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Substance Use Jobs in Alabama (NOW HIRING)

Therapist, Substance Use

AL · On-site

$39K - $49K/yr

Knowledge of substance use disorder specialty and Certified in HIV Education, Counseling and Testing as outlined below, to be attained within (6) six months of employment. * Knowledge of the nature ...

Substance Use Therapist

Huntsville, AL · On-site

$48K - $60K/yr

At our River Crossing Withdrawal Management facility, the Substance Use Therapist works with clients to identify issues related to drug and alcohol withdrawal symptoms. The Therapist should also be ...

Therapist, Substance Use

Mobile, AL

$39K - $49K/yr

Knowledge of substance use disorder specialty and Certified in HIV Education, Counseling and Testing as outlined below, to be attained within (6) six months of employment. * Knowledge of the nature ...

Substance Use Counselor

Oxford, AL · On-site

$18 - $24/hr

Substance abuse counselor will be in charge with assisting patients through medically assisting ... Our ultimate goal is to address the physical, emotional, and mental aspects of opioid use disorder ...

Substance Use Counselor

Oxford, AL · On-site

$18 - $24/hr

Substance abuse counselor will be in charge with assisting patients through medically assisting ... Our ultimate goal is to address the physical, emotional, and mental aspects of opioid use disorder ...

Substance Use Disorder Therapist

Huntsville, AL · On-site

$51K - $64K/yr

The Substance Use Disorder Treatment Therapist will be seeing clients who struggle with substance use disorder to assist them in recovery from substance abuse and co-occurring disorders through ...

Temporary Substance Use Counselor

Oxford, AL · On-site

$18 - $24/hr

Substance abuse counselor will be in charge with assisting patients through medically assisting ... Our ultimate goal is to address the physical, emotional, and mental aspects of opioid use disorder ...

Substance Use Navigator - Lakeview

Tanner, AL · On-site

$18.75 - $25.50/hr

Your job is more than a job The Substance Use Navigator (SUN) plays a critical role in identifying, engaging, and supporting patients with substance use disorders (SUDs), including opioid use ...

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Substance Use information

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

To thrive as a Substance Use Counselor, you need a background in psychology, social work, or counseling, often supported by state licensure or certification in addiction counseling. Familiarity with treatment planning software, electronic health records (EHRs), and evidence-based intervention techniques is typically required. Outstanding interpersonal skills, empathy, and strong communication abilities are essential for building trust and supporting clients through recovery. These competencies are crucial for effectively guiding individuals through treatment, ensuring ethical care, and fostering positive outcomes in challenging environments.

What is a substance use counselor?

A substance use counselor is a professional who helps individuals struggling with drug or alcohol addiction. They provide support through assessment, treatment planning, counseling sessions, and recovery strategies. Substance use counselors may work in various settings, such as rehabilitation centers, hospitals, or private practices, and often collaborate with other healthcare professionals. Their goal is to guide clients toward recovery and help them develop healthier coping mechanisms.

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

AspectSubstance UseSubstance Use Counselor
CredentialsVaries; often no formal certificationCertification required (e.g., CADC, CSAC)
Work EnvironmentCommunity clinics, hospitals, outreach programsRehabilitation centers, clinics, private practice
Industry UsageRefers to the issue or topic of substance useRefers to professionals providing treatment and support

Substance Use describes the issue or behavior related to the consumption of substances, while a Substance Use Counselor is a trained professional who provides treatment and support for individuals struggling with substance use problems. The counselor's role involves assessment, counseling, and developing recovery plans, whereas Substance Use refers to the broader topic or problem itself.

What are some typical challenges faced by professionals working in substance use counseling, and how can they be effectively managed?

Substance use counselors often encounter challenges such as managing client relapse, navigating complex co-occurring mental health disorders, and maintaining clear professional boundaries. Building strong therapeutic alliances, participating in regular supervision, and collaborating with multidisciplinary teams can help address these difficulties. Ongoing training in trauma-informed care and self-care strategies are also essential for sustaining effectiveness and personal well-being in this emotionally demanding field.
What cities in Alabama are hiring for Substance Use jobs? Cities in Alabama with the most Substance Use job openings:
Infographic showing various Substance Use job openings in Alabama as of July 2026, with employment types broken down into 1% Locum Tenens, 3% As Needed, 75% Full Time, 19% Part Time, and 2% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

$44K - $56K/yr

Other

Medical, Dental, Vision, Retirement

Posted 15 days ago


Job description

At Integrea Community Mental Health System, you’re not just joining a workplace—you’re joining a missiondriven team that cares deeply about its consumers, its community, and each other. We invest in our employees with comprehensive benefits—including Blue Cross/Blue Shield health and dental, vision and supplemental insurance options, and the security of participating in the Retirement Systems of Alabama (RSA). 

Position Summary:

The Substance Use Therapist provides outpatient behavioral health services to individuals experiencing substance use disorders. This role involves conducting assessments, developing individualized treatment plans, and delivering therapeutic services to support clients in achieving and maintaining recovery. The ideal candidate will have a strong understanding of co-occurring disorders, trauma-informed care, and motivational interviewing techniques.

Key Responsibilities:

  • Conduct comprehensive substance use assessments and diagnostic evaluations.
  • Develop and implement individualized, strengths-based treatment plans.
  • Provide individual and group therapy focused on substance use recovery and co-occurring mental health issues.
  • Utilize evidence-based treatment approaches, including but not limited to CBT, DBT, MI, and relapse prevention strategies.
  • Collaborate with medical and clinical teams, including prescribers and case managers.
  • Maintain accurate, timely, and confidential clinical documentation in accordance with agency and regulatory standards.
  • Coordinate care with external providers and community resources as appropriate.
  • Participate in case reviews, staff meetings, and clinical supervision.
  • Stay current with developments in substance use treatment and engage in ongoing professional education.
  • All other duties as assigned

* Please note this position will require evening flexibilityÂ