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Substance Use Jobs (NOW HIRING)

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 ...

New

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

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 ...

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

Ridgeland, SC

$19.25 - $26/hr

Substance Use Counselor Part Time Hours: Monday - Friday, 5:15 AM - 12:30 PM Our Benefits: * Semi-Annual Bonus Program * Medical, Dental, and Vision insurance * Competitive 401(k) plan * Paid ...

Substance Use Counselor

Hamlet, NC

$18.50 - $24.75/hr

Substance Use Counselor * CADC-I, CADC, LCAS-A, LCAS, LCSW-A, LCSW, LCMHC-A, or LCMHC Full-Time Schedule: * Monday - Friday 4:45 AM - 1:15 PM * Rotating Saturdays 5 AM - 7 AM Our Benefits: * Semi ...

Substance Use Counselor * Washington SUDP or SUDPT is required Full Time Hours: * Monday - Friday, 5:30AM - 2:00PM Our Benefits: * Medical, Dental, and Vision insurance * Competitive 401(k) plan

Substance Use Specialist

Bronx, NY · On-site

$40.88 - $44.07/hr

Substance Use Specialist Department: Older Adult ACT Reports to: ACT Team Leader Location: Hybrid-Flexed Travel: 75-100% Travel within NYC boroughs and neighboring counties as appropriate Pay Range ...

Substance Use Counselor * CSAC-R, CSAC, or CSAC eligible (required) Full-Time Hours: Monday - Friday 6 AM - 2 PM Our Benefits: * Semi-Annual Bonus Program * Medical, Dental, and Vision insurance

Substance Use Counselor

Many, LA · On-site

$19.25 - $26/hr

As a Substance Use Counselor, you will provide compassionate, evidence-based counseling services to individuals and groups, helping clients achieve and maintain recovery from substance use disorders.

Description The Substance Use Therapist provides comprehensive clinical assessment, treatment planning, individual, group, and family therapy services to clients receiving treatment in an ASAM Level ...

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 ...

Substance Use Counselor

Waterville, ME

$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:

Substance Use Counselor * CSAC-R, CSAC, or CSAC eligible (required) Full-Time Hours: Monday - Friday 6 AM - 2 PM Our Benefits: * Semi-Annual Bonus Program * Medical, Dental, and Vision insurance

Substance Use Counselor

Presque Isle, ME · On-site

$22.25 - $30/hr

Substance Use Counselor * Maine CADC or LADC is required * CCS also considered Full Time Hours: * Monday, Wednesday - Friday, 5:30 AM- 1:00 PM * Tuesday, 5:30 AM - 2:00 PM Our Benefits: * Semi-Annual ...

Showing results 41-60

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:

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 Counselor

Acadia Healthcare

Roanoke, VA • On-site

$23.77 - $26/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 2 days ago

New


Acadia Healthcare rating

6.2

Company rating: 6.2 out of 10

Based on 190 frontline employees who took The Breakroom Quiz

699th of 891 rated healthcare providers


Job description

Outpatient MAT Opioid Treatment Program

Seeking: 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, 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:

Roanoke Comprehensive Treatment Center (CTC), located in Roanoke, 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

Role Location: Virginia

Calculated Salary Range for role: $23.77 - $26.00 per hour


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.

#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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