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Substance Use Jobs in Raleigh, NC (NOW HIRING)

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 ...

Deliver evidence-based psychiatric services for inmates with mental illness and co-occurring substance use disorders. * Provide continuity of care through intake, incarceration, and release. * Ensure ...

RN or LPN Dosing Nurse

Durham, NC · On-site

$35 - $38/hr

  • PTO

MOUD is the use of medications, in combination with counseling, mental and behavioral therapies, to provide a holistic approach to the treatment of substance use disorders. MOUD is the gold standard ...

Licensed Clinical Therapist (SUD)

Raleigh, NC · On-site

$57K - $77K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Steadfast Health was founded to establish a new standard of substance use disorder (SUD) care. Recognizing that traditional treatment methods often fall short of reaching patients when they're most ...

Licensed Clinical Therapist (SUD)

Raleigh, NC · On-site

$57K - $77K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Steadfast Health was founded to establish a new standard of substance use disorder (SUD) care. Recognizing that traditional treatment methods often fall short of reaching patients when they're most ...

Showing results 41-60

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 Aug 12, 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?

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 August 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.

Mental Health Clinician II - Behavioral Health Services

WakeMed

Raleigh, NC • On-site

Per diem

Re-posted 16 days ago


WakeMed rating

7.7

Company rating: 7.7 out of 10

Based on 135 frontline employees who took The Breakroom Quiz

157th of 887 rated healthcare providers


Job description

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 provides crisis intervention, supportive counseling, and social work interventions. Evaluates safety, patient engagement, and support system effectiveness. Collaborates with a multidisciplinary team to determine and communicate disposition and level of care, including voluntary and involuntary commitments. Assists with diagnostic clarification, treatment recommendations, and risk mitigation. Advises patients, families, and providers to enhance care continuity. Participates in hospital and community mental health initiatives. Conducts biopsychosocial assessments and develops individualized treatment plans with patient-specific goals. Facilitates group therapy, creates safety plans, and ensures appropriate interventions. Tracks and manages involuntary commitments, including case tracking and representing the hospital in hearings. Maintains a working knowledge of relevant, behavioral health, medical and legal issues impacting hospital patients. Documents assessments, dispositions, interactions, and conversations per department guidelines and standards. Completes charge capture to ensure financial stability. May provide clinical supervision to master's-level student interns, and department trainees as needed. Supports department projects and initiatives. Must be able to work independently, prioritize tasks, and manage time efficiently. Demonstrates a flexibility in accepting diverse work assignments, managing stress related to change and resolving conflicts effectively.
Department Description
Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org .
EOE
Licensure
Licensed Clinical Mental Health Counselor Or Licensed Clinical Social Worker Or Licensed Marriage and Family Therapist Required
Education
Master's Degree Counseling Or Psychology Or Marriage and Family Therapy Or Social Work Required
Experience
2 Years Clinical - Mental Health Or Clinical - Substance Abuse/Addiction Required

What WakeMed employees say

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About WakeMed

Sourced by ZipRecruiter

Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Raleigh, NC, US

Year founded

1961