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Addictions Counselor Assistant Jobs in Raleigh, NC

Acadia Healthcare

Peer Support Specialist

Raleigh, NC · On-site

$17 - $21.75/hr

Additionally, the Peer Support Specialist will assist the patient in developing skills and ... Personal or professional experience in addiction recovery, ideally with lived experience and a ...

Acadia Healthcare

Peer Support Specialist

Raleigh, NC

$17 - $21.75/hr

Additionally, the Peer Support Specialist will assist the patient in developing skills and ... Personal or professional experience in addiction recovery, ideally with lived experience and a ...

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All JobsAddictions Counselor JobsAddictions Counselor Assistant JobsAddictions Counselor Assistant Jobs in Raleigh, NC

Addictions Counselor Assistant information

See Raleigh, NC salary details

$2.1K

$4K

$5.2K

How much do addictions counselor assistant jobs pay per month?

As of Sep 12, 2026, the average monthly pay for addictions counselor assistant in Raleigh, NC is $4,011.08, according to ZipRecruiter salary data. Most workers in this role earn between $3,158.33 and $4,700.00 per month, depending on experience, location, and employer.

What is an addictions counselor assistant?

An addictions counselor assistant works for a substance abuse counselor, interviewing new patients that may have a drug or alcohol problem, managing and scheduling appointments, and completing other duties as assigned. Assistants may need to take on additional responsibilities, like contacting rehabilitation centers and human service agencies on behalf of a patient. Sometimes an addictions counselor assistant meets with patients to ease the scheduling burdens on the addictions counselor. Since many people in this position are pursuing a career as a substance abuse counselor, qualifications often include an associate's or bachelor’s degree in psychology.

What are the key skills and qualifications needed to thrive as an addictions counselor assistant?

To thrive as an Addictions Counselor Assistant, you generally need foundational knowledge in substance abuse counseling, behavioral health principles, and a relevant associate degree or certification. Familiarity with documentation software, state-mandated reporting systems, and client intake tools is typically required. Strong interpersonal communication, empathy, and active listening skills help build trust and rapport with clients. These skills are vital for supporting effective treatment, ensuring accurate records, and fostering a therapeutic environment for recovery.

What are the typical challenges an addictions counselor assistant faces when supporting clients in recovery programs?

Addictions Counselor Assistants often encounter challenges such as managing emotionally charged situations, supporting clients through relapse episodes, and maintaining professional boundaries while building trust. They may also need to adapt quickly to changes in clients’ needs or treatment plans and communicate effectively with a multidisciplinary team. Developing resilience and strong interpersonal skills is essential for navigating these challenges and providing consistent, compassionate support to clients on their recovery journey.

What is the difference between Addictions Counselor Assistant vs Substance Abuse Counselor?

AspectAddictions Counselor AssistantSubstance Abuse Counselor
Required CredentialsHigh school diploma or equivalent; some states may require certificationHigh school diploma or equivalent; state certification or licensure often required
Work EnvironmentClinics, treatment centers, community programsRehabilitation centers, clinics, private practices
Employer & Industry UsageOften employed under supervision to support counseling staffProvides direct counseling and treatment services to clients

The main difference is that Addictions Counselor Assistants support licensed counselors and typically have fewer credentials, while Substance Abuse Counselors provide direct treatment and usually require certification or licensure. Both roles work in similar environments and serve the same industry, but their responsibilities and qualifications differ.

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What cities near Raleigh, NC are hiring for Addictions Counselor Assistant jobs?

Cities near Raleigh, NC with the most Addictions Counselor Assistant job openings:

Addictions Counselor Assistant jobs near you
Infographic showing various Addictions Counselor Assistant job openings in Raleigh, NC as of August 2026, with employment types broken down into 2% As Needed, 76% Full Time, 19% Part Time, 1% Temporary, and 2% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $48,133 per year, or $23.1 per hour.

