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Substance Use Counselor Jobs in Raleigh, NC (NOW HIRING)

Clinical Instructor

Chapel Hill, NC

  • Medical

  • Life

  • Retirement

  • PTO

Experience providing therapy, clinical case management, substance use counseling, intervention and referral services to culturally diverse populations. * Strong engagement and rapport-building ...

Position intended for non-licensed mental health counselors. * Bilingual candidates are encouraged ... health/substance use experience. * Bachelor's degree in a human services field with less than 2 ...

New

Position intended for non-licensed mental health counselors. * Bilingual candidates are encouraged ... health/substance use experience. * Bachelor's degree in a human services field with less than 2 ...

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Substance Use Counselor information

See Raleigh, NC salary details

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How much do substance use counselor jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for substance use counselor in Raleigh, NC is $24.76, according to ZipRecruiter salary data. Most workers in this role earn between $20.82 and $28.03 per hour, depending on experience, location, and employer.

What is a substance use counselor?

A Substance Use Counselor is a mental health professional who helps individuals struggling with drug, alcohol, or other substance dependencies. They assess clients’ needs, develop treatment plans, provide counseling, and support clients through recovery. Substance Use Counselors may work in rehabilitation centers, hospitals, or community organizations, often collaborating with other healthcare professionals. Their goal is to help clients understand their addiction, develop coping strategies, and maintain long-term sobriety.

What are the key skills and qualifications needed to thrive as a substance use counselor?

To thrive as a Substance Use Counselor, you need a background in counseling, psychology, or social work—often with a relevant degree and state licensure or certification. Familiarity with case management systems, assessment tools, and evidence-based treatment modalities such as CBT or motivational interviewing is common. Strong interpersonal skills, active listening, and cultural sensitivity help build trust and rapport with clients. These competencies are essential for providing effective support, fostering recovery, and navigating the complexities of addiction treatment.

What are some common challenges substance use counselors face when working with clients, and how are these typically addressed within the team?

Substance Use Counselors often encounter challenges such as client relapse, resistance to treatment, and co-occurring mental health disorders. These issues are typically addressed through regular team meetings, case consultations, and collaboration with other healthcare professionals like social workers and psychiatrists. Counselors also receive ongoing training and supervision to stay updated on best practices and to ensure they have the support needed to manage complex cases. This team-based approach helps provide comprehensive care and promotes the counselor's professional growth.

What is the difference between Substance Use Counselor vs Addiction Therapist?

AspectSubstance Use CounselorAddiction Therapist
CredentialsCertification (e.g., CADC, CAC)Licensed or certified in addiction counseling
Work EnvironmentRehabilitation centers, outpatient clinicsRehab facilities, mental health clinics
Industry UsageCommonly used in healthcare and community programsOften used interchangeably with Substance Use Counselor

Both roles focus on helping individuals overcome substance abuse, often requiring similar certifications and working in comparable environments. The main difference lies in terminology preference, with 'Addiction Therapist' sometimes implying a broader scope of mental health treatment. However, in practice, these titles are often used interchangeably in the industry.

What do you need to be a substance use counselor?

To become a substance use counselor, you typically need a relevant bachelor's degree or higher in fields like psychology, social work, or counseling, along with specialized training in addiction treatment. Certification or licensure, such as Certified Alcohol and Drug Counselor (CADC), is often required or preferred. Strong communication skills, empathy, and knowledge of addiction recovery are essential for success in this role.

Is it worth becoming a substance use counselor?

A substance use counselor helps individuals recover from addiction by providing therapy, support, and education. The role often requires relevant certifications, strong communication skills, and empathy, with job growth expected due to increasing awareness of substance abuse issues. It can be a rewarding career for those interested in mental health and helping others, though it may involve emotional challenges and variable work hours.
What job categories do people searching Substance Use Counselor jobs in Raleigh, NC look for? The top searched job categories for Substance Use Counselor jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Substance Use Counselor jobs? Cities near Raleigh, NC with the most Substance Use Counselor job openings:
Infographic showing various Substance Use Counselor job openings in Raleigh, NC as of August 2026, with employment types broken down into 8% As Needed, 76% Full Time, 14% Part Time, and 2% Contract. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $51,499 per year, or $24.8 per hour.

