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Substance Use Jobs in Raleigh, NC (NOW HIRING)

RHA Health Services

BH Director of Nursing

Raleigh, NC · On-site

The Behavioral Health Director of Nursing promotes integrated care models addressing mental health and substance use treatment needs and ensures nursing services support stabilization, recovery ...

RHA Health Services

BH Director of Nursing

Raleigh, NC · On-site

The Behavioral Health Director of Nursing promotes integrated care models addressing mental health and substance use treatment needs and ensures nursing services support stabilization, recovery ...

Hope Services LLC

Associate Professional

NC · On-site

Master's degree in a human services field with less than 1 year of post-graduate mental health/substance use experience. * Bachelor's degree in a human services field with less than 2 years of post ...

New Season

Substance Abuse Counselor

Durham, NC · On-site

$21.25 - $28.50/hr

... Use Disorder ("OUD"). As a Licensed Clinician, you'll supervise and coach a team of Substance Abuse Counselors who are eager to learn and grow professionally. You'll work with a collaborative ...

New Season

Substance Abuse Counselor

Durham, NC

$21.25 - $28.50/hr

... Use Disorder ("OUD"). As a Licensed Clinician, you'll supervise and coach a team of Substance Abuse Counselors who are eager to learn and grow professionally. You'll work with a collaborative ...

New Season

Substance Abuse Counselor

Durham, NC · On-site

$21.25 - $28.50/hr

... Use Disorder ("OUD"). As a Licensed Clinician, you'll supervise and coach a team of Substance Abuse Counselors who are eager to learn and grow professionally. You'll work with a collaborative ...

New Season

Substance Abuse Counselor

Durham, NC · On-site

$21.25 - $28.50/hr

... Use Disorder ("OUD"). As a Licensed Clinician, you'll supervise and coach a team of Substance Abuse Counselors who are eager to learn and grow professionally. You'll work with a collaborative ...

Durham County

COMMUNITY HEALTH WORKER 1

Durham, NC · On-site

$18.25 - $24.25/hr

This position is responsible for providing outreach, intake and wrap around services to clients enrolled in the outpatient substance use disorder treatment program at to the Durham County Detention ...

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Showing results 21-40

All JobsSubstance Use JobsSubstance Use Jobs in Raleigh, NC

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 Sep 2, 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 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 Raleigh, NC?

For Substance Use jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Substance Use jobs in Raleigh, NC look for?

The top searched job categories for Substance Use jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Substance Use jobs?

Cities near Raleigh, NC with the most Substance Use job openings:

Substance Use jobs near you
Infographic showing various Substance Use job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 23% Part Time, 2% Contract, and 1% Nights. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $57,366 per year, or $27.6 per hour.

Medical Director of Treatment Programs

Advaita-Health-1

Raleigh, NC • On-site

$180 - $240/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago

Job description

Career Opportunities with Advaita Health

A great place to work.


Are you ready for new challenges and new opportunities?


Join our team!


Current job opportunities are posted here as they become available.


Medical Director of Treatment Programs — Psychiatry & Addiction Medicine

Advaita Health is committed to building a sustainable, integrated model of behavioral healthcare where providers and patients can thrive. Our medical and clinical teams work together across disciplines, coordinating care for patients with mental health, substance use, and co-occurring disorders.


We’re looking for a Medical Director of Treatment Programs to provide medical leadership across our Mental Health and Substance Use Disorder PHP and IOP programs. This role combines direct patient care with physician leadership, interdisciplinary collaboration, and supervision of Advanced Practice Providers.


Our treatment programs are grounded in a relational approach to care. We believe the relationship between provider and patient matters, and that the strongest treatment happens when psychiatry, therapy, and program teams are working together rather than alongside one another.


Our goal is to create an environment where you can build a lasting career, remain connected to clinical practice, develop other providers, and have a meaningful influence on how we care for patients with complex needs.


We support this through:



  • Protected time for both patient care and physician leadership

  • 20–24 patient-facing hours per week

  • Clinical leadership and supervision of approximately 4 APPs

  • Built-in collaboration with therapists and program leadership

  • Opportunities to strengthen the integration of psychiatric and addiction care across programs

  • Performance measures grounded in values, competencies, quality, and accountability—not simply volume

  • A full-time salary model rather than RVU-based compensation

  • Technology and operational support designed to support clinical work


Why Join Advaita Health?

This role is designed for a psychiatrist who enjoys the complexity of treating mental health, substance use, and co-occurring disorders and believes excellent care requires strong collaboration between medical and clinical teams.


You’ll work closely with our clinical leadership and multidisciplinary treatment teams while providing medical leadership to APPs. You’ll also have the opportunity to influence clinical practice, treatment approaches, quality, and the continued growth of our PHP and IOP programs.


Benefits include:

  • Full-time salary model (not RVUs)

  • $2,000 CME allowance after the probationary period

  • Quarterly bonus potential

  • Liability insurance and credentialing covered

  • 401(k) match

  • 3 weeks of PTO and 10 paid federal holidays

  • Flexible health, dental, and vision coverage with HSA/FSA options

  • Employer-paid life insurance up to $10,000

  • Short- and long-term disability coverage

  • Employee Assistance Program with therapy and financial support

  • Free CPR, CPT, and First Aid training


What We’re Looking For

We’re seeking a psychiatrist who values relational psychiatry, integrated care, and interdisciplinary collaboration and wants to work with patients who may need more support than traditional outpatient treatment provides.


The right person will be:



  • Curious and committed to continued growth

  • Collaborative and team-oriented

  • Skilled, present, and intentional in their clinical work

  • Comfortable treating complex mental health, substance use, and co-occurring presentations

  • Interested in providing clinical leadership to APPs

  • Excited about close collaboration with therapists and clinical program leadership

  • Invested in evidence-based care, quality, and patient safety

  • Aligned with a culture of accountability, feedback, and supporting one another


Qualifications

  • MD or DO from an accredited medical school

  • Completion of an accredited Psychiatry residency program

  • Board eligible or board certified in Psychiatry

  • Board certification in Addiction Psychiatry preferred; alternatively, at least three years of significant clinical experience in addiction medicine or substance use disorder treatment preferred

  • Experience treating mental health, substance use, and co-occurring disorders

  • Experience with medications for addiction treatment preferred

  • Current, unrestricted North Carolina medical license

  • Current, unrestricted DEA registration

  • Experience supervising or providing clinical leadership to APPs preferred


Ready to Join Us?

If you want to practice psychiatry in a setting where medical and clinical care are truly integrated, develop other providers, and help us continue strengthening how we care for patients with complex mental health and substance use needs, we’d love to hear from you.

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