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

Substance Abuse Counselor

Durham, NC

$21.50 - $29/hr

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 ...

Substance Abuse Counselor

Durham, NC ยท On-site

$21.50 - $29/hr

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 ...

Substance Abuse Counselor

Durham, NC

$21.50 - $29/hr

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 ...

Substance Abuse Counselor

Durham, NC ยท On-site

$21.50 - $29/hr

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 ...

Dispensing Nurse - LPN

Durham, NC ยท On-site

$25 - $33.75/hr

An ideal dispensing nurse candidate works cooperatively with supervisory counseling staff and demonstrates a non-judgmental and accepting attitude toward the Substance Use Disorder. Essential Duties ...

New

Dispensing Nurse - LPN

Durham, NC

$25 - $33.75/hr

An ideal dispensing nurse candidate works cooperatively with supervisory counseling staff and demonstrates a non-judgmental and accepting attitude toward the Substance Use Disorder. Essential Duties ...

Dispensing Nurse - LPN

Durham, NC

$25 - $33.75/hr

An ideal dispensing nurse candidate works cooperatively with supervisory counseling staff and demonstrates a non-judgmental and accepting attitude toward the Substance Use Disorder. Essential Duties ...

Dispensing Nurse - LPN

Durham, NC ยท On-site

$25 - $33.75/hr

An ideal dispensing nurse candidate works cooperatively with supervisory counseling staff and demonstrates a non-judgmental and accepting attitude toward the Substance Use Disorder. Essential Duties ...

Dispensing Nurse - LPN

Durham, NC

$25 - $33.75/hr

An ideal dispensing nurse candidate works cooperatively with supervisory counseling staff and demonstrates a non-judgmental and accepting attitude toward the Substance Use Disorder. Essential Duties ...

Dispensing Nurse - LPN

Durham, NC ยท On-site

$24.25 - $33/hr

An ideal dispensing nurse candidate works cooperatively with supervisory counseling staff and demonstrates a non-judgmental and accepting attitude toward the Substance Use Disorder. Essential Duties ...

Dispensing / Admin Nurse LPN or RN

Durham, NC ยท On-site

$25.75 - $34.75/hr

An ideal dispensing nurse candidate works cooperatively with supervisory counseling staff and demonstrates a non-judgmental and accepting attitude toward the Substance Use Disorder. Responsibilities:

Psychiatrist

Raleigh, NC ยท On-site

$200 - $250/hr

Internal referrals between psychiatry, outpatient therapy, and our substance use disorder treatment programs are seamless, giving providers confidence their patients are fully supported. Our Goal for ...

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Substance Use Disorder information

What are the key skills and qualifications needed to thrive as a Substance Use Disorder Counselor, and why are they important?

To thrive as a Substance Use Disorder Counselor, you generally need a background in psychology, social work, or counseling, often supported by state licensure or certification and specialized training in addiction treatment. Familiarity with electronic health records (EHRs), counseling methodologies, and standardized assessment tools is typically required. Exceptional empathy, active listening, and strong interpersonal communication help counselors build trust and support clients through recovery. These skills and qualifications are vital for providing effective treatment, fostering client engagement, and ensuring ethical, evidence-based care.

How long does it take to get CADC certification?

The Certified Alcohol and Drug Counselor (CADC) certification typically requires completing 300 to 350 hours of education, gaining at least two years of supervised work experience, and passing a certification exam. The process can take from several months to over a year depending on the individual's schedule and prior qualifications.

What is the difference between Substance Use Disorder vs Substance Abuse Counselor?

AspectSubstance Use DisorderSubstance Abuse Counselor
CredentialsMedical or clinical degrees, certifications like CADCCertification as a Substance Abuse Counselor, CADC or equivalent
Work EnvironmentHospitals, clinics, treatment centers, community programsRehabilitation centers, outpatient clinics, community agencies
Industry UsageMedical diagnosis, mental health treatmentTherapeutic intervention, patient counseling

Substance Use Disorder is a clinical diagnosis indicating a problematic pattern of substance use, often requiring medical treatment. A Substance Abuse Counselor is a professional who provides therapy and support to individuals with Substance Use Disorder. While the disorder is a medical condition, the counselor helps manage and treat it through counseling and behavioral strategies.

What do you need to become a LSAA?

To become a Licensed Substance Abuse Associate (LSAA), candidates must complete a state-approved substance use disorder counseling program, accumulate supervised work experience, and pass the required licensing exam. Additionally, applicants must meet background check requirements and adhere to continuing education standards to maintain licensure.

What are substance use disorder professionals?

Substance use disorder professionals are trained individuals who assess, diagnose, and treat people experiencing problems related to drug or alcohol use. They may include counselors, therapists, social workers, or medical professionals specializing in addiction. Their work involves creating treatment plans, providing therapy or counseling, and supporting recovery efforts for individuals and families. These professionals also help clients develop coping strategies and connect them with community resources. Their goal is to guide people toward recovery and improved quality of life.

What jobs have the highest substance abuse rates?

Jobs in the construction, hospitality, transportation, and mining industries tend to have higher substance abuse rates due to physically demanding work, irregular schedules, and high stress levels. These roles often involve exposure to substances and environments where substance use is more prevalent, making awareness and prevention important for workers and employers alike.

What are some common challenges faced by professionals working in Substance Use Disorder treatment roles, and how can they be addressed?

