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Opioid Treatment information

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$62K

$147K

$207.5K

How much do opioid treatment jobs pay per year?

As of Aug 25, 2026, the average yearly pay for opioid treatment in the United States is $147,011.00, according to ZipRecruiter salary data. Most workers in this role earn between $95,000.00 and $178,000.00 per year, depending on experience, location, and employer.

What is the difference between Opioid Treatment vs Substance Abuse Counselor?

AspectOpioid TreatmentSubstance Abuse Counselor
CredentialsMedical degrees, certifications like MAT (Medication-Assisted Treatment)Licenses such as CADC, CAC, or LPC
Work EnvironmentClinics, hospitals, addiction treatment centersRehabilitation centers, outpatient clinics, community settings
Industry UsageHealthcare, addiction medicineMental health, addiction counseling

Opioid Treatment providers focus on administering medication and medical management for opioid dependence, often requiring medical credentials. Substance Abuse Counselors offer therapy and support for various substance issues, typically with counseling licenses. Both roles are vital in addiction treatment but differ in their approach and required qualifications.

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Cities with the most Opioid Treatment job openings:

What states have the most Opioid Treatment jobs?

States with the most job openings for Opioid Treatment jobs include:

What job categories do people searching Opioid Treatment jobs look for?

The top searched job categories for Opioid Treatment jobs are:

Opioid Treatment jobs near you
Infographic showing various Opioid Treatment job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 81% Full Time, 13% Part Time, and 3% Contract. Highlights an 80% Physical, 1% Hybrid, and 19% Remote job distribution, with an average salary of $147,011 per year, or $70.7 per hour.

Opioid Treatment Program Counselor

Raleigh, NC • On-site

SouthLight Healthcare
Offices of Mental Health Practitioners • 51 - 200 employees
Learn more about SouthLight Healthcareexternal

$22.60 - $30/hr

Full-time

Medical, Life, Retirement, PTO

Posted 12 days ago

Job description

Opioid Treatment Program Counselor
Join a supportive team who values Compassion, Excellence, Collaboration, Inclusion, Hope amp; Authenticity!
As our full-time Counselor (fully or provisionally licensed) for our Opioid Treatment Program, you will be responsible for maintaining an active caseload and ensuring that required documentation is completed accurately and timely in order to meet required billable hours.
Working as an Opioid Treatment Counselor will provide the opportunity to work as a highly valued team member in a setting with nursing staff, medical providers, and psych providers with combined decades of experience in substance use treatment. Collaborating with multiple programs and providers will lead you to develop a well-rounded skill set as a substance use counselor.
Pay

CADC/I $22.60 - $24.04 per hour.

Provisional license $26.44 + per hour.

Full license $28.85 + per hour.
Schedule

Full-time days, 40hrs/wk.

Benefits
Being a part of a non-profit behavioral health organization has some unique benefits, along with our incredible health insurance options. Working here at SouthLight, you will be able to make a difference in people's lives every day, and know that you are a part of inspiring positive change in your community.
  • You will be eligible for medical benefits the first of the month following your first 30 days.
  • We have options for a standard plan, as well as an HSA with a $100 initial contribution and up to a $25 per paycheck match.
  • You would receive 10 paid holidays as well as PTO hours which would accrue at a rate of 10 hours per month.
  • After 6 months you would be eligible to enroll in our 401(k) plan which has a 4% match.
  • We also provide company paid life insurance, short- and long-term disability, in house and paid training opportunities, and paid credentialing.
  • SouthLight is also an approved employer for the Public Service Loan Forgiveness Program (PSLF).
  • We are excited to offer an additional benefit of Clinical Supervision Reimbursement. We will provide a monthly reimbursement of up to $200 to each full-time, associate level clinician electing this benefit for no more than 2 years, or until licensure is completed, whichever is first. Licensures eligible to receive this benefit include LCSWA, LCMHCA, LMFTA, LPA, LCASA, and CADC

Job Responsibilities of an Opioid Treatment Counselor
  • Serve as primary clinician for an OTP caseload (provide ongoing assessment, treatment and care coordination)
  • Coordinate care with other providers
  • Complete documentation to maintain compliance with federal, state and licensing regulations, including NCTOPPS, service documentation, treatment plants, and releases of information
  • Participate in crisis management and in on-call crisis rotation
  • Provide program orientation for clients including screenings and intake forms
Qualifications of an Opioid Treatment Counselor
Education and Experience
  • 1 year experience with Mental Health/ Substance Use population
  • Experience in an Opioid Treatment Program is a plus
Licensure/Certification
  • Licensed to practice clinically (CADC, CADC-I, LCAS/A, LCSW/A, LCMHC/A)
Knowledge, Skills and Abilities
  • Ability to accurately diagnose mental health and substance use disorders
  • Electronic Medical Health Record experience (EHR)
  • Familiar with 12 Core Functions
  • Knowledge of Medication Assisted Treatment preferred
  • Excellent attention to detail and organizational and time management
  • Ability to develop positive and trusting relationships with diverse individuals, including individuals served, community stakeholders, and payors
  • Excellent ability to conceptualize cases, problem solve and ask questions
  • Inter and intrapersonal skills
  • Participate in Clinical Case Supervision and Case Review/Treatment Team meetings as well as OTP Group Supervision with contracted Clinical Supervisor
About SouthLight Healthcare
Tap into your passion at SouthLight Healthcare. Build your career in an environment where your voice, passion and work matters every day. At the core of SouthLight is a commitment to our values, our employees and clients. We strive to be an organization where every colleague can contribute and excel. We are an equal opportunity employer and committed to building a culture that values diversity and inclusion. SouthLight offers competitive opportunities and a robust benefits package.
Founded in 1970, SouthLight Healthcare is one of the area's largest and long-established nonprofit providers of substance use treatment and mental health services. With outpatient and community-based programs, SouthLight provides prevention, education and treatment services in the Triangle and beyond. SouthLight has multiple office locations throughout the Triangle area, serving more than 9,000 clients each year. Services include adult outpatient counseling, Intensive Outpatient Program, Psychiatric Services and Medication Management, Opioid Treatment Program, Court Deferral Program, Peer Support Services, Family Centered Treatment, Community Support Team and a residential treatment program for women and children and more.
We agree not to discriminate against any employee or job applicant because of race, color, religion, national origin, sex. Employment offers are contingent upon a satisfactory pre-employment drug screen. Professional references will be checked and criminal, abuse, driving, and fraud background reports will be obtained. Unsatisfactory results of any of these reports may result in SouthLight withdrawing the offer.

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