Substance Use Counselor

Comprehensive Treatment Centers; Asheville (NC); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Semi-Annual Bonus Program

Medical, Dental, Vision insurance

Competitive 401(k) plan

Paid vacation and sick time

Employer-paid clinical supervision

Free CEUs access

Employee Assistance Program (EAP)

Growth opportunities

Job summary

Asheville Comprehensive Treatment Center (CTC) is seeking a dedicated Substance Use Counselor to support patients with opioid use disorder within an outpatient MAT OTP program.

You will conduct individual and group sessions, develop and document treatment plans, and collaborate with a multidisciplinary team to ensure high‑quality care and recovery support. Licensure in a relevant credential is required.

Qualifications

• High school diploma or GED required.
• Prefer Bachelor’s or Master’s degree in social or health services.
• License or certification required to apply (CADC/LCAS/LCSW/LCMHC).
• Experience in addiction recovery or behavioral health settings.
• Familiarity with MAT (methadone, buprenorphine, naltrexone).
• Experience conducting individual and group counseling sessions.

Responsibilities

• Provide high quality, compassionate individual and group counseling.
• Plan, oversee, facilitate and document patient recovery.
• Prepare treatment plans and conduct initial and follow-up assessments.
• Coordinate with multidisciplinary team to support patient care.
• Maintain documentation per state and federal guidelines.
• Assist with referrals and aftercare planning as needed.

Education

Bachelor's or Master's degree in social or health services

Tools

CADC/LCAS or related license/certification

Job description

Outpatient MAT Opioid Treatment Program (OTP)

• CADC-I, CADC, LCAS-A, LCAS, LCSW-A, LCSW, LCMHC-A, or LCMHC

Substance Use Counselor

• CADC-I, CADC, LCAS-A, LCAS, LCSW-A, LCSW, LCMHC-A, or LCMHC

Full Time Hours

• Monday - Friday 4:45 AM - 1:15 PM
• Occasional Saturdays 5:45 AM - 8:15 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

Asheville Comprehensive Treatment Center (CTC), located in Asheville, NC, 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 eligibilty here: HRSA Eligibility

Required Education, Skills And Qualifications

• High School Diploma or GED equivalent required;
• Prefer Bachelor's or Master's degree in social or health services field;
• Degree must be from an accredited college or university with practicum in order to be licensed.
• 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.

Licenses/Certifications

• CADC-I, CADC, LCAS-A, LCAS, LCSW-A, LCSW, LCMHC-A, or LCMHC
• License or Certification is required to apply.

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