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  3. Certified Alcohol and Drug Counselor- CST
RH

Certified Alcohol and Drug Counselor- CST

RHA Health Services, LLC·Lenoir, North Carolina

$50,000 - $55,000/yr·Full Time·On Site·Remote friendly·
2-5 yrs
·Posted 1 month ago
Practice for this role

About the role

The CADC provides individual and family counseling to adults with substance use and mental health needs within a community support team. Responsibilities include developing person-centered treatment plans, conducting utilization reviews, and collaborating with medical professionals to ensure integrated care.

We are hiring for

Certified Alcohol and Drug Counselor- CST

Type

Regular

If you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people with intellectual, developmental disabilities, and people facing mental health, and substance use challenges, join our team at RHA Health Services!

Substance use specialist needed on Community Support Team. Must qualify as FULL CADC.

A Certified Alcohol and Drug Counselor possesses knowledge and is able to apply substance use/abuse treatment to a diverse population and has the capacity and knowledge to work with a treatment group that present a variety of addictions and addiction related behaviors. Provides individual sessions to explore overall goals, treatment plan, and measurement of goal completion, assess further needs of individuals for successful recovery and program completion. Relies on knowledge, experience, and judgment with supervision and direction from the supervisor to provide quality services.

Location: Caldwell and Burke Counties

Schedule: 40 hours weekly; flexible; on call rotation required

Pay: $50,000-$55,000 depending on experience

Duties: and Responsibilities:

CADC will serve as member of interdisciplinary team on CST working with adults with Substance use and mental health needs. Willing to provide services in home, community and other non-office based settings. Able to utilize motivational interviewing to engage individuals in all stages of change and introduce harm reduction strategies for individuals who may be actively using substances.

Individual Counseling

Provide individual counseling sessions focused on setting and achieving recovery goals, measuring progress, and assessing further needs for long-term recovery and program completion.

Facilitate counseling sessions to address skill-building, emotional support, coping strategy development, and relapse prevention.

Conduct family counseling sessions when necessary, helping clients build positive support systems.

Treatment Planning and Monitoring

Develop personalized, person-centered treatment plans based on assessment recommendations and input from the client, family, and other support networks.

Continuously monitor and revise treatment plans based on client progress and changing needs.

Ensure ongoing collaboration with involved professionals to provide comprehensive and integrated care.

Utilization Reviews and Service Authorization

  • Conduct utilization reviews to assess the need for continued services, eligibility, and discharge planning based on treatment progress and established guidelines.
  • Complete and submit service authorization requests and maintain up-to-date authorizations for service provision.

Preventive and Therapeutic Interventions

  • Deliver evidence-based preventive and therapeutic interventions, including supportive counseling, skills development, and case coordination.
  • Help clients develop essential coping mechanisms to manage substance use, mental health symptoms, and adapt successfully to home, work, or school environments.

Medical Consultation and Collaboration

  • Consult with psychiatrists and other medical personnel to report behavioral observations, discuss concerns, and monitor the effectiveness of prescribed medications.
  • Collaborate with healthcare providers to ensure clients receive appropriate medical and psychiatric care.

Documentation and Compliance

Accurately document all treatment interventions, progress assessments, and community support activities in client records according to state, agency, and regulatory guidelines.

Ensure documentation is completed within 24 hours of any billed activity.

license and personal vehicle insurance (if required for the role).

Other Duties

  • Demonstrates flexibility and commitment to meeting unit needs.
  • Performs additional responsibilities as assigned.

Physical demands and work environment

Must be able to lift a minimum of 10 lbs.

Must be able to pull a minimum of 20 lbs.

Must be able to squat, kneel, crawl, crouch, climb, and stoop.

Required to regularly stand and walk.

Vision requirements include close vision, distance vision, and peripheral vision.

RHA is an Equal Employment Opportunity Employer, prohibits discrimination based on the following protected categories: race, creed, color, national origin, nationality, ancestry, age, sex/gender, marital status, civil status, domestic partnership status, familial status, religion, affectional or sexual orientation, gender identity or expression, atypical hereditary cellular or blood trait, genetic information, liability for service in the Armed Forces of the United States, or disability.

Pre-employment screening

Complete criminal background

Name checked in the registries. (OIG exclusions database, Child Abuse Registry, and Offenders Against Individuals with Developmental Disabilities)

Drug testing

Education verification and other credentialing based on position requirements.

Proof of employment history or references (if required)

Positions that require driving Proof of driver's license, driver's insurance, and vehicle, IF required for providing transportation for individuals.

We offer the following benefits to employees

  • Payactiv: early access to the money you’ve earned from hours you’ve already worked, before payday!
  • Employee perks and discount program: to help you save money!
  • Paid Time Off (full-time employees only)
  • Health/Insurance (full-time employees only)
  • 401(k) retirement savings program
  • Wellbeing
  • Programs: Physical, Emotional and Financial
  • Chronic Disease management programs for hypertension and diabetes (for qualifying employees)
  • Training: Free CPR, first aid, and job-specific training opportunities

*contract/contingent workers and interns do not qualify for any of the above

Benefits

EEO Statement RHA is an equal opportunity employer. In addition, we provide reasonable accommodation to qualified employees who have protected disabilities to the extent required by applicable laws, regulations, and ordinances. If you are an individual with a disability and need a reasonable accommodation to participate in the application process, please contact our solutions center.

About RHA

At RHA Health Services, we help individuals with intellectual and developmental disabilities, mental health and/or substance use needs live their best lives. Our mission is to provide a safe and healthy environment while creating opportunities for personal outcomes.

For over 30 years, the people we serve and support have remained at the very center of everything we do. RHA currently provides services in North Carolina, Georgia, Pennsylvania, Tennessee, and New Jersey.

If you are ready to make a difference in the lives of people we serve and support apply to join the team today.

Requirements

Candidates must qualify as a Full Certified Alcohol and Drug Counselor (CADC) and possess a valid driver's license and vehicle insurance. The role requires the ability to perform physical tasks such as lifting and squatting, and the capacity to work in non-office based settings.

  • professional certificate
  • Treatment Planning
  • Crisis Intervention
  • Clinical Documentation
  • Individual Counseling
  • Motivational Interviewing
  • Interdisciplinary Collaboration
  • Substance Use Treatment
  • Relapse Prevention
  • Family Counseling
  • Harm Reduction Strategies
  • Utilization Reviews
  • Case Coordination

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
2-5 yrs
Salary
$50,000 - $55,000/yr
Location
Lenoir, North Carolina
Posted
Jun 18, 2026
Application
Employer website
RH

Hiring organization

RHA Health Services, LLC

At RHA Health Services, the people we serve and support are at the very center of everything we do. Founded in 1989, RHA began as a small provider of support services to people with intellectual and developmental disabilities in North Carolina. Over the years, we have expanded...

Salary listed on 163 jobs
IndustryIndividual and Family Services
TypePrivately Held
Size5,001-10,000 employees
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Market context

North Carolina CADC roles stay community-based

In North Carolina, Certified Alcohol and Drug Counselor roles are often tied to community, outpatient, and field-based service settings, so candidates who can work outside a traditional office are typically well aligned with demand. This role is competitive because it requires full CADC qualification, a valid driver’s license, vehicle insurance, and the ability to handle physical tasks like lifting and squatting. Review the AI-summarized requirements and benefits here to save time, then confirm your CADC status and transportation details before applying.

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