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Crossroads Treatment Centers·Seneca, South Carolina
Substance Abuse Counselor
The Substance Abuse Counselor provides individual counseling, conducts clinical assessments, and designs personalized treatment plans for patients with opioid use disorder. They also manage assigned caseloads, collaborate with clinical staff, and ensure compliance with treatment requirements.
Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery. We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients. Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia. As an equal opportunity employer, we celebrate diversity and are committed to an inclusive environment for all employees and patients. Day in the Life of a Substance Abuse Counselor Provides individual counseling to highly complex patients. Conducts clinical assessments to appropriately assess patient’s treatment needs. Designs and updates the patient’s treatment plan, including care coordination, referrals, and discharge planning. Manages assigned caseload and compliance with clinical treatment requirements. Collaborates with nurses and providers to provide holistic treatment services. Facilitates urine drug screening for patients. Schedule and Hours Our clinical team enjoys an early morning schedule with early afternoon out times. It is expected for all clinical team members to participate in our Saturday rotation. The frequency of this rotation is determined by the current staff count. Expected hours for this role are 37 hours per week. Monday - Friday 4:45 am - 12:45 pm Education and Experience requirements General experience working with underserved populations in a clinical setting. Lived addiction experience is a plus. Qualified candidates will hold one or more of the following certifications/licenses: Bachelor’s degree in a related field required. Master’s degree in a behavioral health field preferred. Must be licensed or certified in SC Experience treating opiate-addicted patients is a plus. Candidate must be willing to start early in the morning, as work hours start at 5:00 AM No legal impediments to serving in a licensed opiate treatment program. Must have a valid driver's license. Position Benefits Consistent schedule with early in times and out times Advancement opportunities. Clear, climbable structure into Counselor levels (1, 2, 3) based on the certification or license held. Targeted caseload. Caseloads follow state regulations and can range from 40-55 patients. Excellent training if you are new to our field. We are able to offer necessary training/supervision to those in process of becoming fully certified or licensed. Opportunity to save lives every day! Benefits Package Medical, Dental, and Vision Insurance. PTO Variety of 401K options including a match program with no vesture period. Annual Continuing Education Allowance (in related field) Life Insurance Short/Long Term Disability Paid maternity/paternity leave Mental Health Day Calm subscription for all employees Loan Forgiveness Program
Crossroads is a STAR (Substance Use Disorder Treatment and Recovery) approved organization. This means our clinicians will have access to help pay off federal student loans so they can focus on what they do best: patient care!
Please see the website at https://bhw.hrsa.gov/funding/apply-loan-repayment/star-lrp
Apply to the Substance Use Disorder Treatment and Recovery Loan Repayment Program | Bureau of Health Workforce
Candidates must hold a bachelor's degree in a related field and be licensed or certified in South Carolina. Experience working with underserved populations and treating opiate-addicted patients is preferred.
Market context
In South Carolina, substance abuse counselor roles are often tied to behavioral health, hospital, and community treatment settings, where demand reflects ongoing need for patient support and crisis response. This role is competitive because employers are looking for a master’s degree in addictions, hospital-based experience, and strong clinical counseling and patient-care skills. Review the AI-summarized requirements and benefits on this platform to save research time, and tailor your application to show crisis-management experience and familiarity with clinical documentation.
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