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Casac Jobs in Rochester, NY (NOW HIRING)

Acacia Network

Program Director

Rochester, NY · On-site

$85K/yr

A Qualified Health Professional (CASAC; LCSW; LMSW; NP; MD; PA; Psychologist; Rehabilitation Counselor; LMFT; LMHC) in good standing with the appropriate licensing or certifying authority. * Valid ...

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Casac information

See Rochester, NY salary details

$14

$25

$35

How much do casac jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for casac in Rochester, NY is $25.14, according to ZipRecruiter salary data. Most workers in this role earn between $21.11 and $28.46 per hour, depending on experience, location, and employer.

What is a CASAC?

A CASAC (Credentialed Alcoholism and Substance Abuse Counselor) is a professional who provides counseling services to individuals struggling with substance use disorders. They assess clients, develop treatment plans, and offer support through individual and group therapy sessions. CASACs often work in rehabilitation centers, outpatient programs, or community health organizations. Their goal is to help clients achieve and maintain recovery while addressing underlying behavioral and emotional challenges.

What are the key skills and qualifications needed to thrive as a CASAC, and why are they important?

To thrive as a CASAC (Credentialed Alcoholism and Substance Abuse Counselor), you need a solid understanding of substance abuse counseling, case management, and relapse prevention, along with completion of state-approved CASAC training and certification. Familiarity with electronic medical records (EMRs), assessment tools, and documentation systems is typically required. Exceptional listening skills, empathy, and cultural sensitivity help you build trust and motivate clients to pursue recovery. These skills ensure that you can provide effective support, maintain compliance with regulations, and positively impact individuals overcoming addiction.

What are the most common challenges faced by CASACs in their daily work?

CASACs often encounter challenges such as managing clients with complex needs, addressing motivation for change, and handling relapse situations. The role requires maintaining clear professional boundaries while building strong rapport and trust with clients, which can be emotionally demanding. Collaboration with multidisciplinary teams, regular documentation, and staying current with best practices are also part of the job. Despite these challenges, CASACs find the work highly rewarding as they witness positive changes in clients' lives.

What jobs can you get with a CASAC?

A CASAC (Credentialed Alcoholism and Substance Abuse Counselor) can work in various settings such as addiction treatment centers, outpatient clinics, hospitals, and community agencies. Common roles include substance abuse counselor, case manager, recovery coach, and treatment program coordinator, often requiring strong communication skills and knowledge of addiction treatment protocols.

What are the most commonly searched types of Casac jobs in Rochester, NY?

The most popular types of Casac jobs in Rochester, NY are:

What are popular job titles related to Casac jobs in Rochester, NY?

For Casac jobs in Rochester, NY, the most frequently searched job titles are:

What job categories do people searching Casac jobs in Rochester, NY look for?

The top searched job categories for Casac jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Casac jobs?

Cities near Rochester, NY with the most Casac job openings:

Casac jobs near you
Infographic showing various Casac job openings in Rochester, NY as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $52,296 per year, or $25.1 per hour.

Alcohol and Substance Abuse Counselor

Professional Care Medical Practice

Rochester, NY • On-site

$24 - $28.80/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Job description

Description:

Professional Medical Practice, P.C., is looking for an Alcohol and Substance Abuse Counselor (CASAC-T, CASAC, CASAC2) to work in the medical department at the Monroe County Jail located in Rochester, NY.


This is a full-time position, working 40 hours per week, Monday-Friday (8:00am-4:30pm). Hourly Rate: $24.00- 28.80.


You must have a CASAC-T, CASAC, or CASAC2 to qualify for this role.


Job Responsibilities:

  • Responsible for the clinical monitoring, coordination, and implementation of the behavioral health program in accordance with Company policies and procedures.
  • Serve as the liaison between medical and facility staff as it pertains to Medication Assisted Treatment (MAT).
  • Engage patient in therapeutic interventions with the goal of addressing substance use related concerns.
  • Facilitate group and individual sessions with patients in the MAT program.
  • Actively assist with the detection and prevention of patient suicide.
  • Document all patient encounters in a timely manner utilizing the SOAPE note format.
  • Assist and/or collaborate with facility staff regarding discharge planning for patients in the MAT program, where applicable.
  • Facilitate/participate in interdisciplinary team meetings and/or case consultations with staff across disciplines.
  • Participate as a member of the Quality Assurance Committee and any sub-committees. Assist in the establishment of Quality Assurance standards and audit criteria.
  • Serve as a member of various committees within the medical unit and facility as necessary.

Benefits:

Professional Care believes in offering a competitive compensation and benefits package to all their employees! Standard benefits for full-time employees include:

  • Health care (i.e., medical, dental, vision, and elective health savings account (i.e., HSA).
  • Elective options for life insurance, as well as short & long-term disability.
  • Paid time off will accrue for a maximum accrual of ten (10) days (or 80 hours) per year. In addition, you will also receive six (6) floating holidays, pro-rated within your first year of employment as dictated by your effective hire date. You are also eligible to accrue “sick and safe” leave benefits under the New York State Sick Leave Law (i.e., NYSSL). NYSSL accrues at a rate of one (1) hour for every thirty (30) hours of straight time worked, for a maximum annual accrual of fifty-six (56) hours.
  • 401k retirement with discretionary company match.
  • Clinical supervision hours provided at no cost - and more!


For a full job description, please click here:

http://www.primecaremedical.com/wp-content/uploads/JD.NY-CASAC.pdf

Requirements:
  • Must be certified as an Alcohol and Substance Abuse Counselor (CASAC-T, CASAC, CASAC2)
  • Bachelor’s Degree / Master's Degree in Social Work, Psychology, Counseling, or other related Human Services degree with a concentration in drug and alcohol course work.
  • Minimum one (1) year clinical experience preferred.
  • Effective communication skills.
  • Ability to function independently and demonstrating clinical competency.
  • Ability to gain trust of patients and build a working relationship.

Apply