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Substance Use Counselor Jobs in Spokane, WA (NOW HIRING)

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How much do substance use counselor jobs pay per hour?

As of Aug 31, 2026, the average hourly pay for substance use counselor in Spokane, WA is $25.75, according to ZipRecruiter salary data. Most workers in this role earn between $21.63 and $29.18 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.

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 community service.

What degree is best for a substance use counselor?

A substance use counselor typically benefits from a bachelor's degree in psychology, social work, counseling, or a related field. Many states also require certification or licensure, which may involve completing a master's degree and supervised clinical hours. Relevant skills include counseling techniques and knowledge of addiction treatment methods.

What are popular job titles related to Substance Use Counselor jobs in Spokane, WA?

For Substance Use Counselor jobs in Spokane, WA, the most frequently searched job titles are:

What job categories do people searching Substance Use Counselor jobs in Spokane, WA look for?

The top searched job categories for Substance Use Counselor jobs in Spokane, WA are:

What cities near Spokane, WA are hiring for Substance Use Counselor jobs?

Cities near Spokane, WA with the most Substance Use Counselor job openings:

Substance Use Counselor jobs near you
Infographic showing various Substance Use Counselor job openings in Spokane, WA as of August 2026, with employment types broken down into 1% As Needed, 67% Full Time, 29% Part Time, 2% Contract, and 1% Nights. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $53,567 per year, or $25.8 per hour.

Substance Use Disorder Counselor - Remote Opportunities

Optum Health Psychotherapy Pte. LTD.

Spokane, WA • Remote

$115K - $130K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired 3 days ago. Applications are no longer accepted.

Job description

Position Overview

Optum Health Psychotherapy Pte. LTD. is seeking a dedicated and experienced Mental Health Counselor to join our dynamic team. In this full-time remote role, you will play a crucial part in assisting clients who are navigating the challenges of substance use disorders. Your expertise will support individuals and their families on their journey toward recovery, empowering them to achieve lasting change.

About the Organization

At Optum Health Psychotherapy Pte. LTD., we are committed to providing comprehensive services that address the multifaceted nature of addiction. Our approach is founded on evidence-based treatment modalities that encompass both individual and group therapies, aiming to deliver holistic care tailored to each patient’s unique needs. We believe in fostering a supportive and collaborative environment, where each team member contributes to making a significant impact in the lives of those we serve.

Work Environment

This position is fully remote, enabling you to work from the comfort of your own home while engaging with clients through advanced telehealth technology. Our virtual setting not only allows for flexibility but also bridges geographical gaps, ensuring that vital mental health services are accessible to individuals in Spokane and beyond. We value a work culture that champions collaboration, innovation, and continuous learning, providing the tools you need to thrive in your role.

Key Responsibilities
  • Conduct thorough assessments for clients seeking treatment for substance use disorders, determining their individual needs and goals.
  • Develop and implement customized treatment plans that employ evidence-based therapeutic interventions, focusing on areas such as motivational interviewing and cognitive-behavioral therapy.
  • Facilitate individual counseling sessions, providing a safe space for clients to explore their challenges and develop coping strategies.
  • Lead group therapy sessions, fostering a supportive atmosphere for individuals to share experiences and learn from one another.
  • Work closely with an interdisciplinary team—including psychiatrists and addiction specialists—to ensure that clients receive integrated care, addressing all aspects of their well-being.
  • Deliver crisis intervention services when necessary, responding swiftly to substance-related emergencies to safeguard patients’ mental health.
  • Educate clients and their families about addiction recovery pathways, coping mechanisms, and available community support resources.
  • Maintain meticulous documentation of sessions and treatment plans, adhering to legal and ethical guidelines to protect client confidentiality.
  • Actively participate in team meetings and case consultations, contributing to discussions on improving care strategies and patient outcomes.
  • Stay current with the latest research in substance use treatment to continuously enhance your practice and the care provided to clients.
Patient Population / Client Focus

The clients you will serve are individuals grappling with substance use disorders, which can range from alcohol and opioid dependencies to other forms of addiction. Many clients experience co-occurring mental health issues, such as anxiety or depression, necessitating a holistic and integrated approach. Your role not only involves direct support but also extends to empowering families by providing them with the tools and education needed to support their loved ones in recovery.

Qualifications
  • A Bachelor's degree in Social Work, Psychology, Mental Health Counseling, or a related field.
  • Current and valid licensure in the state of Washington as a LICSW, LMHC, LMFT, or PSYD.
  • Demonstrated experience in substance use disorder counseling is highly preferred, showcasing a deep understanding of addiction and recovery processes.
  • Strong interpersonal and communication skills to foster trust and rapport with clients and their families.
  • Ability to work independently while being a proactive team player within our collaborative model.
Preferred Experience
  • Experience with telehealth platforms and providing virtual counseling services.
  • Familiarity with various therapeutic techniques, including CBT, DBT, and mindfulness-based approaches.
  • Previous involvement in training, guiding, or mentoring less experienced colleagues.
Compensation and Benefits

The compensation for this role ranges from $115,000 to $130,000 annually, commensurate with experience. Optum Health Psychotherapy Pte. LTD. offers a robust benefits package designed to support your physical and mental well-being, including:

  • Comprehensive healthcare benefits covering medical, dental, and vision.
  • A retirement savings plan with employer-matching contributions.
  • Generous paid time off (PTO) and holiday pay to ensure work-life balance.
  • Professional liability insurance coverage.
  • Opportunities for continuing education and professional development to advance your skills.
  • A collaborative and supportive team culture that promotes growth and innovation.
Career Growth Opportunities

We take pride in our commitment to the professional development of our employees. As a Mental Health Counselor at Optum, you will have access to various career growth pathways within our organization, particularly in the expanding field of substance use disorder treatment. Engage in training sessions, pursue specialty certifications, or take on leadership roles as you evolve in your career.

Why Join Our Team

Joining Optum Health Psychotherapy Pte. LTD. means becoming part of a mission-driven organization that uplifts individuals and communities. If you are passionate about making a meaningful difference in the lives of others and thrive in a supportive remote environment, we invite you to apply. Bring your expertise to a place where your contributions will be valued and help shape the future of mental health care.

Application Information

If you’re ready to take the next step in your career and make a positive impact on the lives of those struggling with substance use disorders, we encourage you to submit your application. Please include your resume and a cover letter detailing your relevant experience and why you believe you would be a great fit for our team.

Apply