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Substance Use Jobs (NOW HIRING)

Substance Use Counselor

Winchester, VA · On-site

$22 - $29.75/hr

Substance Use Counselor * CSAC-R, CSAC, or CSAC eligible Full-Time Hours: * Monday - Friday 5:30 AM - 2 PM * Rotating Saturdays 5:45 AM - 9:45 AM Our Benefits: * Semi-Annual Bonus Program * Medical ...

Substance Use Counselor

Louisville, KY · On-site

$21.25 - $28.75/hr

Substance Use Counselor GetWell Recovery Location: Louisville Downtown Metro Area, Kentucky Job Type: Full-Time Schedule: Monday to Friday, 5:00 AM - 12:00 PM Job Summary GetWell Recovery is seeking ...

As a Substance Use Counselor on the team, you'll be entrusted with a manageable caseload of individuals who are turning to you for guidance, support, and hope as they navigate their recovery journey.

Substance Use Counselor

Salt Lake City, UT · On-site

$20.50 - $27.50/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 ...

Substance Use Specialist

Cambridge, MD · On-site

$40K - $55K/yr

In this full‑time role, you will be assisting clients with their substance use recovery through evidence‑based practices, motivational interviewing, and personalized care planning as part of an ...

This full time position provides substance use assessment, counseling, and treatment services to individuals navigating substance use disorder and co occurring conditions within our CCBHC continuum.

Substance Use Counselor

Anchorage, AK

$22.75 - $30.75/hr

Substance Use Counselor * Alaska CDC I or CDC II is required Full Time Hours: Monday - Friday, 5:30 AM - 2:00 PM Our Benefits: * Semi-Annual Bonus Program * Medical, Dental, and Vision insurance

Therapist, Substance Use

AL · On-site

$39.60K - $49.40K/yr

Knowledge of substance use disorder specialty and Certified in HIV Education, Counseling and Testing as outlined below, to be attained within (6) six months of employment. * Knowledge of the nature ...

Substance Use Counselor

Baltimore, MD · On-site

$57.60K - $66.56K/yr

As a Substance Use Counselor on the team, you'll be entrusted with a manageable caseload of individuals who are turning to you for guidance, support, and hope as they navigate their recovery journey.

Liberty Resources is seeking a full-time Substance Use Counselor for our Maxwell House program supporting adults living with chemical dependency in Oneida, NY. Our employees have passion around the ...

Substance Use Counselor

Parkersburg, WV · On-site

$21.75 - $29.50/hr

Substance Use Counselor Full-Time Hours: Mon-Fri/ 5:30am-2:00pm Our Benefits: * Semi-Annual Bonus Program * Medical, Dental, and Vision insurance * Competitive 401(k) plan * Paid vacation and sick ...

Substance Use Counselor

South Portland, ME · On-site

$23 - $31/hr

Substance Use Counselor * Maine CADC or LADC is required * CCS also considered Full Time Hours: Monday - Friday, 5 :00 AM - 1:30 PM Your Job as a Substance Use Counselor: The Substance Use Counselor ...

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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 May 30, 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 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 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 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 a job that helps people with addiction?

A common job that helps people with addiction is a substance use counselor or addiction counselor. These professionals provide therapy, support, and education to individuals struggling with substance use disorders and often require certification or licensing. They work in clinics, treatment centers, or community organizations to assist clients in recovery.

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 are the most commonly searched types of Substance Use jobs? The most popular types of Substance Use jobs are:
What states have the most Substance Use jobs? States with the most job openings for Substance Use jobs include:
Infographic showing various Substance Use job openings in the United States as of May 2026, with employment types broken down into 95% Full Time, 1% Part Time, 1% Temporary, and 3% Contract. Highlights an 40% Physical, 10% Hybrid, and 50% Remote job distribution, with an average salary of $59,014 per year, or $28.4 per hour.
Substance Use Counselor

Substance Use Counselor

Acadia Healthcare

Winchester, VA • On-site

$22 - $29.75/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 22 days ago


Acadia Healthcare rating

6.1

Company rating: 6.1 out of 10

Based on 184 frontline employees who took The Breakroom Quiz

707th of 864 rated healthcare providers


Job description

Outpatient MAT Opioid Treatment Program

Seeking: Substance Use Counselor

  • CSAC-R, CSAC, or CSAC eligible

Full-Time Hours: 

