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Casac Jobs in Rochester, NY (NOW HIRING)

Program Manager

Rochester, NY · On-site

$63K - $65K/yr

Licenses/Certifications · Qualified Mental Health Professional (OMH programs) or Advanced CASAC/QHP (OASAS programs). · Peer Certification preferred for Affinity Place; required within 18 months if ...

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Casac information

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$14

$25

$35

How much do casac jobs pay per hour?

As of Aug 23, 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 cities near Rochester, NY are hiring for Casac jobs?

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

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.

Hourly Addictions Counselor Assistant - John L. Norris ATC

New York State

Rochester, NY

$22.85/hr

Per diem

Re-posted yesterday


New York State rating

7.7

Company rating: 7.7 out of 10

Based on 187 frontline employees who took The Breakroom Quiz

24th of 50 rated states


Job description

Duties Description All Hourly positions with the NYS Office of Addiction Services and Supports (OASAS) are utilized on an "as needed" basis, and as such, there is no guarantee of work hours or a set schedule. Any/all questions should be directed to recruitment@oasas.ny.gov. The Addictions Counselor Assistant serves as a member of the ATC's multidisciplinary treatment team and works under the supervision of an Addiction Counselor performing duties related to the care and counseling of clients

Responsibilities of this position include, but are not limited to the following: Assists with individual counseling, group counseling, crisis intervention, treatment and discharge planning and clinical activities as assigned. Monitors the safety and security of facility and its patients, and takes action to maintain a positive and healthy milieu. Assists with patient transportation, room searches, and urine toxicology collection.

Prepares room and client supplies for new admissions (bedding, bath, etc.) Conducts routine rounds and documents observations. Completes required client and facility documentation both electronic and paper as appropriate. Participates in meal preparation and distribution

Communicates shift change information as appropriate to facilitate smooth transition. May complete insurance calls and documentation regarding coordination of care with financial/insurance entities. Performs other job-related duties as assigned.

NOTE: The ATC uses a computerized patient record system. Minimum Qualifications Non-Competitive: two years of experience, one year of which must have required the application of communication skills and one year must have been in a direct treatment capacity in an addictions treatment setting; or an associate's degree in a human services field; or current registration as a Credentialed Alcoholism and Substance Abuse Counselor (CASAC)-Trainee or CASAC-Provisional in New York State. NOTE: Candidate(s) must be eligible and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs.

Failure to maintain Medicaid/Medicare eligibility will result in the termination of employment. Additional Comments OASAS Addiction Treatment Centers (ATCs) are Tobacco Free Facilities. Background Investigation Requirements: Prospective appointees will be: 1) Checked against the Staff Exclusion List (SEL) maintained by the Justice Center for the Protection of People with Special Needs.

Prospective employees whose names appear on the SEL as having been found responsible for serious or repeated acts of abuse or neglect will be barred from appointment and may have their names removed from the eligible list(s) for the title(s) if applicable. 2) Investigated through a Criminal Background Check (CBC) that includes State and federal Criminal History Record Checks. All convictions must be reported; conviction of a felony or misdemeanor, or any falsified or omitted information on the prospective appointee's employment application may bar appointment or result in removal after appointment.

Each case will be determined on its own merits, consistent with the applicable provisions of State and federal laws, rules, and regulations. Prospective employees will be fingerprinted in order to obtain a record of their criminal history information, and may be required to pay any necessary fees. 3) Screened against the Statewide Central Register of Child Abuse and Maltreatment (SCR).

Prospective employees may be required to pay any necessary fees. Additionally, prospective employees whose names are indicated on the SCR may be barred from appointment. Some positions may require additional credentials or a background check to verify your identity.


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