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Substance Use Jobs in Illinois (NOW HIRING)

This full time position provides substance use assessment, counseling, and treatment services to individuals navigating substance use disorder and co occurring conditions within our CCBHC continuum.

Substance Use Specialist

Broadview, IL · On-site

$50K - $54K/yr

Specialist will work with clients to help them understand their substance use and help them make decisions that will lead to stable housing and improved mental and physical health. Provides ...

This full time position provides substance use assessment, counseling, and treatment services to individuals navigating substance use disorder and co occurring conditions within our CCBHC continuum.

Substance Use Counselor

Caseyville, IL · On-site

$19.23 - $24.47/hr

For nearly 60 years, we have provided substance use and mental health treatment that helps individuals, families, and communities find healing, hope, and lasting wellbeing. Our mission is simple: We ...

Substance Use Counselor

Caseyville, IL · On-site

$19.23 - $24.47/hr

For nearly 60 years, we have provided substance use and mental health treatment that helps individuals, families, and communities find healing, hope, and lasting wellbeing. Our mission is simple: We ...

Substance Use Counselor

Caseyville, IL · On-site

$19.23 - $24.47/hr

For nearly 60 years, we have provided substance use and mental health treatment that helps individuals, families, and communities find healing, hope, and lasting wellbeing. Our mission is simple: We ...

Substance Use Counselor

Caseyville, IL · On-site

$19.23 - $24.47/hr

For nearly 60 years, we have provided substance use and mental health treatment that helps individuals, families, and communities find healing, hope, and lasting wellbeing. Our mission is simple: We ...

Substance Use Counselor

Caseyville, IL · On-site

$19.23 - $24.47/hr

For nearly 60 years, we have provided substance use and mental health treatment that helps individuals, families, and communities find healing, hope, and lasting wellbeing. Our mission is simple: We ...

For nearly 60 years, we have provided substance use and mental health treatment that helps individuals, families, and communities find healing, hope, and lasting wellbeing. Our mission is simple: We ...

Substance Use Counselor

Caseyville, IL · On-site

$19.23 - $24.47/hr

For nearly 60 years, we have provided substance use and mental health treatment that helps individuals, families, and communities find healing, hope, and lasting wellbeing. Our mission is simple: We ...

Substance Use Counselor

Caseyville, IL · On-site

$19.23 - $24.47/hr

For nearly 60 years, we have provided substance use and mental health treatment that helps individuals, families, and communities find healing, hope, and lasting wellbeing. Our mission is simple: We ...

For nearly 60 years, we have provided substance use and mental health treatment that helps individuals, families, and communities find healing, hope, and lasting wellbeing. Our mission is simple: We ...

Substance Use Counselor

Caseyville, IL · On-site

$19.23 - $24.47/hr

For nearly 60 years, we have provided substance use and mental health treatment that helps individuals, families, and communities find healing, hope, and lasting wellbeing. Our mission is simple: We ...

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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 Illinois are hiring for Substance Use jobs?

Cities in Illinois with the most Substance Use job openings:

Infographic showing various Substance Use job openings in Illinois as of August 2026, with employment types broken down into 1% As Needed, 69% Full Time, 27% Part Time, 2% Contract, and 1% Nights. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.

$64K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 24 days ago


Job description


Counselor – Substance Use

Salary: Range based on education, experience, and licensure or certification   

  • Bachelor’s Degree: $25.00/hour + every other Friday off
  • Bachelor’s Degree + CADC: $27.00/hour + every other Friday off
  • Master’s Degree: $60,000/annually + every other Friday off
  • Master’s Degree + LPC, LSW, or CADC: $64,000/annually + every other Friday off

Schedule: Full-Time | Every other Friday off (paid wellness day)

Looking for a career where your work truly matters? Heritage Behavioral Health Center is hiring passionate professionals!

About Heritage Behavioral Health Center  

We are a mission-driven Certified Community Behavioral Health Clinic located in Decatur, Illinois, and Clinton, Illinois, who is dedicated to improving mental health and substance use care to individuals in a multi-county area.  We recognize that all individuals at our organization have an impact on client care – regardless of the position they hold.   

