Mid Level Addiction Counselor Jobs
Mid level addiction counselor jobs go to clinicians ready to manage complex caseloads, lead group programming, and apply evidence-based interventions with real autonomy. Openings run across Education and Healthcare & Medical Services, with 0% offering remote or hybrid schedules, and employers like Medical University of South Carolina, Mon Health, and Essen Health Care hiring at this level now.
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Primary Addiction Counselor- Cayuga Addiction Recovery Services Ithaca Outpatient Clinic- Full Time- Days
When two established local health systems unite as one collaborative network, healthcare becomes so much more. Centralus Health, an affiliation of Arnot Health and Cayuga Health, is focused on our region's changing needs and your wellbeing. More than a group of experienced caregivers, Centralus Health is a partnership of advocates who strive to eliminate barriers to better health, innovating and evolving services in our communities for enhanced holistic care close to home. Beyond clinical outcomes, it's strengthening community connections and setting a higher standard for quality that's exceptionally personal.
Centralus Health is central to wellness-for all of us.
The Primary Addiction Counselor(PAC) is responsible for positive, collaborative relationships with clients, their families, the CARS' team and community partners. The PAC provides research-based assessment, counseling (individual, family, and group), crisis and clinical interventions, and case management services, including discharge planning, while assuring regulatory compliance.
Roles and Responsibilities:
- Conduct individual, group, and family counseling sessions along with planning and conducting special activities, as assigned.
- Address addictive and unhealthy behaviors with the most appropriate clinical intervention per agency guidelines.
- Be on time with client administrative paperwork activities including but not limited to: Assessments, Treatment Plans, and Discharge Summaries, document activities in accordance with agency practices, complete timely monthly reporting on time, and document group attendance in a timely manner.
- Monitor and maintain the safety and security of the clients and the facility.
- Maintain confidentiality, as per agency practices and confidentiality law.
- Effectively communicate with the team and community partners regarding client needs
Required Skills and Experience:
- Bachelor's degree in human services or related field; or equivalent combination of education and SUD experience total 4 years. QHP status required.
- A basic understanding of addiction and recovery issues.
- Knowledge of basic counseling techniques, including treatment planning is essential.
- Working knowledge of motivational interviewing, cognitive behavioral therapy, strength-based principle of treatment and an individualized approach to treatment is desired.
Preferred Skills and Experience:
- Master's degree with 4+ years SUD experience.
Location and Travel Requirements:
- Location: Onsite at CARS Ithaca Outpatient Clinic: 334 West State Street, Ithaca, NY 14850
- Shift: 7am - 3pm Monday through Friday, possible Saturday hours if needed Travel: 0% Travel can be expected in this role
Pay Range Disclosure:
Standard rate of $24.00 to $30.00 per hour
Centralus Health and its affiliates are committed to treating all patients, providers, staff and volunteers equitably and with dignity, ensuring the highest levels of safety, care and respect, and striving to recognize and overcome biases and policies that contribute to disparities in healthcare access, equitable care and positive health outcomes for all.
We are proud to be an Equal Employment Opportunity employer, supporting the growth and health of our employees and community by embracing the rich diversity, needs and circumstances of all peoples and prioritizing opportunities to build a diverse and inclusive workplace. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable protected characteristics.
If you require reasonable accommodation to complete a job application, pre-employment testing, a job interview or to otherwise participate in the hiring process, please contact the Centralus Health Talent Acquisition team at talentacquisition@cayugahealth.org.
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Find JobsMid Level Addiction Counselor Job Market
Who's Hiring
- Medical University of South Carolina4

- Mon Health1

- Essen Health Care1
- Unity Health Care1

- University of Utah1

Top Industries Hiring
- Education5
- Healthcare & Medical Services5
Mid Level Addiction Counselor Jobs: Frequently Asked Questions
How do I get a mid level addiction counselor job?
Position yourself around clinical ownership: highlight caseloads you managed independently, treatment plans you developed, and any co-facilitation of group therapy. Tailor your resume to show outcomes, not just duties. Employers at this level want to see that you can work with minimal supervision, handle documentation accurately, and collaborate across care teams without constant guidance from a supervisor.
Which companies hire mid level addiction counselors?
Companies hiring mid level addiction counselors right now include Medical University of South Carolina, Mon Health, and Essen Health Care, based on current listings on Migrate Mate as of July 2026. Hiring at this level comes primarily from behavioral health networks, residential treatment centers, and community mental health organizations that need experienced clinicians who can step in and contribute immediately.
Are there remote mid level addiction counselor jobs?
Yes, though clinical work limits full remote availability more than many fields. About 0% of mid level addiction counselor openings are remote or hybrid as of July 2026, with telehealth roles the strongest driver of that flexibility. Case management, care coordination, and certain outpatient counseling positions are the most likely to offer hybrid or fully remote schedules.
How do I move up to a mid level addiction counselor role?
Growth from entry level into mid level comes from accumulating clinical depth, not just time. Build it by taking ownership of a full caseload, seeking experience across multiple treatment modalities, earning a clinical credential like a Licensed Professional Counselor or Certified Alcohol and Drug Counselor designation, and demonstrating measurable client progress. Taking on group facilitation and cross-disciplinary collaboration accelerates that transition.
Which industries hire the most mid level addiction counselors?
Mid Level addiction counselor roles concentrate in Education and Healthcare & Medical Services, based on current listings on Migrate Mate as of July 2026. Those sectors drive demand because they operate the residential programs, outpatient clinics, and integrated health systems where mid level clinicians carry the core caseload and treatment delivery responsibilities.