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Substance Use Jobs in Worcester, MA (NOW HIRING)

Advocates

Substance Use Clinician

Framingham, MA

$55K - $58K/yr

The Substance Use Clinician will provide 1:1 support and integrated treatment to individuals who have experienced long term homelessness and co-occurring disorders. The Substance Use Clinician will ...

Advocates

Substance Use Clinician

Framingham, MA · On-site

$55K - $58K/yr

The Substance Use Clinician will provide 1:1 support and integrated treatment to individuals who have experienced long term homelessness and co-occurring disorders. The Substance Use Clinician will ...

Advocates, Inc

Substance Use Clinician

Framingham, MA

$55K - $58K/yr

The Substance Use Clinician will provide 1:1 support and integrated treatment to individuals who have experienced long term homelessness and co-occurring disorders. The Substance Use Clinician will ...

Advocates, Inc

Substance Use Counselor

Southborough, MA · On-site

$55K - $58K/yr

The Substance Use Counselor will conduct assessments and provide therapeutic services to residents requiring additional support as a result of co-occurring disorders and/or traumas. Who We Are At ...

Acadia Healthcare

Substance Use Counselor

Fitchburg, MA

$27.88 - $29.81/hr

Substance Use Counselor Full Time Hours: Early morning schedule that encourages a great work-life balance: * Monday - Friday, 5:30 AM - 1:30 PM Why Work With Us? Benefits Include: * Semi-Annual Bonus ...

Acadia Healthcare

Substance Use Counselor

Fitchburg, MA · On-site

$27.88 - $29.81/hr

Substance Use Counselor Full Time Hours: Early morning schedule that encourages a great work-life balance: * Monday - Friday, 5:30 AM - 1:30 PM Why Work With Us? Benefits Include: * Semi-Annual Bonus ...

Advocates

Substance Use Counselor

Southborough, MA · On-site

$55K - $58K/yr

The Substance Use Counselor will conduct assessments and provide therapeutic services to residents requiring additional support as a result of co-occurring disorders and/or traumas. Who We Are At ...

Advocates

Substance Use Counselor

Southborough, MA

$55K - $58K/yr

The Substance Use Counselor will conduct assessments and provide therapeutic services to residents requiring additional support as a result of co-occurring disorders and/or traumas. Who We Are At ...

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All JobsSubstance Use JobsSubstance Use Jobs in Worcester, MA

Substance Use information

See Worcester, MA salary details

$32.9K

$58.9K

$84.3K

How much do substance use jobs pay per year?

As of Aug 25, 2026, the average yearly pay for substance use in Worcester, MA is $58,885.00, according to ZipRecruiter salary data. Most workers in this role earn between $48,900.00 and $68,800.00 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 Worcester, MA?

For Substance Use jobs in Worcester, MA, the most frequently searched job titles are:

What job categories do people searching Substance Use jobs in Worcester, MA look for?

The top searched job categories for Substance Use jobs in Worcester, MA are:

What cities near Worcester, MA are hiring for Substance Use jobs?

Cities near Worcester, MA with the most Substance Use job openings:

Substance Use jobs near you
Infographic showing various Substance Use job openings in Worcester, MA as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 23% Part Time, 3% Contract, and 1% Nights. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $58,885 per year, or $28.3 per hour.

Substance Use Clinician

Framingham, MA

Advocates
See more jobs at Advocatesexternal

$55K - $58K/yr

Full-time

Re-posted 19 days ago

Job description

Salary: $55,000- $58,000

Schedule: 9am-5pm

The Substance Use Clinician provides supervision to mobile staff while developing staff’s skills in responding to complex issues such as co-occurring disorders, substance use and trauma.  The Substance Use Clinician will provide 1:1 support and integrated treatment to individuals who have experienced long term homelessness and co-occurring disorders. The Substance Use Clinician will conduct assessments and provide therapeutic services to individuals requiring additional support as a result of co-occurring disorders and/or traumas.       

Who We Are

At Advocates, we provide comprehensive services for people facing developmental, mental health, or other life challenges. 

We’re a nonprofit, mission-driven organization with a person-centered approach, empowering the individuals we support to make choices, build independence, and live full, meaningful lives. Our work is rooted in respect, compassion, and inclusion, and we envision a world where individual differences are appreciated and celebrated.   

At Advocates, we value the ideas, experiences, and contributions of employees and are committed to fostering a supportive, welcoming culture where everyone can grow and thrive. 


High School Diploma/GED
  • Collaborating with staff, provide high quality evaluations, individual and group clinical services.
  • Support persons served by utilizing strategies including Screening, Brief Intervention and Referral for Treatment (SBIRT), Stages of Change model, Motivational Interviewing, and Harm Reduction. 
  • Provide clinical supervision to support and educate staff on substance use recovery principles, trauma recovery, staff responses to challenging behaviors, and strategies to provide effective supports and services
  • Support clinical staff within the team concerning the area of Addiction Recovery.
  • Demonstrate a proactive commitment to maintaining effective communication with staff and customers to facilitate and promote effective working relationships and customer service.
  • Ensure that clinical services are being delivered and documented in accordance with Advocates’ clinical philosophy and all licensing and regulatory bodies.
  • Attend and actively participate in trainings as assigned; maintain necessary certifications and licenses.
  • Liaise with other community provider and related agencies, and develop community resources.

  • Current licensure in a mental health field including but not limited to: LADC I or II, CACD, LCSW, LICSW, LMHC, LRC.
  • Excellent written and verbal communication.
  • Ability to contribute independently to and thrive within a fast-paced, team-oriented environment.
  • Strong organizational, scheduling and prioritizing skills, and ability to multitask.  Outstanding reasoning and problem solving abilities.
  • Must hold a valid driver's license, have access to an operational and insured vehicle and be willing to use it to transport clients.
  • Strongly prefer a candidate that will have a demonstrated understanding of and competence in serving culturally diverse populations.

Advocates is committed to cultivating a diverse and welcoming community where everyone feels respected and valued. Advocates fosters a culture of inclusion that celebrates and promotes diversity along multiple dimensions, including race, ethnicity, sex, gender identity, gender expression, sexual orientation, partnered status, age, national origin, socioeconomic status, religion, ability, culture, and experience. 

 

We are committed to providing equal employment opportunities to all applicants. If you require a reasonable accommodation during the application, interview or hiring process, please contact Human Resources.

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