Substance Use Counselor

Comprehensive Treatment Centers; North Wilkesboro (NC); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Semi-Annual Bonus

Medical insurance

Dental insurance

Vision insurance

401(k)

Paid vacation/sick leave

Clinical supervision

CEU access

EAP

Work-life balance

Career growth

Job summary

North Wilkesboro Comprehensive Treatment Center in North Wilkesboro, NC, seeks a Substance Use Counselor to support patients with opioid use disorder through individual and group counseling, assessments, and treatment planning.

This full-time role offers a meaningful clinical career with early morning hours, a Monday–Friday schedule, possible Saturday rotation, and benefits including health, dental, vision, a strong 401(k), paid time off, supervision, CEUs, EAP, and growth opportunities.

Qualifications

• High School Diploma or GED required.
• Bachelor's or Master's degree preferred in social or health services.
• Degree from an accredited college or university with practicum to be licensed.
• Experience in addiction recovery or behavioral health settings (outpatient, residential, or correctional).
• Familiarity with Medication-Assisted Treatment (MAT): methadone, buprenorphine, naltrexone.
• Experience conducting individual and group counseling for substance use recovery.
• Knowledge of CBT, MI, and relapse prevention techniques.
• Documentation experience per state/federal guidelines (clinical notes, treatment plans, progress updates).
• Familiarity with state regulatory standards (e.g., 42 CFR Part 2, HIPAA, Joint Commission).
• Experience collaborating in multidisciplinary teams with medical staff, case managers, and peer support specialists.

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 clearly.
• Prepare individual treatment plans for each assigned patient.
• Conduct initial assessments as well as follow-up assessments.
• Evaluate patient needs and determine referrals to other programs or facilities as needed.
• Plan for aftercare for assigned patients as needed.
• Provide crisis intervention to patients as needed.
• Provide case management duties for patients, ensuring individualized quality care.
• Act as a liaison between referral sources and patients as needed.
• HRSA eligibility may apply; check eligibility here: HRSA Eligibility.

Job description

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

Outpatient MAT Opioid Treatment Program

• SIGN ON BONUS AVAILABLE*

Seeking: Substance Use Counselor

Full-Time Hours

• Monday - Friday 5 AM - 1:30 PM
• Rotating Saturdays 6 AM - 8 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

North Wilkesboro Comprehensive Treatment Center (CTC), located in North Wilkesboro, 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