  • Monday - Friday 5:30 AM - 2 PM
  • Rotating Saturdays 5:45 AM - 9:45 AM

Our Benefits: 

  • Semi-Annual Bonus Program
  • Medical, Dental, and Vision insurance
  • Competitive 401(k) plan
  • Paid vacation and sick time
  • Employer-paid clinical supervision (free to employees)
  • Free and unlimited access to 500+ accredited Continuing Education Units (CEUs)
  • Employee Assistance Program (EAP) offering continued support to employee lifestyle and well-being
  • Early morning hours offering a great work/life balance
  • Opportunity for growth that is second to none in the industry

Our Team:

Winchester Comprehensive Treatment Center (CTC), located in Winchester, VA, is part of Acadia Healthcare's Comprehensive Treatment Centers, the leading provider of medication-assisted treatment in the nation. Our counseling team provides compassionate, high-quality counseling and therapy to patients that are seeking recovery from Opioid Use Disorder.

Your Job as a Substance Use Counselor:

The Substance Use Counselor is instrumental in our patient’s treatment and recovery from opioid use disorder. Substance Use Counselors provide high quality, compassionate care through various mediums which include both individual and group counseling sessions.

Job Responsibilities:

  • Provide high quality, compassionate guidance in both individual and group counseling sessions.
  • Plan, oversee, facilitate and document patient's recovery.
  • Co-facilitate assigned group or family sessions as needed.
  • Ensure all documentation regarding patient care, treatment, and incidents is completed timely and in a clear, concise manner.
  • Prepare individual treatment plans for each assigned patient.
  • Initial assessments as well as follow up assessments.
  • Evaluate patient needs and determine if referrals to other programs or facilities are needed.
  • May plan for aftercare for assigned patients.
  • Provide crisis intervention to patients, as needed.
  • Provide case management duties for patients, ensuring individualized quality care as needed.
  • Act as a liaison between referral sources and patients, as needed.

Eligible positions may qualify for student loan forgiveness through HRSA, depending on clinic site eligibility. Check your eligibility here: HRSA Eligibility


Required Education, Skills, and Qualifications:  

  • Bachelor's degree in counseling, social, or health services field, with 2+ years’ experience in counseling or social services field; 
  • Master's degree in counseling, social, or health services field, with 1 year of professional work experience; 
  • Degree must be from an accredited college or university. 
  • Previous experience in addiction recovery or behavioral health settings, such as outpatient, residential, or correctional facilities.

  • Familiarity with Medication-Assisted Treatment (MAT), including methadone, buprenorphine, and naltrexone.

  • Experience conducting individual and group counseling sessions focused on substance use recovery.

  • Knowledge of evidence-based practices, such as Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and relapse prevention techniques.

  • Documentation experience, including maintaining clinical notes, treatment plans, and progress updates in accordance with state and federal guidelines.

  • Familiarity with state regulatory standards (e.g., 42 CFR Part 2, HIPAA, Joint Commission standards).

  • Experience collaborating in a multidisciplinary team with medical staff, case managers, and peer support specialists.

Required Licenses/Certifications:  

  • Certified Substance Use Disorder Counselor: CSAC-R, CSAC – must be eligible to obtain within 90 days of employment. 
  • Licensed Mental Health Professionals: LPC-R, LPC, LCSW-R, LCSW, LSATP 
  • Please note that anyone with an “R” on their license is required to have their supervisor sign off on all documentation notes. 

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.

AHCTC

#LI-CTC

#LI-JW1


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About Acadia Healthcare

Sourced by ZipRecruiter

Acadia Healthcare is a leading provider in the healthcare and hospital industry, based in Franklin, Tennessee, United States. The company is recognised for its commitment to creating a behavioural health network that provides accessible, high-quality treatment options for individuals suffering from mental health issues, addiction, eating disorders, and PTSD. Acadia Healthcare was founded in 2005, with the mission to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioural health and addiction disorders.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Franklin, TN, US

Year founded

2005

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