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Substance Use Disorder Counselor (LCAS-A or CADC)

Alcohol& Drug Services
place Greensboro, 27402
local_atm $22.22 - $26.75 an hour
work_outline
Full Time
Experience:
Avoidant Personality Disorder
Dual Diagnosis
Substance-Related and Addictive Disorders
Medication Management
Substance Abuse
Trauma

About Job

Job Summary:

The Licensed Clinical Addictions Specialist – Associate (LCAS-A) provides clinical services to clients enrolled in outpatient and Medication-Assisted Treatment (MAT) programs. Under supervision of a fully licensed LCAS, the LCAS-A delivers counseling and support services for individuals with substance use and co-occurring disorders, helping clients stabilize and progress in recovery through structured, evidence-based interventions.

Key Responsibilities:

  • Conduct comprehensive intake assessments and biopsychosocial evaluations to determine treatment needs.
  • Develop and implement person-centered treatment plans, incorporating MAT and outpatient recovery goals.
  • Provide individual and group therapy using evidence-based practices (e.g., CBT, MI, relapse prevention).
  • Collaborate closely with medical staff (e.g., prescribers of buprenorphine, methadone, or naltrexone) to coordinate client care.
  • Educate clients on MAT, including the role of medication, behavioral therapy, and recovery supports.
  • Monitor and support client adherence to MAT protocols and outpatient treatment requirements.
  • Maintain timely, accurate documentation in compliance with state, federal, and organizational standards.
  • Participate in required supervision and clinical team meetings to review client progress and ensure quality care.
  • Support clients in accessing wraparound services such as peer support, housing, employment, and community resources.
  • Uphold ethical and legal standards, including HIPAA and 42 CFR Part 2 confidentiality regulations.

Qualifications:

  • Active LCAS-A credential issued by the North Carolina Addictions Specialist Professional Practice Board (NCASPPB).
  • Bachelor’s or Master’s degree in Counseling, Social Work, Psychology, or related behavioral health field.
  • Experience working in outpatient or MAT settings strongly preferred.
  • Knowledge of substance use treatment modalities, especially for opioid use disorders.
  • Familiarity with trauma-informed care, harm reduction, and co-occurring mental health treatment.
  • Strong organizational, documentation, and communication skills.
  • Commitment to client-centered, culturally responsive care.

Work Conditions:

  • Outpatient clinic environment with structured hours; early or afternoon appointments may be required.
  • Collaboration with multidisciplinary team including medical, clinical, and case management staff

Job Type: Full-time

Pay: $22.22 - $26.75 per hour

Expected hours: 40 per week

Benefits:

  • 403(b)
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Work Location: In person

Professional Field

professional badgeCounseling
professional badgeSocial Work
professional badgeOther Behavioral, Mental, or Healthcare Field

Patient Focus

Diagnoses

Avoidant Personality Disorder
Dual Diagnosis
Substance-Related and Addictive Disorders

Issues

Medication Management
Substance Abuse
Trauma

Therapeutic Approach

Methodologies

ECT
Pharmacotherapy

Modalities

Groups
Individuals

Practice Specifics

Populations

Peer Support
Individuals with Addiction Issues
Racial Justice Allied

Settings

Intense Out-patient (IOP)
Milieu
Partial Hospitalization (PHP)
Research Facilities/Labs/Clinical Trials
Home Health/In-home
Forensic