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Substance Use Jobs in Alabama (NOW HIRING)

... of substance use disorders and co-occurring substance use and mental disorders -Ability to lead a team with diverse members located in varying counties -Valid driver's license and a good driving ...

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Substance Use information

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 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 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 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 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 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 August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.

Day Crisis Care Center Registered Nurse (RN)

Homewood, AL • On-site

$27.76 - $46.35/hr

Other

Posted 13 days ago


Job description

Registered Nurse (RN)
Normal Work Hours/Days: 7:00am-7:30pm (3-12 hour shifts weekly)
Location: Crisis Care Center
Salary Range: $27.76 - $46.35
The Crisis Care Center is designed to provide crisis stabilization to individuals experiencing a behavioral health and/or substance use crisis and reduce pressure on law enforcement and local emergency departments. Once the crisis has been resolved and the individual has been stabilized, they will be linked with a community mental health provider for on-going services. This position is a direct service provider for the Crisis Care Center. The individual hired for this position is responsible for the coordination of medical, nursing and program services for individuals with mental health, substance use, and co-occurring disorders. The individual hired will be responsible for the initial nursing assessment of clients when they present to the Crisis Care Center to assure stabilization. This individual will also interpret medical information and assist or administer medications.
PRIMARY JOB FUNCTIONS:
Complete all admission and discharge paperwork including nursing assessments, physical assessments on individuals with mental health/substance abuse symptoms exhibiting a state of crisis and needs with development of nursing care plans
Obtain medical histories and provide medical screening
Monitor, record and report symptoms and changes in individuals' conditions by observation using proper nursing care to the Provider and Nurse Manager and document individual progress or lack thereof
Responsible for updating the initial treatment plan with any medical issues, in conjunction with other staff
Complete required daily shift note for all individuals on Extended Observation
Ensure all chart checks, CIWA, COWS, vitals are completed on the shift and all required logs (refrigerator, temperature logs) are updated on the sift
Transcribe orders if needed
Coordinate and implement discharge plans to outside community agencies and providers
Follow-up on medical concerns by providing direct nursing services to clients
Monitors with or without observation, withdrawal complications, possible medication side effects and emerging symptoms of mental illness
Demonstrate competency for Blood Glucose Monitoring, Alcohol Breathalyzer, Urine Drug Screen, Pregnancy Test, and PPD skin tests
Monitor and document all ordered labs, screenings, and results such as PPD, Blood Glucose, UA, RPR, Blood Chem, and CBC
Perform safe phlebotomy practices when drawing blood labs
Provides health education to groups and/or individuals
Maintains up to date, well documented medical records in compliance with state and program requirements
Participates in case reviews as a member of the multidisciplinary team
Administers medications and conducts audits on medication record documents to ensure accountability and compliance with medical direction
Intervene, stabilize and manage acute crisis situations as needed
Assist with seclusions and restraints when necessary and complete all required paperwork (i.e. seclusion/restraint packets and incident reports by the end of the shift)
Other duties and tasks as assigned
Perform all administrative duties as required
Other duties as assigned
MINIMUM QUALIFICATIONS:
Registered nurse with a current Alabama Nursing license
Two years experience working with serious mental illness and/or substance use populations preferred
Familiarity with psychotropic and neuroleptic drugs, their uses as well as potential side effects
Valid American Red Cross CPR/First Aid certification
Valid Alabama drivers license
KNOWLEDGE, SKILLS, & ABILITIES:
Knowledge of the seriously mentally ill and substance use population
Knowledge of special needs and behavioral characteristics of the seriously mentally ill and/or substance use adult population
Assessment skills in the areas of physical and mental status
Familiarity with psychotropic and neuroleptic drugs, their uses, and potential side effects
Knowledge and ability to properly administer psychotropic/neuroleptic drugs as ordered by the prescriber
Knowledge of legal and ethical issues relative to confidentiality of client records and the ability to interpret and apply them within the scope of nursing responsibilities
Working knowledge of clinical interviewing techniques and principles
Effective communication skills, written and expressive
Ability and willingness to document activities and maintain records in the electronic health record
Trained in or willing to be trained in crisis intervention, specifically Therapeutic Options