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Substance Abuse Assistant Jobs in Raleigh, NC (NOW HIRING)

Substance Abuse Counselor

Durham, NC · On-site

$21.50 - $29/hr

The counselor conducts group sessions and individual sessions to assist with crisis management and ... Substance abuse counselors may also need to collaborate with doctors, nurses and therapists for ...

Substance Abuse Counselor

Durham, NC · On-site

$21.50 - $29/hr

The counselor conducts group sessions and individual sessions to assist with crisis management and ... Substance abuse counselors may also need to collaborate with doctors, nurses and therapists for ...

Substance Abuse Counselor

Durham, NC · On-site

$21.50 - $29/hr

The counselor conducts group sessions and individual sessions to assist with crisis management and ... Substance abuse counselors may also need to collaborate with doctors, nurses and therapists for ...

Substance Abuse Counselor

Durham, NC · On-site

$21.50 - $29/hr

The counselor conducts group sessions and individual sessions to assist with crisis management and ... Substance abuse counselors may also need to collaborate with doctors, nurses and therapists for ...

Substance Abuse Counselor

Durham, NC

$21.50 - $29/hr

The counselor conducts group sessions and individual sessions to assist with crisis management and ... Substance abuse counselors may also need to collaborate with doctors, nurses and therapists for ...

Substance Abuse Counselor

Durham, NC · On-site

$21.50 - $29/hr

The counselor conducts group sessions and individual sessions to assist with crisis management and ... Substance abuse counselors may also need to collaborate with doctors, nurses and therapists for ...

Substance Abuse Counselor

Durham, NC · On-site

$21.50 - $29/hr

The counselor conducts group sessions and individual sessions to assist with crisis management and ... Substance abuse counselors may also need to collaborate with doctors, nurses and therapists for ...

Substance Abuse Counselor

Durham, NC · On-site

$21.25 - $28.50/hr

... assist in their overall well-being. Are you curious what your day-to-day may look like and how you ... Experience in the substance abuse field is preferred but not required. Colonial Management Group ...

Substance Abuse Counselor

Durham, NC · On-site

$21.25 - $28.50/hr

... assist in their overall well-being. Are you curious what your day-to-day may look like and how you ... Experience in the substance abuse field is preferred but not required. Colonial Management Group ...

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Showing results 1-20

Substance Abuse Assistant information

See Raleigh, NC salary details

$10

$65

$122

How much do substance abuse assistant jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for substance abuse assistant in Raleigh, NC is $65.78, according to ZipRecruiter salary data. Most workers in this role earn between $22.64 and $89.71 per hour, depending on experience, location, and employer.

What is a substance abuse assistant?

Substance Abuse Assistants are professionals who support counselors and therapists in helping individuals struggling with drug or alcohol addiction. They assist with client intake, maintain records, lead group activities, and provide encouragement to clients during their recovery process. While they do not typically provide therapy, they play a vital role in daily operations and client support within rehabilitation centers or community programs. Their work helps ensure that clients receive consistent care and guidance as part of their treatment plan.

What are the key skills and qualifications needed to thrive as a substance abuse assistant?

To thrive as a Substance Abuse Assistant, you typically need a background in psychology, counseling, or social work, along with relevant certifications or training in substance abuse treatment. Familiarity with client intake software, case management systems, and basic documentation tools is often required. Strong interpersonal skills, empathy, and the ability to maintain confidentiality are essential soft skills for building trust and rapport with clients. These skills ensure effective support for individuals struggling with addiction and contribute to positive treatment outcomes.

What are the most common challenges a substance abuse assistant faces when supporting clients in recovery programs?

Substance Abuse Assistants often encounter challenges such as managing clients’ fluctuating motivation levels, addressing relapses, and navigating emotional or behavioral crises. The role requires patience and strong communication skills to build trust and encourage consistent engagement with treatment plans. Additionally, balancing administrative duties—like maintaining accurate records and coordinating with counselors—while providing direct client support is a frequent part of the job. Working closely with a multidisciplinary team helps address these challenges and ensures comprehensive care for each client.