Crisis Response Team Licensed Counselor

SouthLight Healthcare

Raleigh, NC • On-site

$26.44/hr

Full-time, Part-time

Medical, Life, Retirement, PTO

Re-posted 8 hours ago


Job description

Crisis Response Team Licensed Counselor
Join a supportive team who values Compassion, Excellence, Collaboration, Inclusion, Hope, & Authenticity!
As our Crisis Response Team (CRT) Licensed Counselor, you will provide rapid behavioral health assessment, crisis intervention, stabilization, and care coordination for individuals experiencing mental health and/or substance use crises in an outpatient community mental health clinic. The Counselor utilizes trauma-informed, recovery-oriented, and person-centered approaches to assess risk, develop immediate stabilization plans, and determine the least restrictive appropriate level of care while ensuring compliance with North Carolina Medicaid, state regulations, and agency policies.
This position collaborates closely with psychiatrists, nurses, peer support specialists, case managers, law enforcement, emergency departments, schools, and community partners to promote safety, reduce unnecessary hospitalization, and facilitate timely linkage to ongoing treatment.
Pay
$26.44+ per hour, based on credentials.
Schedule
Monday - Friday, 6:00am - 2:00pm.
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 (full-time) or $100 (part-time) to each 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 a Crisis Response Team Licensed Counselor
  • Conduct comprehensive biopsychosocial, behavioral health, suicide, homicide, violence, and self-harm risk assessments using evidence-based practices.
  • Evaluate for psychiatric symptoms, substance use disorders, trauma, cognitive impairment, and functional limitations.
  • Provide immediate crisis counseling and stabilization.
  • Collaborate with psychiatrists, nurses, peer support specialists, care managers, and community providers.
  • Coordinate with emergency departments, law enforcement, EMS, schools, and social service agencies.
  • Communicate with family members and natural supports, when appropriate and with client consent.
  • Consult with the psychiatrist regarding medication concerns and diagnostic clarification.
  • Assist in developing individualized crisis stabilization plans.
  • Participate in case reviews and quality improvement activities.
  • Build collaborative relationships with hospitals, law enforcement, schools, homeless service providers, and community agencies.
  • Leverage Eleos AI, an innovative clinical documentation tool that reduces note-writing time so you can spend more time focusing on participant care.

Qualifications of a Crisis Response Team Licensed Counselor
Education and Experience
  • Master's degree in Human Services
  • Min 1 year experience in community mental health setting

Licensure/Certifications
  • LCMHC, LMFT, LCSW preferred
  • LCMHC-A, LMFT-A, LCSW-A accepted
  • Valid North Carolina Driver License - NC Division of Motor Vehicles

Knowledge, Skills and Abilities
  • Ability to change routine in a positive manner
  • Ability to solve problems as they arise
  • Ability to take initiative, make sound decisions
  • Ability to work independently with minimal supervision
  • Able to maintain good work attendance, build positive relationship with people supported,
  • Demonstrate knowledge of computer programs
  • Demonstrate strong organizational skills
  • Lift at least 25lbs, bend, stoop, reach
  • Maintain safe work environment
  • Must be able to tolerate heat/humidity
  • Must have proficient interpersonal skills
  • Must respond appropriately to emergency situations
  • Empathy, responsibility, individual coping, Interact and write to perform essential functions

About Us
Tap into your passion at SouthLight. For more than 55 years, SouthLight Healthcare has been a trusted leader in providing compassionate, evidence-based mental health and substance use treatment across Central North Carolina. As a nonprofit organization, we are dedicated to improving lives by expanding access to high-quality care, supporting recovery, and helping individuals build healthier, more hopeful futures. Each year, our team serves thousands of people through outpatient, community-based, and innovative treatment programs designed to meet people where they are.
At SouthLight, our people are the heart of everything we do. We foster a collaborative, inclusive culture where compassion, excellence, authenticity, hope, and innovation guide our work every day. Whether you're providing direct patient care or supporting our mission behind the scenes, you'll join a team committed to making a meaningful impact while investing in your professional growth. If you're passionate about serving others and want to be part of an organization transforming behavioral healthcare in our communities, we'd love to have you on our team.
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.