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$36

How much do otp counselor opiate treatment program jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for otp counselor opiate treatment program in the United States is $25.24, according to ZipRecruiter salary data. Most workers in this role earn between $19.71 and $28.85 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an OTP counselor in an opiate treatment program?

To thrive as an OTP Counselor in an Opiate Treatment Program, you typically need a background in counseling, addiction studies, or social work, often supported by relevant licensure such as CADC, LADC, or similar credentials. Familiarity with electronic health record systems, drug screening procedures, and treatment planning software is commonly required. Strong interpersonal skills, cultural sensitivity, and motivational interviewing abilities help counselors build trust and support clients through recovery. These competencies are crucial for ensuring effective treatment, fostering client engagement, and maintaining compliance with regulatory standards in substance abuse programs.

What is an OTP counselor in an opiate treatment program?

OTP Counselors in Opiate Treatment Programs are professionals who provide counseling and support to individuals receiving medication-assisted treatment for opioid use disorder. They conduct assessments, develop treatment plans, facilitate individual and group therapy sessions, and help clients build coping skills for recovery. OTP Counselors also coordinate care with medical staff and help clients access additional resources such as housing, employment, and mental health services. Their goal is to support clients throughout their recovery journey and promote long-term abstinence from opioids.

What are some common challenges faced by OTP counselors in an opiate treatment program and how can they be addressed?

OTP Counselors in Opiate Treatment Programs often encounter challenges such as managing high caseloads, addressing complex client needs, and navigating regulatory requirements. Building strong rapport with clients while maintaining professional boundaries is essential, as is staying up-to-date with best practices in addiction counseling. Regular supervision, ongoing training, and collaboration with multidisciplinary teams help counselors manage stress and provide effective support to clients on their recovery journeys.

What is the difference between Otp Counselor Opiate Treatment Program vs Substance Abuse Counselor?

AspectOtp Counselor Opiate Treatment ProgramSubstance Abuse Counselor
CredentialsCertification in addiction counseling, state licensureCertification in substance abuse counseling, state licensure
Work EnvironmentOpiate treatment clinics, healthcare facilitiesRehabilitation centers, outpatient clinics
Employer & IndustryHealthcare providers, addiction treatment centersRehab centers, mental health organizations

Both roles require similar certifications and work in addiction treatment settings. However, Otp Counselors specifically focus on opiate addiction within treatment programs, while Substance Abuse Counselors may work with a broader range of substance issues across various settings.

More about Otp Counselor Opiate Treatment Program jobs
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Otp Counselor Opiate Treatment Program jobs near you
Infographic showing various Otp Counselor Opiate Treatment Program job openings in the United States 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 $52,492 per year, or $25.2 per hour.

Nurse (RN), Opioid Treatment Program

Beth Israel Lahey Health

Danvers, MA • On-site

$38.76 - $52.17/hr

Other

Posted 3 days ago

New

Beth Israel Lahey Health rating

7.0

Company rating: 7.0 out of 10

Based on 149 frontline employees who took The Breakroom Quiz

416th of 887 rated healthcare providers

Job description

Opiate Treatment Program (OTP) Nurse

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.

The OTP Nurse position is a great opportunity for someone who wants to make a critical impact in the lives of those who are struggling with addiction. The Opiate Treatment Program (OTP) is a treatment program that offers medication-assisted treatments and counseling services for individuals struggling with opiate dependence. All clients are treated with compassion, respect and the belief that everyone has the ability to grow when they are provided with a safe and welcoming environment. Services include individual and group therapy, health & wellness education, medication administration & counseling, annual physical evaluations & lab work, monthly pregnancy visits and more.

The OTP Nurse's Responsibilities Are:

  • Conducts initial medical assessment of clients & administers medications as ordered
  • Documents client concerns & communicates patient needs, changes and psychiatric emergencies to Nurse Manager as necessary.
  • Provides patient education and referrals
  • Enters prescriptions into electronic client records
  • Transcribes doctor's orders
  • Generates and reviews reports
  • Maintains adequate inventory of controlled substances.

Qualifications:

  • Valid and current Massachusetts licensure as a RN or LPN
  • Current certification in CPR
  • Experience with addiction treatment services preferred, but not required

Pay Range:

$38.76 - $52.17

The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled

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