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Substance Use Jobs (NOW HIRING)

Acadia Healthcare

Substance Use Counselor

Taylorsville, UT · On-site

$21.50 - $29/hr

Substance Use Counselor * SUDC, ASUDC, LSUDC, SSW, CSW, ACMHC, LCSW, CMHC, or LMFT Full Time Hours: * Monday - Friday, 5:30 AM - 2:00 PM Our Benefits: * Semi-Annual Bonus Program * Medical, Dental ...

SELLATI & COMPANY, INC.

Substance Use Counselor

Richmond, VA · On-site

$22 - $29.75/hr

As a Substance Use Counselor, you will be responsible for providing support and guidance to individuals struggling with substance abuse issues. Your primary goal will be to help clients understand ...

Freeman Health System

Substance Use Counselor

Joplin, MO · On-site

$20 - $26.75/hr

The Substance Use Counselor is a member of New Directions professional staff and is responsible for providing substance use services for individuals and families impacted by a variety of behavioral ...

Acadia Healthcare

Substance Use Counselor

Taylorsville, UT · On-site

$21.50 - $29/hr

Substance Use Counselor * SUDC, ASUDC, LSUDC, SSW, CSW, ACMHC, LCSW, CMHC, or LMFT Full Time Hours: * Monday - Friday, 5:30 AM - 2:00 PM Our Benefits: * Semi-Annual Bonus Program * Medical, Dental ...

Acadia Healthcare

Substance Use Counselor

Charleston, WV

$21.50 - $29.25/hr

Substance Use Counselor Full-Time Hours: Monday-Friday, 5:00 AM-1:30 PM Our Benefits: * Semi-Annual Bonus Program * Medical, Dental, and Vision insurance * Competitive 401(k) plan * Paid vacation and ...

Acadia Healthcare

Substance Use Counselor

Williamson, WV

$21 - $28.25/hr

Substance Use Counselor Full-Time Hours: Monday-Friday, 6:00 AM-2:30 PM Our Benefits: * Semi-Annual Bonus Program * Medical, Dental, and Vision insurance * Competitive 401(k) plan * Paid vacation and ...

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Acadia Healthcare

Substance Use Counselor

Waterville, ME · On-site

$22.25 - $30/hr

Substance Use Counselor * Maine CADC or LADC is required * CCS also considered Full-Time (36 Hours with Benefits): * Monday, 5:00 AM - 9:00 AM * Tuesday - Friday, 5:00 AM - 1:30 PM Our Benefits:

Acadia Healthcare

Substance Use Counselor

South Portland, ME · On-site

$23 - $31/hr

Substance Use Counselor Full Time Hours: * Monday-Friday 5:00 AM - 1:30 PM Our Benefits: * Semi-Annual Bonus Program * Medical, Dental, and Vision insurance * Competitive 401(k) plan * Paid vacation ...

Acadia Healthcare

Substance Use Counselor

Roanoke, VA · On-site

$23.77 - $26/hr

Substance Use Counselor * CSAC-R, CSAC, or CSAC eligible (required) Full-Time Hours: * Monday - Friday 5 AM - 2 PM * Rotating Saturday mornings Our Benefits: * Semi-Annual Bonus Program * Medical ...

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Substance Use information

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$33K

$59K

$84.5K

How much do substance use jobs pay per year?

As of Aug 21, 2026, the average yearly pay for substance use in the United States is $59,014.00, according to ZipRecruiter salary data. Most workers in this role earn between $49,000.00 and $69,000.00 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.

More about Substance Use jobs

What cities are hiring for Substance Use jobs?

Cities with the most Substance Use job openings:

What states have the most Substance Use jobs?

States with the most job openings for Substance Use jobs include:

What job categories do people searching Substance Use jobs look for?

The top searched job categories for Substance Use jobs are:

Substance Use jobs near you
Infographic showing various Substance Use job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 24% Part Time, 2% Contract, and 1% Nights. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $59,014 per year, or $28.4 per hour.

Substance Use Therapist

Integrea Community Mental Health Systems

Opelika, AL

$44K - $56K/yr

Full-time

Medical, Dental, Vision, Retirement

Re-posted 6 days ago

Job description

At Integrea Community Mental Health System, you’re not just joining a workplace—you’re joining a missiondriven team that cares deeply about its consumers, its community, and each other. We invest in our employees with comprehensive benefits—including Blue Cross/Blue Shield health and dental, vision and supplemental insurance options, and the security of participating in the Retirement Systems of Alabama (RSA). 

Position Summary:

The Substance Use Therapist provides outpatient behavioral health services to individuals experiencing substance use disorders. This role involves conducting assessments, developing individualized treatment plans, and delivering therapeutic services to support clients in achieving and maintaining recovery. The ideal candidate will have a strong understanding of co-occurring disorders, trauma-informed care, and motivational interviewing techniques.

Key Responsibilities:

  • Conduct comprehensive substance use assessments and diagnostic evaluations.
  • Develop and implement individualized, strengths-based treatment plans.
  • Provide individual and group therapy focused on substance use recovery and co-occurring mental health issues.
  • Utilize evidence-based treatment approaches, including but not limited to CBT, DBT, MI, and relapse prevention strategies.
  • Collaborate with medical and clinical teams, including prescribers and case managers.
  • Maintain accurate, timely, and confidential clinical documentation in accordance with agency and regulatory standards.
  • Coordinate care with external providers and community resources as appropriate.
  • Participate in case reviews, staff meetings, and clinical supervision.
  • Stay current with developments in substance use treatment and engage in ongoing professional education.
  • All other duties as assigned

* Please note this position will require evening flexibility 

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