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In Substance Abuse Jobs in Rochester, NY (NOW HIRING)

Program Director

Rochester, NY ยท On-site

$85K/yr

Participate in agency management and planning activities. * Ensure client substance abuse and other therapeutic groups engaging and meets the needs of population including trips, events, etc. * Work ...

Operations Aide

Rochester, NY ยท On-site

$26K/yr

One (1) year related counseling experience in Substance Abuse/Mental Health (Preferred) * Obtain within six months of hire: * Supporting Recovery with Medications Addictions Treatment (MAT) * Obtain ...

Medical NP or PA - State of the Art Substance Abuse Facility - Apply Now Job Type Permanent ... SUD experience preferred * Competitive wages, benefits & pension in a supportive clinical ...

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In Substance Abuse information

See Rochester, NY salary details

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How much do in substance abuse jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for in substance abuse in Rochester, NY is $20.01, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $21.59 per hour, depending on experience, location, and employer.

What is a substance abuse counselor?

Substance abuse counselors are professionals who help individuals struggling with drug, alcohol, or other substance dependencies. They provide support, counseling, and treatment planning to assist clients in overcoming addiction and maintaining sobriety. These counselors may work in rehabilitation centers, hospitals, private practices, or community organizations, and often collaborate with other healthcare professionals to address the psychological, social, and behavioral aspects of addiction.

How to work in substance abuse?

To work in substance abuse, individuals typically need a relevant degree such as a bachelor's or master's in social work, psychology, or counseling. Certification or licensure, like becoming a Licensed Alcohol and Drug Counselor (LADC), is often required, along with strong communication skills and experience in counseling or healthcare settings.

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

To thrive as a Substance Abuse Counselor, you need a solid understanding of addiction, counseling techniques, and often a degree in psychology, social work, or a related field, along with relevant state licensure or certification. Familiarity with case management software, assessment tools, and treatment planning systems is typically required. Exceptional listening, empathy, and communication skills are essential for building trust and guiding clients through recovery. These abilities are crucial for providing effective support, developing individualized treatment plans, and fostering positive outcomes in clients' rehabilitation journeys.

What is the difference between In Substance Abuse vs Substance Abuse Counselor?

AspectIn Substance AbuseSubstance Abuse Counselor
Required CredentialsVaries; often includes certifications or licenses depending on roleTypically requires certification or licensure (e.g., CADC, LPC)
Work EnvironmentHealthcare facilities, clinics, community centersRehabilitation centers, outpatient clinics, hospitals
Employer & Industry UsageUsed broadly for roles involved in substance-related workSpecific job title for professionals providing counseling services
Search & Comparison IntentUnderstanding roles in substance workFinding qualified counseling professionals

In Substance Abuse refers broadly to roles involved in substance-related work, while Substance Abuse Counselor specifically describes professionals providing counseling services to individuals with substance issues. The counselor role typically requires specific certifications and involves direct client interaction in healthcare settings.

What are some common challenges faced by professionals working in substance abuse counseling, and how can they be managed?

Substance abuse counselors often encounter challenges such as managing clients' relapses, dealing with emotional burnout, and maintaining appropriate boundaries. It's common to work with clients experiencing severe distress or resistance to treatment, which can be emotionally taxing. Counselors can manage these challenges by practicing self-care, seeking regular supervision, and participating in peer support groups. Collaboration with multidisciplinary teams and ongoing professional development also help in addressing complex client needs and staying updated on best practices.
What cities near Rochester, NY are hiring for In Substance Abuse jobs? Cities near Rochester, NY with the most In Substance Abuse job openings:

Substance Abuse Counselor

Action for a Better Community, Inc.

Rochester, NY โ€ข On-site

$35K - $48K/yr

Full-time

Re-posted 5 days ago


Job description

Program: New Directions
Location: 33 Chestnut Street
Position: Substance Abuse Counselor
Hours: 37.5 hrs/wk, 52 weeks/year
Salary Range: $35,409 - $48,333 annually
Summary of Responsibilities:
Plans and facilitates group-counseling sessions for clients, including an active caseload of up to thirty (30) individuals. Develops and implements treatment plans for clients. Appropriately provides individual counseling. Advocates and coordinates the treatment needs of clients with collateral entities such as that drug court, parole/probation, halfway houses, etc. Attends and maintains continuing education, training, and other professional activities per state guidelines in order to retain necessary certification (CASAC).
Qualifications/Education and Experience:
  • Bachelor's Degree preferred in Counseling, Human Services, Sociology or Social Work.
  • May consider Associates Degree with good combination of education and experience.
  • Minimum of two years of experience performing counseling duties in the fields of substance abuse or mental health treatment and rehabilitation.
  • Working knowledge in the fields of counseling theory, treatment planning, medical aspects of chemical dependency, or pharmacology.
  • Current CASAC certification preferred or must be eligible to take the exam, or current CASAC-T certification or must be eligible to take the exam, and must have completed the 350 educational hours required for CASAC applications.
  • Advanced level knowledge of substance abuse issues, the 12 core competencies and life areas as identified by OASAS 822 rules and regulations.
  • Ability to conduct patient evaluations, and develop treatment plans.
  • Working knowledge of motivational interviewing and in-depth knowledge of the stages of change and how to apply the knowledge in a treatment setting.
  • Experience working with ex-offenders, victims of domestic violence, individuals with disorders (Post Traumatic Stress Disorder).
  • Ability to identify mental health disorders and co-occurring disorders.
  • Must possess the ability to operate Microsoft Office documents and interoffice software package.
  • Ability to use TIER Client Management System preferred
  • All employees of ABC's New Directions Program must receive and maintain a full clearance from the Justice Center of New York that allows them unsupervised contact with clients (at the Agency's expense). Any prospective or current employee who has an indication of abuse, maltreatment, or neglect, or who cannot be left unsupervised with clients, will not be hired or retained.

The above description covers the principle functions of the job. It is not intended to be a complete listing of all the miscellaneous incidental or substantially similar duties, which may be assigned during normal or emergency operations.
Please Forward Resumes/Applications to:
Human Resources Department
Action for a Better Community, Inc.
400 West Ave
Rochester, New York 14611
Email: hrdept@abcinfo.org
(585) 325-5116
EOE
Deadline for Resumes/Applications: Open until filled