Professionals in Substance Use Disorder treatment often encounter challenges such as managing clients with co-occurring mental health conditions, navigating relapse situations, and maintaining professional boundaries while building trust. High caseloads and emotional demands can also contribute to burnout. These challenges can be addressed through ongoing training, regular supervision, self-care practices, and collaboration with multidisciplinary teams to ensure comprehensive support for both clients and staff.

What is the highest paid addiction counselor?

The highest paid addiction counselors typically hold advanced degrees, certifications, and extensive experience, with salaries reaching over $70,000 annually in some regions. Senior or specialized counselors working in private practice, healthcare facilities, or with high caseloads tend to earn the most. Salary can vary based on location, employer, and level of expertise.
What job categories do people searching Substance Use Disorder jobs in Raleigh, NC look for? The top searched job categories for Substance Use Disorder jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Substance Use Disorder jobs? Cities near Raleigh, NC with the most Substance Use Disorder job openings:
SUBSTANCE USE DISORDER COUNSELOR - 40010879

SUBSTANCE USE DISORDER COUNSELOR - 40010879

Durham County

Durham, NC โ€ข On-site

$21.50 - $29/hr

Full-time

Posted 9 days ago


Job description

Durham County Government employs approximately 1,900 employees that work towards providing needed services throughout the community. With a wide array of services, Durham County Government is at the heart of a rapidly growing and diverse area offering residents, employees and visitors exciting opportunities to live, work, grow and play. For more information about Durham County Government, visit www.dconc.gov
DEPARTMENT:
JUSTICE SERVICES
DATE POSTED:
DECEMBER 5, 2025
CLOSING DATE:
OPEN UNTIL FILLED
HIRING RANGE:
$55,366.00 - $66,000.00
POSITION NUMBER:
40010879
JOB TYPE:
FULL-TIME, NONEXEMPT, PROVISIONAL
**THIS POSITION IS PROVISIONAL (GRANT) AND BENEFITS ELIGIBLE WITH POTENTIAL FUNDING UNTIL SEPTEMBER 29, 2028**
GENERAL DESCRIPTION:
The work performed is professional and provides counseling to clients to develop their cognitive, behavioral, and social skills related to the treatment plan for their substance use addiction(s) and behavioral health needs.
This position works under general supervision.
DUTIES AND RESPONSIBILITIES:
The functions listed below are those that represent the majority of the time spent working in this position. Management may assign additional functions related to the type of work of the position as necessary.
  • Assists clients develop their cognitive, behavioral, social, and vocational skills as those skills relate to the treatment plan for their substance abuse addiction(s).
  • Screens clients who are referred for addictive and/or psychological disorders. Uses standardized tools to screen clients and conduct intakes, orientations, and assessments (social, educational, cultural, psychological, physical, career, and familial histories).
  • Develops individual treatment plans (daily regimens, behavioral goals, and after care); conducting individual and group counseling sessions; performing crisis interventions; providing client education and making referrals.
  • Collaborates with community-based agencies to assist in providing enhanced services for clients in the community.
  • Performs case management including record-keeping and report submissions to the supervisor and the treatment team.
  • Develops and completes person-centered plan with intake or comprehensive clinical assessment. Provides and engages clients in individual counseling in accordance with their person-centered treatment plan.
  • Serves as a member of the facility's multidisciplinary team and provides an initial diagnosis, recommended treatment, and follow-up and discharge plans.
  • Uses discretion and judgment to determine a substance use diagnosis.
  • Conducts psycho-educational groups using evidenced based treatment models when assigned.
  • Works exclusively with the Justice Services involved populations who have diagnosable substance use disorders (and often co-occurring mental health conditions).
  • Performs related work as assigned.

KNOWLEDGE, SKILLS AND ABILITIES:
  • Knowledge and application of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) for diagnosing substance use disorders.
  • Knowledge of addiction processes, including psychological and physical withdrawal.
  • Knowledge of psycho-pharmacy and drug interactions.
  • Knowledge and application of therapeutic approaches including group dynamics, crisis interventions, and family therapy.
  • Knowledge of community resources.
  • Skilled in evaluating and screening clients for appropriate treatment and referrals.
  • Skilled in formulating clear, goal-oriented treatment plans, and to concisely record documentation.
  • Skilled in developing and maintaining effective communication and rapport with clients, their families, and other health/therapy providers.

MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS:
Requires credentials as a Certified Alcohol and Drug Counselor (CADC) or as a Certified Criminal Justice Addictions Professional (CCJP) with a minimum of two (2) years of clinical experience to practice under the provisions of the North Carolina Substance Abuse Professional Practice Act.
Licensed Clinical Addictions Specialist (LCAS), Licensed Clinical Addictions Specialist - Associate (LCAS-A), Licensed Clinical Mental Health Counselor (LCMHC or LCMHC-S), Licensed Clinical Social Worker (LCSW or LCSW-A) or Licensed Psychological Associate (LPA) with substance abuse work experience of two (2) years will be considered.
SPECIAL CERTIFICATIONS AND LICENSES REQUIREMENTS:
  • None

PHYSICAL DEMANDS:
Performs sedentary work that involves walking or standing some of the time and involves exerting up to 10 pounds of force on a regular and recurring basis or sustained keyboard operations.
UNAVOIDABLE HAZARDS (WORK ENVIRONMENT):
  • None

Durham County Government is an Equal Opportunity Employer