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Substance Use Jobs in Raleigh, NC (NOW HIRING)

ReEntry Counselor

Raleigh, NC · On-site

$55K/yr

Provide assessment of mental health and substance use for adolescent and adult justice involved participants. Refer for treatment when assessment indicates. * Work closely with community partners to ...

Substance Abuse Counselor

Durham, NC

$21.50 - $29/hr

The Substance abuse counselor will be in charge with assisting patients through medically assisting programs and offering techniques for handling opioid use disorder. The counselor conducts group ...

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 ...

Clinical Addictions Specialist

Chapel Hill, NC · On-site

$28.87 - $41.50/hr

Evaluates patients with substance use disorders, develops treatment plans and implements and manages those treatment plans. Maintains treatment plan records and develops and implements treatment ...

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 ...

Overview Provides mental health and substance use services in person or via telehealth. Conducts emergency psychiatric and substance use assessments, diagnoses using the DSM-5/ICD10 codes, and ...

Showing results 21-40

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 Jul 25, 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 cities near Raleigh, NC are hiring for Substance Use jobs? Cities near Raleigh, NC with the most Substance Use job openings:
Infographic showing various Substance Use job openings in Raleigh, NC as of July 2026, with employment types broken down into 5% As Needed, 90% Full Time, and 5% Part Time. Highlights an 90% In-person, 5% Hybrid, and 5% Remote job distribution, with an average salary of $57,366 per year, or $27.6 per hour.
Licensed Clinical Addiction Specialist

Licensed Clinical Addiction Specialist

Lincoln Community Health Center

Durham, NC • On-site

$50K - $52K/yr

Full-time

Posted 12 days ago


Job description

LICENSED CLINICAL ADDICTIONS SPECIALIST (LCAS)
BEHAVIORAL HEALTH CLINIC
 
POSITION DESCRIPTION:
 
Provides initial assessment, diagnoses, and evaluation services for adult patients.  Provides treatment services for adult patients with substance use disorders.  May provide consultation, screening, referral for adolescents and children with substance use disorders as needed. May provide case management services as needed for adults or children with substance use disorders. May assist in planning, developing and implementing health promotion and disease prevention programs and therapeutic services for individuals , groups and families with substance use disorders.
 
KNOWLEDGE, SKILLS, AND ABILITIES:
  • A thorough knowledge of psychosocial, psychological, behavioral and psychiatric disorders, including substance abuse. 
  • Ability to communicate clearly in writing and verbally in a professional manner and style, and the 
  • Ability to communicate effectively with people of diverse backgrounds and educational levels.  Ability to maintain an effective working relationship with patients, staff, community resources and the general public.
 
EDUCATION:
  • A Master’s Degree in Social Work or related human services is required.  Licensed as a clinical addictions specialist or a Provisional license as a Clinical Addictions Specialist  as required by the North Carolina Substance Abuse Professional Practice Board.
 
PREVIOUS EXPERIENCES:
  • A minimum of three (3) years experience post Masters in human services field  as a clinical addictions specialist in a health or mental health setting, or 
  • five (5) years experience post Masters in a non-clinical setting.

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