Why You’ll Love Working Here: 

  • Collaborative mission-driven work environment
  • Every other Friday off – paid wellness days 
  • Competitive salaries aligned with state and national benchmarks 
  • Loan forgiveness eligibility through NHSC

At Heritage, we believe in taking care of our staff’s needs so that they can concentrate on taking care of the needs of the individuals we serve.  Our staff are our greatest asset, and we treat them as such!   

Your Role:

Substance Use Counselor – Heritage Behavioral Health Center 

Substance Use Counselor – Heritage Behavioral Health Center  

As a Substance Use Counselor, you will play a vital role in supporting adults with substance use and/or co-occurring mental health disorders. You will provide compassionate, evidence-based care that empowers individuals on their recovery journey. This position involves conducting comprehensive assessments, developing individualized treatment plans, and delivering counseling services aligned with ASAM criteria and harm reduction principles. You will work collaboratively with a multidisciplinary team to ensure integrated, person-centered care.

Core Responsibilities:

  • Conduct substance use and mental health assessments using ASAM Criteria and IM-CANS.
  • Develop individualized treatment plans based on assessment findings and client goals.
  • Provide ASAM Level 1 (Outpatient) and Level 2 (Intensive Outpatient) services, including individual and group counseling.
  • Utilize Motivational Interviewing (MI) and other evidence-based practices to engage and support clients.
  • Incorporate harm reduction strategies and support Medication-Assisted Recovery (MAR) as part of treatment.
  • Facilitate psychoeducational and therapeutic groups focused on recovery, relapse prevention, and coping skills.
  • Collaborate with internal and external providers to coordinate care and ensure continuity of services.
  • Maintain accurate and timely documentation in compliance with agency, state, and federal standards.
  • Participate in team meetings, case consultations, and ongoing professional development.

 

Knowledge, Skills, and Abilities:

 

Knowledge:

  • ASAM Criteria and levels of care for substance use treatment.
  • Principles of harm reduction, recovery-oriented care, and integrated treatment for co-occurring disorders.
  • Evidence-based counseling approaches, including Motivational Interviewing and Cognitive Behavioral Therapy.
  • Medication-Assisted Recovery (MAR) and its role in substance use treatment.
  • State and federal regulations related to behavioral health and substance use services.

 

Skills:

  • Strong clinical assessment and diagnostic skills using ASAM and IM-CANS tools.
  • Ability to engage clients in a nonjudgmental, culturally competent manner.
  • Proficient in facilitating individual and group counseling sessions.
  • Effective communication and collaboration within a multidisciplinary team.
  • Strong organizational and documentation skills using electronic health records.

 

Abilities:

  • Build therapeutic relationships that foster trust and recovery.
  • Adapt interventions to meet diverse client needs and stages of change.
  • Manage crisis situations calmly and effectively.
  • Maintain professional boundaries and ethical standards.
  • Commit to ongoing learning and application of best practices in substance use treatment.

 

Qualifications 

  • Bachelor’s degree in human service field + ability to obtain certification as an Alcohol and Drug Counselor (CADC) within two years of employment 
  • Graduate degree in counseling, clinical psychology, social work, or other human service fields + ability to obtain certification as an Alcohol and Drug Counselor (CADC), LPC, or LSW, within two years of employment
  • Certification as an Alcohol and Drug Counselor (CADC), LPC, or LSW required within 24 months of employment
  • Minimum of 21 years of age 
  • A valid driver’s license, reliable means of transportation, and proof of automobile insurance.

Heritage also offers the following with this position: 

  • Generous Time Off: Vacation, sick, personal, and holiday leave 
  • Wellness Benefits: Every other Friday off paid, Employee Assistance Program (EAP), and fitness reimbursement 
  • Insurance:    Health, dental, vision, flex spending accounts (healthcare, dependent care), and additional life insurance.    Health insurance includes substantial agency contributions toward the cost.
  • Retirement: 401k and Roth
  • Professional Growth:    Tuition assistance and continuing education opportunities 
  • Loan Forgiveness:    Eligible through the National Health Service Corp 

Ready to make a difference?  Apply today and join a team that cares about your well-being as much as the individuals we serve!