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Substance Use Jobs in Raleigh, NC (NOW HIRING)

Substance Use Therapist (3476)

Durham, NC

$50K - $62K/yr

Deliver individual and group substance use disorder counseling using evidence-based approaches. * Support clients in developing skills for recovery, relapse prevention, and long-term stability.

Overview POSITION TITLE (Oracle title) COUNSELOR WORKING TITLE Substance Use Prevention Specialist SCHOOL/DEPARTMENT School Counseling LOCATION Crossroad II, Cary, NC PAY GRADE School Counselor ...

Overview POSITION TITLE (Oracle title) COUNSELOR WORKING TITLE Substance Use Prevention Specialist SCHOOL/DEPARTMENT School Counseling LOCATION Crossroad II, Cary, NC PAY GRADE School Counselor ...

SUBSTANCE ABUSE THERAPIST BUTNER, NC

Butner, NC · On-site

$39K - $49K/yr

Conduct clinical and substance use assessments for youth upon admission and throughout treatment. * Develop, implement, and update individualized treatment plans addressing substance use, behavioral ...

SUBSTANCE ABUSE THERAPIST BUTNER, NC

Butner, NC · On-site

$39K - $49K/yr

Conduct clinical and substance use assessments for youth upon admission and throughout treatment. * Develop, implement, and update individualized treatment plans addressing substance use, behavioral ...

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Substance Use information

See Raleigh, NC salary details

$32.1K

$57.4K

$82.1K

How much do substance use jobs pay per year?

As of Jun 9, 2026, the average yearly pay for substance use in Raleigh, NC is $57,366.00, according to ZipRecruiter salary data. Most workers in this role earn between $47,600.00 and $67,100.00 per year, depending on experience, location, and employer.

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 is a job that helps people with addiction?

A common job that helps people with addiction is a substance use counselor or addiction counselor. These professionals provide therapy, support, and education to individuals struggling with substance use disorders and often require certification or licensing. They work in clinics, treatment centers, or community organizations to assist clients in recovery.
What cities near Raleigh, NC are hiring for Substance Use jobs? Cities near Raleigh, NC with the most Substance Use job openings:

Substance Use Professional

True Team Medical

Durham, NC

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 21 days ago


Job description

About Us

Since 2003, we've been assisting children, families and adults across North Carolina with their behavioral health needs. Carolina Outreach is a group of highly trained behavioral health professionals dedicated to promoting the emotional and physical well-being of our community in a safe and respectful environment.
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We provide a comprehensive and integrative array of behavioral health services and supports for people of all ages with varying levels of need utilizing an equitable and inclusive approach.
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We focus on helping our clients tap into and develop their inherent strengths with the goal of supporting the highest quality of life possible for all we serve.

About the Role

We are seeking a Full-time Community Support Team Substance Abuse Professional to provide the following:

  • Deliver individual and group substance use disorder counseling using evidence-based approaches.
  • Support clients in developing skills for recovery, relapse prevention, and long-term stability.
  • Provide crisis support and intervention when needed.
  • Develop and maintain Person-Centered Plans (PCPs) that reflect each client's treatment goals.
  • Monitor progress and revise treatment plans as needed.
  • Coordinate services with families, community partners, and other providers.

This description outlines the general scope and level of work for this role. It is not intended to include every duty or responsibility that may be required of employees in this position.

Compensation

This role is compensated on a variable rate model, designed to reward productivity while providing consistent earning opportunity through established referral volume.

  • Compensation: $52,083 - $71,920

Placement within the range is based on licensure level, education, and experience.

This is a variable rate non-exempt position with unlimited earning potential. Your effort drives your earnings, no limits.

What You Can Expect

  • Consistent referral volume and established patient base
  • Administrative and scheduling support
  • Flexible scheduling options
  • Supportive clinical and operational leadership
  • Opportunities to build your preferred clinical focus areas
  • Streamlined onboarding and credentialing support

Responsibilities

  • Provide individual, family, and/or group therapy sessions
  • Maintain accurate and timely clinical documentation
  • Collaborate with care teams as needed
  • Maintain compliance with all clinical and regulatory standards
  • Participate in supervision (if applicable based on licensure level)

Qualifications

Position Qualifications.

  • Education: Master's degree in Psychology, social work or counseling.
  • License : Must hold a LCAS/A or Substance use Certification in NC.

Why Join Us

We are focused on creating a model where clinicians are supported, not overloaded. You'll have the flexibility to shape your schedule, the support to maintain a steady caseload, and the opportunity to grow within a stable, mission-driven organization.

Beyond the engaging work, you'll also benefit from our competitive benefits package to support you and your loved ones, provide work/life balance, and invest in your future. The list below is for informational purposes only.

  • Consumer-driven health plan coverage provided by Anthem
  • Wellness: When you enroll in a medical plan, you get complete care support on your time through Sydney app (Anthem), with exclusive access to 24/7 access to licensed doctors, therapists, and psychiatrists.
  • Health Savings Account (HSA) or Flex Spending Account (FSA)
  • Two dental plan options available through Delta Dental, so you can choose the level of coverage that fits your needs and budget.
  • Affordable vision plan available through EyeMed to keep your eyes healthy and your vision sharp.
  • An optional Dependent Care Flexible Spending Account to reimburse yourself on a pre-tax basis for childcare.
  • Generous paid time off
  • 401k or Roth IRA Retirement Programs administered by Empower
  • Financial planning and education services at no cost to you
  • Voluntary supplemental benefits (Accident, Critical Illness, Short-Term Disability)
  • Educational Assistance (your position, date of hire and years of service determine your eligibility)
  • Licensure Residency Program for Full-time Clinical Staff
  • Advancement and Career Development Opportunities

Legal Notice:

We are an equal opportunity employer. Employment is at-will and contingent upon successful completion of background checks and credential verification. We participate in E-Verify to confirm employment eligibility in the United States. Reasonable accommodations are available upon request in accordance with the Americans with Disabilities Act (ADA). Must be authorized to work in the United States. Compensation varies based on licensure, experience, and caseload. ncgCARE and all partner affiliates maintain a drug-free workplace.