakota

$61k-$101k
#2

Substance Use Counselor

St. Anthony Foundation · San Francisco, California

$60k-$90k
#3

Substance Use Disorder Counselor

$67,679 - $90,247
#4

Licensed Clinical Alcohol and Substance Abuse Counselor

$75k-$85k
+ 17 more · ranked by pay

Work-life snapshot

median 3.0this job 6.4
Among the best 10% of Substance Use Counseling listings for work-life

Listing-based score, 0–10, across 41 comparable listings. Shaded area = the share scoring below this one.

  • No weekends

Living in Roanoke

Typical 3-bedroom home value
$265k
Typical market rent
$1,413/mo
Residents’ average commute
19 min
Metro price indexU.S. average = 100
93.6
State income tax
Up to 5.8%
Sources & methodology

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

BEA 2024 · Roanoke, VA metro prices. Housing figures are city-level.

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

Roanoke Comprehensive Treatment Center logo

About Roanoke Comprehensive Treatment Center

Hospitals and Health Care
Roanoke, Virginia

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 CEUs
Employee Assistance Program (EAP)
Early morning hours for work/life balance