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

DePaul

Assistant Residential Supervisor

Rochester, NY · On-site

$25 - $25.90/hr

... Substance Abuse Services and Symptom Management. * Ensure that each resident on his or her caseload ... * Assist in planning, implementation and support of recreational activities. * Provide safe ...

DePaul

Assistant Residential Supervisor

Rochester, NY

$25 - $25.90/hr

... Substance Abuse Services and Symptom Management. * Ensure that each resident on his or her caseload ... * Assist in planning, implementation and support of recreational activities. * Provide safe ...

DePaul

Assistant Residential Supervisor

Batavia, NY · On-site

$25 - $25.90/hr

... Substance Abuse Services and Symptom Management. * Ensure that each resident on his or her caseload ... * Assist in planning, implementation and support of recreational activities. * Provide safe ...

DePaul

Assistant Residential Supervisor

Batavia, NY

$25 - $25.90/hr

... Substance Abuse Services and Symptom Management. * Ensure that each resident on his or her caseload ... * Assist in planning, implementation and support of recreational activities. * Provide safe ...

DePaul

Assistant Residential Supervisor

Batavia, NY · On-site

$25 - $25.90/hr

... Substance Abuse Services and Symptom Management. * Ensure that each resident on his or her caseload ... * Assist in planning, implementation and support of recreational activities. * Provide safe ...

DePaul

Assistant Residential Supervisor

Rochester, NY · On-site

$25 - $25.90/hr

... Substance Abuse Services and Symptom Management. * Ensure that each resident on his or her caseload ... * Assist in planning, implementation and support of recreational activities. * Provide safe ...

Anthony L. Jordan Health

PSYCHIATRIC NP/PA

Rochester, NY · On-site

$103K - $109K/yr

Masters Degree in Family Psychiatric Nurse Practitioner, Physician Assistant in Psychiatric Mental Health. * One year of clinical experience working within the field of substance abuse and/or ...

DePaul

Residential Counselor 1/2 DCS

Rochester, NY · On-site

$23 - $23.60/hr

... Substance Abuse Services, and Symptom Management. * Ensure that each resident on his or her ... agency standards. * Assist Residents in the preparation of nutritious meals, including food ...

DePaul

Residential Counselor 1/2 DCS

Rochester, NY · On-site

$23 - $23.60/hr

... Substance Abuse Services, and Symptom Management. * Ensure that each resident on his or her ... agency standards. * Assist Residents in the preparation of nutritious meals, including food ...

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Showing results 21-40

All JobsSubstance Abuse JobsSubstance Abuse Assistant JobsSubstance Abuse Assistant Jobs in Rochester, NY

Substance Abuse Assistant information

See Rochester, NY salary details

$10

$66

$124

How much do substance abuse assistant jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for substance abuse assistant in Rochester, NY is $66.77, according to ZipRecruiter salary data. Most workers in this role earn between $23.03 and $91.06 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 Rochester, NY?

The most popular types of Substance Abuse jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Substance Abuse Assistant jobs?

Cities near Rochester, NY with the most Substance Abuse Assistant job openings:

Substance Abuse Assistant jobs near you
Infographic showing various Substance Abuse Assistant job openings in Rochester, NY as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 23% Part Time, 1% Temporary, and 2% Contract. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution, with an average salary of $138,889 per year, or $66.8 per hour.

Lead Administrative Assistant

Finger Lakes Area Counseling and Recovery Agency

Newark, NY

$19 - $22/hr

Full-time

Re-posted 15 days ago

Job description

Job Summary:

The Outpatient Administrative Assistant provides essential support to the Manager of the Outpatient Clinic, ensuring smooth daily operations and excellent client service. This role is integral to the clinic's efficiency and aligns with FLACRA’s mission, vision, and values.


Key Responsibilities:

  1. Daily Clinic Support: Assist in managing daily workflow, including answering phones, scheduling, checking in clients for appointments, and providing proactive support to the Clinic Manager and staff.
  2. Report Management: Complete reports as requested by the Clinic Manager and Lead Administrative Assistant, ensuring accuracy and timeliness.
  3. Client Data Management: Maintain up-to-date client data in 10e11, including demographics, insurance, and billing information.
  4. Office Organization: Assist with filing, organizing paperwork, reports, and office materials for smooth operational flow.
  5. Communication Support: Manage phone messages, emails, and faxes, and relay information appropriately.
  6. Administrative Tasks: Perform dictation, phone reception, typing, copying, mailing, advocacy, and special project tasks.
  7. Data Compilation: Compile and prepare statistical data and reports as requested by the Clinic Manager.
  8. Collaboration: Work collaboratively with IT and other departments to support FLACRA’s mission and deliver quality client care.
  9. Supply Management: Order and track program supplies, including urine screens, breathalyzers, and nicotine replacement therapy (NRT).
  10. Report & Data Management: Responsible for proactive spreadsheets, Closed Chart Audits, PN Reconciliation, and other assigned reports.
  11. Secretarial Functions: Provide administrative and secretarial support as requested by the Clinic Manager.
  12. External Relations: Maintain positive working relationships with provider agencies, acting as a professional representative of FLACRA.
  13. Feedback Communication: Directly communicate suggestions, concerns, and complaints to the Clinic Manager.
  14. Professionalism: Uphold professionalism by providing respectful, quality service to clients and acting as an ambassador of FLACRA.
  15. Additional Responsibilities: Perform other duties as directed by management to support clinic operations.

About Us:

Finger Lakes Area Counseling and Recovery Agency (FLACRA) is a well-established, growing, not-for-profit provider of behavioral health and substance abuse treatment services in the Finger Lakes Region. Our innovative programs include outpatient services, residential care, crisis centers, vocational services, housing support, and youth programs. We are committed to supporting the professional development of our staff and fostering a positive and inclusive work environment.

At FLACRA, we are an equal opportunity employer committed to creating a workplace where everyone is valued and respected. We encourage candidates from all backgrounds to apply and join our dedicated team of professionals working to support recovery and mental health in our community.

Must-Have Qualifications:

  • High School Diploma or GED equivalent.
  • Valid NYS Driver’s License.
  • Clerical or administrative experience.
  • Strong communication skills, both verbal and written.
  • Proficiency in Microsoft Office applications.
  • Access to a reliable vehicle for work-related travel.


Nice-to-Have Qualifications:

  • Associate’s Degree or higher in a related field.
  • Experience in a medical office setting.
  • Office management experience.

Apply