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Substance Use Jobs in Portland, OR (NOW HIRING)

Acadia Healthcare

Substance Use Counselor

Portland, OR · On-site

$23.50 - $31.75/hr

Substance Use Counselor * CADC-R, CADC I, CADC II, or CADC III Required Full Time Hours: * Monday - Friday, 5:00 AM - 1:30 PM Our Benefits: * Semi-Annual Bonus Program * Medical, Dental, and Vision ...

Acadia Healthcare

Substance Use Counselor

Portland, OR · On-site

$23.50 - $31.75/hr

Substance Use Counselor * CADC-R, CADC I, CADC II, or CADC III Required Full Time Hours: * Monday - Friday, 5:00 AM - 1:30 PM Our Benefits: * Semi-Annual Bonus Program * Medical, Dental, and Vision ...

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All JobsSubstance Use JobsSubstance Use Jobs in Portland, OR

Substance Use information

See Portland, OR salary details

$35K

$62.6K

$89.6K

How much do substance use jobs pay per year?

As of Aug 29, 2026, the average yearly pay for substance use in Portland, OR is $62,584.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,000.00 and $73,200.00 per year, depending on experience, location, and employer.

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 are popular job titles related to Substance Use jobs in Portland, OR?

For Substance Use jobs in Portland, OR, the most frequently searched job titles are:

What job categories do people searching Substance Use jobs in Portland, OR look for?

The top searched job categories for Substance Use jobs in Portland, OR are:

What cities near Portland, OR are hiring for Substance Use jobs?

Cities near Portland, OR with the most Substance Use job openings:

Substance Use jobs near you
Infographic showing various Substance Use job openings in Portland, OR as of August 2026, with employment types broken down into 1% As Needed, 71% Full Time, 25% Part Time, 2% Contract, and 1% Nights. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $62,584 per year, or $30.1 per hour.

Substance Use Counselor

Portland, OR

Belmont Comprehensive Treatment Center
See more jobs at Belmont Comprehensive Treatment Centerexternal

$23.50 - $31.75/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 28 days ago

Job description

Overview

Outpatient MAT Opioid Treatment Program

Seeking: Substance Use Counselor

  • CADC-R, CADC I, CADC II, or CADC III Required

Full Time Hours: 

  • Monday - Friday, 5:00 AM - 1:30 PM

Our Benefits: 

  • Semi-Annual Bonus Program
  • Medical, Dental, and Vision insurance
  • Competitive 401(k) plan
  • Paid vacation and sick time
  • Employer-paid clinical supervision (free to employees)
  • Free and unlimited access to 500+ accredited Continuing Education Units (CEUs)
  • Employee Assistance Program (EAP) offering continued support to employee lifestyle and well-being
  • Early morning hours offering a great work/life balance
  • Opportunity for growth that is second to none in the industry

Our Team:

Belmont Comprehensive Treatment Center (CTC), located in Portland, Oregon, is part of Acadia Healthcare's Comprehensive Treatment Centers, the leading provider of medication-assisted treatment in the nation. Our counseling team provides compassionate, high-quality counseling and therapy to patients that are seeking recovery from Opioid Use Disorder.

Your Job as a Substance Use Counselor:

The Substance Use Counselor is instrumental in our patient's treatment and recovery from opioid use disorder. Substance Use Counselors provide high quality, compassionate care through various mediums which include both individual and group counseling sessions.

Job Responsibilities:

  • Provide high quality, compassionate guidance in both individual and group counseling sessions.
  • Plan, oversee, facilitate and document patient's recovery.
  • Co-facilitate assigned group or family sessions as needed.
  • Ensure all documentation regarding patient care, treatment, and incidents is completed timely and in a clear, concise manner.
  • Prepare individual treatment plans for each assigned patient.
  • Initial assessments as well as follow up assessments.
  • Evaluate patient needs and determine if referrals to other programs or facilities are needed.
  • May plan for aftercare for assigned patients.
  • Provide crisis intervention to patients, as needed.
  • Provide case management duties for patients, ensuring individualized quality care as needed.
  • Act as a liaison between referral sources and patients, as needed.

Eligible positions may qualify for student loan forgiveness through HRSA, depending on clinic site eligibility. Check your eligibilty here: HRSA Eligibility

Qualifications

Required Education, Skills, and Qualifications:  

  • HS graduate or equivalent required;  
  • Prefer Bachelor's or Master's degree in social or health services field; 
  • Degree must be from an accredited college or university.  

  • Previous experience in addiction recovery or behavioral health settings, such as outpatient, residential, or correctional facilities.

  • Familiarity with Medication-Assisted Treatment (MAT), including methadone, buprenorphine, and naltrexone.

  • Experience conducting individual and group counseling sessions focused on substance use recovery.

  • Knowledge of evidence-based practices, such as Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and relapse prevention techniques.

  • Documentation experience, including maintaining clinical notes, treatment plans, and progress updates in accordance with state and federal guidelines.

  • Familiarity with state regulatory standards (e.g., 42 CFR Part 2, HIPAA, Joint Commission standards).

  • Experience collaborating in a multidisciplinary team with medical staff, case managers, and peer support specialists.

Required Licenses/Certifications: 

  • Oregon CADC R or higher (CADC I, CADC II, CADC III) is required  

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.

#LI-CTC

#LI-MM1

Employment Type: FULL_TIME

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