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Substance Use Counselor

United States, North Wilkesboro · Job Posted February 19, 2026
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Job Description

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 Responsibility

  • 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

Requirements

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

What we offer

  • 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
  • Eligible positions may qualify for student loan forgiveness through HRSA

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