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BJC HealthCare
Saint Louis, Missouri

Clinical Co-Occurring Counselor

Counselor / Therapist 8.0 Work-LifeNo callNo weekendsFull-Time

Listed compensation

$52k-$85k

The week · per this posting · Monday – Friday

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

Posted 1h ago · Verified live

Job Description

Additional Information About the Role

Shift information: Monday – Friday – (8:30 AM – 5:00 PM)

Clients: This team works with clients that have both mental health as well as substance use disorder diagnosis’s- to provide Integrated Treatment for Co-Occurring Disorders services to them.

MUST HAVE skills for this position: Fully licensed – LPC, LCSW or Provisionally licensed PLPC, LMSW – OR has a qualifying substance use disorder credential – (QAPC Qualified Addiction Professional Credential)) such as CADC, CRADC, CRAADC, CCJP, CCDP, CCDP-D, RADC

Job responsibilities: Providing stage-based EBP to individuals with co-occurring substance use and mental health diagnoses from harm reduction to motivational interviewing to relapse prevention. Strong treatment planning and service documentation skills.

Meeting with clients in the community/office to work on developing coping skills with them that will encourage harm reduction (less substance use) and assist them in achieving their personal treatment plan goals, i. e., employment, stable housing, etc.

Overview

BJC Behavioral Health is a community health center that provides and coordinates behavioral health services for more than 8,000 seriously mentally ill adults and seriously emotionally disturbed children in St. Louis City, St. Louis County, St. François, Iron and Washington counties. As an Administrative Agent of the Missouri Department of Mental Health (DMH), BJC Behavioral Health serves as a major point of entry for people eligible for mental health services funded by DMH and is responsible for serving as gatekeeper to the public mental health system.

Preferred Qualifications

Role Purpose

Responsible for providing ongoing treatment to persons identified with Co-Occurring Disorders. Maintain fidelity standards for Integrated Dual Diagnosis Treatment program.

Responsibilities

  • Clinical supervision for IDDT team members to receive CCDP certification from Missouri Certification Board.
  • Plans and conducts Individual Sessions, Group Education and Group Counseling in accordance with IDDT fidelity standards.
  • Completes Co-Occurring Evaluations in accordance with IDDT fidelity standards.
  • Reviews, signs and contributes to co-occurring people’s treatment plan.
  • Maintain and monitor fidelity to the Integrated Dual Diagnosis Treatment program.

Minimum Requirements

  • Education
  • Master's Degree

Experience

  • 2-5 years
  • Supervisor Experience
  • No Experience
  • Licenses & Certifications
  • Valid Driver's License

Preferred Requirements

  • Experience
  • 5-10 years
  • Supervisor Experience

< 2 years

  • Licenses & Certifications
  • Cert Co-Occurring Disorders
  • LCSW or LPC

Benefits and Legal Statement

BJC Total Rewards

At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.

Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date

  • Disability insurance* paid for by BJC
  • Annual 4% BJC Automatic Retirement Contribution
  • 401(k) plan with BJC match
  • Tuition Assistance available on first day
  • BJC Institute for Learning and Development
  • Health Care and Dependent Care Flexible Spending Accounts
  • Paid Time Off benefit combines vacation, sick days, holidays and personal time
  • Adoption assistance
  • To learn more, go to our Benefits Summary.

*Not all benefits apply to all jobs

The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer

Requirements

Requires a Master's degree and a valid professional license such as LPC, LCSW, or a qualifying substance use disorder credential. Candidates should have 2-5 years of relevant experience and a valid driver's license.

Qualifications

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

Key Skills

Substance use disorder counselingMental health counselingCrisis interventionCase management

Behavioral Health — Counselor Career Context

The cost-of-living index for Missouri is 90.8 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$68k midpoint carries the purchasing power of roughly $75k in an average-cost state. 60.1% of Missouri clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 50 active Counselor listings this role was benchmarked against, 36% are remote, 38% have no call, 66% require no weekends.

What does the Counselor market look like in Missouri?
MeasureThis jobMarket
Work-life score8.0 / 10 · top 5% in behavioral health (counseling)ranked against 340 Behavioral Health (Counseling) listingslisting-based score, 0–10
Listed pay$52k–$85kCounselor median $72k (middle half $62k–$83k)330 comparable listings, Nov 2026
Cost-of-living adjusted pay~$75k in purchasing powerMissouri index 90.8 (US = 100)BEA Regional Price Parities (2024)
Counselor listings in Missouri220 active13,338 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 36% remote · 38% no call · 66% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedMissouri Counselor listings: 12% state a sign-on bonus (median $10k) · 15% offer loan repayment220 active listings, Nov 2026
New Behavioral Health listings840 in the last 30 days554 the 30 days before (+52%)U.S., first seen on WeekdayDoc, Nov 2026
Counselor pay trend−2.4% vs prior quarter—through Oct 2026
BJC HealthCare#19 of 23 for payTop Employers work-life index
Sources: WeekdayDoc live listing index (340 Behavioral Health (Counseling) listings), Top Employers work-life index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Clinical Co-Occurring Counselor at BJC HealthCare a 8.0 out of 10 for work-life balance — classified as excellent. This places the position in the top 5% in Behavioral Health (Counseling) — ranked against 340 active Behavioral Health (Counseling) listings on WeekdayDoc. Contributing factors include no on-call duties, no weekend requirements.

Top Counselor Jobs

36 matches · ranked by pay

Salary Distribution

36 jobs · 27 employers
13
<$75k
13
$75k-95k
3
$95k-115k
7
$115k-135k

Annual compensation range

Benefits & Perks

30 jobs · 27 employers
401k / retirement match
87% this job
Sign-on bonus
40%
CME allowance
37%
Loan repayment
27%
PSLF eligible
10%

Share of similar jobs offering each benefit

#1

Licensed Mental Health Therapist (LMFT, LCSW, LPCC)

LifeStance Health · San Diego, California

$117k-$134k
#2

Addiction Counselor|Exceptional Pay & Benefits|Full-Time & Part-Time Opportunities|

Heritage Health - Idaho · Coeur d'Alene, ID, US

$75k-$127k
#3

Clinic Based Counselor|$3,000 Bonus|Exceptional Pay & Benefits| Full-Time|

$75k-$127k
#4

Licensed Clinical Mental Health Therapist - LICSW - LPCC - LMFT

$74k-$126k
+ 34 more · ranked by pay

Work-life snapshot

median 2.8this job 8.0
Among the best 10% of Behavioral Health (Counseling) listings for work-life

Listing-based score, 0–10, across 340 comparable listings. Shaded area = the share scoring below this one.

  • No call
  • No weekends
BJC HealthCare logo

About BJC HealthCare

Hospitals and Health Care
St Louis, Missouri
501-1,000 employees

Benefits & Perks

Medical, Dental, Vision
Life Insurance
Legal Services
Disability Insurance
401(k) with match
Annual 4% Retirement Contribution
Tuition Assistance
Flexible Spending Accounts

Living in St. Louis

Typical 3-bedroom home value
$255k≈ 4.9× annual pay
Typical market rent
$1,292/mo≈ 30% of gross pay
Residents’ average commute
22 min
Metro price indexU.S. average = 100
95.1
State income tax
Up to 5.3%
Sources & methodology

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

BEA 2024 · St. Louis, MO-IL metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.