Population Health Care Manager Medicaid

Durham, NC • On-site

Duke Health
See more jobs at Duke Healthexternal

Full-time

Re-posted 28 days ago

Duke Health rating

7.2

Company rating: 7.2 out of 10

Based on 256 frontline employees who took The Breakroom Quiz

Job description

Duke Connected Care, a community-based, physician-led network, includes a group of doctors, hospitals and other healthcare providers who work together to deliver high-quality care to Medicare Fee-for-Service patients in Durham and itssurrounding areas.
The Population Health Care Manager is responsible for clinical expertise for specific complex and/or rising risk patient populations with a design to meet specific contractual and program related requirements. This role will perform disease management, assessment of disease, care plan development and facilitation, referral to appropriate levels of care, etc. The role functions as an integral part of an interdisciplinary team, ensuring excellence with transitions of care to achieve optimal clinical outcomes through a seamless model of access and care. Focus on improving the health status and care for individuals with chronic conditions with complex medical, mental health and psychosocial issues.
Work Performed
  • Coordinate and facilitate timely implementation of assessments, care plans, and appropriate interventions for identified patient population to determine patient health, social situation, physical environment, mental health, substance use, expressed trauma, economic status, and education to patients while exercising discretion and independent judgment; following established policies and procedures.
  • Provide individual treatment to address barriers and identified concerns by accessing systematically identified data from multiple sources such as patient medical records, claims, and program metric reports to target recipient(s) and provider(s) for outreach, education, and intervention.
  • Perform targeted interventions to assist patients with connection to primary care providers and other health care resources. Involve the patient and their support systems (i.e. caregiver, family, etc.) in the decision-making process.
  • Use a patient-centric, collaborative partnership approach to assist the patient with improved self-management and identifying barriers by addressing the total individual, inclusive of medical, psychosocial, behavioral, and spiritual needs.
  • Utilize proven processes to measure a patients understanding and acceptance of the proposed plan(s), his/her willingness to change, and his/her support to maintain health behavior change.
  • Apply teaching and learning theories to assist patients and families with physical and emotional impact of body changes and chronic illness.
  • Monitor quality and effectiveness of interventions to the population by setting long term and/or short-term specific, measurable goal(s).
  • Electronically document all activity in Maestro, and other documentation systems relevant t o the position.
  • Communicate and coordinate with all provider(s) and member(s) of the care team as needed to minimize fragmented care and foster appropriate utilization of services. This will include, navigating transitions of care generally from hospital to home or community facilities.
  • Facilitate interdisciplinary communication to include specialists, PCP, RN, psychiatrist and other key providers.
  • Interface with key providers (e.g. discharge planners, social workers, physicians, psychiatrist etc.) within the hospital, primary care practices, public health and social service departments, as well as mental health agencies and other community resources to assure that patients are linked to and engaged in services.
  • Provide on-site, community, and telephonic outreach to patients, providers, and community stakeholders assisting with identification of treatment history, diagnoses and patient care components both internally and externally to ensure that services provided are sensitive to the needs of individual patients and take into account ethnic and cultural backgrounds.
  • This position may require home visits based on business rules and clinical need of identified patient population.
  • Provide feedback to TL, management, and executive leadership that will enhance negotiations with payers, improve care management, and/or address gaps in care.
  • Develop and maintain positive relationships with customers internal and external to Duke Health System.

Minimum Qualifications
Education
Bachelor's degree in a clinical field such as Nursing, Counseling, Social Work, Therapy, Allied Health, or community health related fields.
Experience
3 years of clinical experience required.
Degrees, Licensures, Certifications
Must have a current license in at least one of these areas:
Current or compact RN licensure in the state of North Carolina
Current licensure as a licensed clinical social worker by the NC Social Work Certification and Licensure Board
Current licensure as a Licensed Professional Counselor by the state of NC,
Current licensure as a Licensed Addiction Specialist by the state of North Carolina.
Requires ACM or CCM certification within 3 years of hire date.
Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions:
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

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