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

AspectSubstance Abuse AssistantSubstance Abuse Counselor
Required CredentialsHigh school diploma or equivalent; certification often preferredHigh school diploma; state certification or licensure often required; some roles require a master's degree
Work EnvironmentClinics, treatment centers, hospitals, community programsSimilar settings, often with more direct client therapy responsibilities
Employer & Industry UsageUsed by addiction treatment facilities, healthcare providersLicensed professionals working in similar environments, providing therapy and counseling
Common Search & ComparisonOften compared for entry-level roles and support positionsCompared for licensed, client-facing therapy roles

Substance Abuse Assistants typically support treatment teams with administrative tasks and basic client support, requiring less formal education. Substance Abuse Counselors provide direct therapy and require licensure or certification. Both roles work in similar environments, but counselors have more advanced responsibilities and credentials.

How much do substance abuse assistants make?

Substance abuse assistants typically earn a median annual salary of around $30,000 to $40,000, depending on experience, location, and work setting. Entry-level positions may start lower, while those with certifications or specialized skills can earn higher wages. Salaries often increase with additional training and responsibilities in treatment facilities or healthcare environments.

What do you need to become a Substance Abuse Assistant?

To become a Substance Abuse Assistant, candidates typically need a high school diploma or equivalent, relevant experience or training in substance abuse counseling, and may be required to obtain certification or licensure as specified by state regulations. Strong communication skills and knowledge of addiction treatment are also important for the role.

What are the most commonly searched types of Substance Abuse jobs in Raleigh, NC?

The most popular types of Substance Abuse jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Substance Abuse Assistant jobs?

Cities near Raleigh, NC with the most Substance Abuse Assistant job openings:

Infographic showing various Substance Abuse Assistant job openings in Raleigh, NC as of September 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 100% In-person job distribution, with an average salary of $136,828 per year, or $65.8 per hour.

Substance Abuse Counselor

Durham, NC • On-site

BAART Programs
Health Care and Social Assistance • 501 - 1,000 employees

$21.50 - $29/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago


Job description

Compassionate Substance Abuse Counselor Needed!

Position Overview:

The Substance abuse counselor will be in charge with assisting patients through medically assisting programs and offering techniques for handling opioid use disorder. The counselor conducts group sessions and individual sessions to assist with crisis management and coping strategies. Additionally, counselors will evaluate patients’ progress during therapy.  Substance abuse counselors may also need to collaborate with doctors, nurses and therapists for patients’ therapy and treatment for the best overall outcome.

Responsibilities:

  • Conducts individual initial assessment and evaluation interviews for service eligibility determination
  • Completes Bio-psychosocial assessment.
  • Provide individual and group counseling services; direct service hours at regularly scheduled intervals; coordinate all services throughout treatment
  • Involve families and significant others in patient’s recovery process whenever possible
  • Develops and participates in individual or group patient teaching projects
  • Other related duties as determined by supervisor

Qualifications:

  • Must have a LCAS or CADC in the state of North Carolina
  • Previous experience working with Medically Assisted Treatment addiction patients for at least one year preferred. 
  • Must demonstrate a positive, non-judgmental, and accepting attitude toward our patient population
  • The ideal candidate will be personable, adaptable & coachable. Have the ability to identify with patients' struggle and have a passion for this career path!
  • Satisfactory criminal background check and drug screen

Benefits:

  • Competitive salary
  • Comprehensive benefits package including medical, dental, vision and 401(K)
  • Generous paid time off and paid holidays
  • Excellent growth and development opportunities through our counselor career path
  • Rewarding opportunity with the ability to impact individuals’ life 

What to expect from us:

BAART Programs, a BayMark Health Services Company, is a progressive substance abuse treatment organization, committed to the highest quality of patient care in a comfortable outpatient clinic setting.  Our ultimate goal is to address the physical, emotional, and mental aspects of opioid use disorder to help each of our patients achieve long-term recovery and an improved quality of life.  

BayMark Health Services is committed to Equal Employment Opportunity (EEO) and to compliance with all Federal, State and local laws that prohibit employment discrimination on the basis of race, color, age, natural origin, ethnicity, religion, gender, pregnancy, marital status, sexual orientation, citizenship, genetic disposition, disability, or veteran’s status or any other classification protected by State/Federal laws.