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Substance Use Disorder Jobs in Rochester, NY (NOW HIRING)

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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.

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 is a substance use disorder professional?

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 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 are the most commonly searched types of Substance Use Disorder jobs in Rochester, NY? The most popular types of Substance Use Disorder jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Substance Use Disorder jobs? Cities near Rochester, NY with the most Substance Use Disorder job openings:
Infographic showing various Substance Use Disorder job openings in Rochester, NY as of July 2026, with employment types broken down into 86% Full Time, and 14% Part Time. Highlights an 100% In-person job distribution.

SUBSTANCE USE COUNSELOR

Catholic Charities Family and Community Services

Rochester, NY โ€ข On-site

$24.50 - $26/hr

Full-time

Retirement

Posted 5 days ago


Job description

Description:

We are Hiring!

Catholic Charities Family and Community Services (CCFCS) has been serving our community for over 100 years. We walk with people when they are at their most vulnerable as they journey toward independence to reach their full human potential. We proudly serve and employ people from all backgrounds and experiences.

If you're looking for more than just a job, if you're passionate about making a meaningful impact on the lives of others, join a team that changes lives every day. Be a part of something truly special.


Employment Type: Full-Time, 40 hours

Schedule: Sun-Thurs, 1pm-9pm

Salary: $24.50-26.00/hr. DOE


Top Benefits and Perks:

  • Competitive salary and 403b retirement plan
  • Generous time off package and work-life balance
  • Comprehensive benefits package
  • Supportive and collaborative environment
  • Opportunities for growth and development
  • Intrinsic reward of truly making a difference in people's lives

Qualifications:

Education: Associate’s Degree in Social Work, or in related Human Services field required.

Credentials: Valid and clean NYS Driver’s License. QHP- CASAC- T, CASAC, LMSW, LCSW, NCCC, LMHC, CRC, RN, or PhD required. Recovery peer advocate training also preferred.

Experience: Minimum of two years of experience working with substance use disorder clients or mental health services preferred. Bilingual in Spanish is preferred.

Counselor I Qualifications: CASAC-T


About the role:

Under general supervision, provides residential and clinical support to substance use disorder clients. Maintains confidentiality and ethical standards as identified by the NYS OASAS and other relevant governing bodies. Effectively supports ongoing and collaborative communication amongst all program staff, and is responsible for ensuring a trauma informed care environment.


Key Responsibilities:

  • Provides residential and clinical support services for substance use disorder clients.
    • Carries a caseload of clients.
    • Completes all necessary paperwork related to client services in compliance with Agency and regulatory standards.
    • Provides individual therapy services.
    • Responsible for admissions, discharges and treatment plans.
    • Manages medication process and procedures for all program participants.
    • Provides necessary case management to assure client participation in treatment and support services.
    • Collaborates and communicates with appropriate collateral (i.e., Agency staff, Outpatient substance use treatment providers, vocational and educational providers, criminal justice agencies and related community organizations) to assure coordination of client services.
    • Assist clients to meet all requirements for Department of Human Services (DHS).
  • Responsible for life skill programming including but not limited to: vocational/educational planning and readiness, parenting, anger management, planning skills, financial literacy, community integration, daily living skills, medication management, symptom management and skills for recovery and relapse prevention.
    • Facilitates life skills education through one on one sessions
    • Coordinates schedule of outside speakers to support Life skill programming.
    • Facilitates educational and skills development sessions as needed.
    • Communicates with residential team about client and residential community needs for life skills.
  • Monitors residents to assure a safe therapeutic environment.
    • Makes weekly house checks and individual weekly one on one sessions
    • Documents any unusual incidents or situations.
    • Communicates with appropriate staff regarding clients.
    • Works with Program Manager on monthly housekeeping reports and facilitates any work order requests with the Facilities department
    • Ensure residents activities are safe and therapeutic
    • In absence of Program Manager, will be designated point of contact for on-call schedule and provides crisis intervention and conflict management to residents as needed.
    • Assists clients with food and hygiene on a situational basis
  • Facilitates recreational activities for residents.
    • Meets with residents planning committee to plan recreation night.
    • Secures department vehicle and facilitates recreation activities that take place in the community.
  • Participate in all team, or residential activities.
    • Mediates crises at residential program as needed.
    • Participates in on-call schedule
    • Communicate client needs to Program Manager
    • Work cooperatively with other internal and external partners
  • Participates in relevant Agency meetings and/or trainings
  • Actively pursues development of professional competencies related to job role performance through reading, supervision, in-service training and attendance at conferences and workshops.
  • Awareness and active support of the Agency's Mission, Vision, Values and Strategic Plan. Including, but not limited to, supporting the Agency's Core Competency initiatives of being Collaborative and Community Focused, Innovative and Entrepreneurial, and Culturally Competent and Diverse

Note: The above description is illustrative of tasks and responsibilities. It is not meant to be all inclusive. Employees are required to follow appropriate supervisory directions and perform other related duties as required.

Requirements:

Physical Demands/Work Environment: The physical demands/work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to sit, talk, hear, stand, walk, use hands to type and/or perform light lifting. Specific vision abilities required by this job include close vision, distance vision and ability to adjust focus. The noise level in the work environment is usually quiet.

Compliance: Adheres to all applicable federal and state laws and regulations including, but not limited to, those governing confidentiality, privacy, program, billing and documentation standards. All duties must be performed in accordance with CCFCS’s corporate compliance & ethics program. Any offer of employment will be contingent upon successful completion of a background check. CCDOR considers all background check information in accordance with applicable law.


Join us and help make a positive impact on our community!


***Catholic Charities is committed to leveraging the talent of a diverse workforce to create great opportunities for our agency and our people. EOE/AA Disability/Vet