Addiction Counselor Jobs in New York
Addiction Counselor jobs in New York represent one of the most active behavioral health markets in the country, with demand concentrated in community mental health centers, hospital-based substance use programs, residential treatment facilities, and outpatient clinics serving populations from entry-level counselors through licensed clinical supervisors. The heaviest hiring runs through New York City, Buffalo, and Albany, where large employers such as Northwell Health, NYC Health and Hospitals, and the Institute for Community Living maintain ongoing openings. Roles specializing in co-occurring disorders, opioid treatment programs, and adolescent and young adult services are consistently among the most sought-after. Find a role that fits below and apply directly.
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About Cayuga Health
Cayuga Health offers patient-centered, comprehensive health services at Cayuga Medical Center in Ithaca; Schuyler Hospital in Montour Falls; and more than 40 medical offices in the Finger Lakes and Central New York. Cayuga Health employs more than 450 providers from 40+ specialties. Additional services include a neo-natal intensive care unit, a home health care agency, an addiction recovery organization, and a skilled nursing facility.
Cayuga Health is a member of Centralus Health, a community-based integrated delivery system. Our mission is to deliver high-quality care, empower our teams to succeed, and improve the wellbeing of the communities we serve.
Our commitment to quality personalized care begins with our exceptional team—over 6500 employees strong. At Cayuga Health, you will work in a collaborative environment that values excellence, integrity, compassion and stewardship. Together, we create an environment where empathy, honesty and a dedication to quality thrive, empowering us to make a positive impact on the lives we touch.
We offer competitive wages, comprehensive benefits, and professional development opportunities to help our employees grow and thrive. Whether you are just starting your career or taking the next step in healthcare, we invite you to join us in shaping the future of care in our communities.
Learn more at www.cayugahealth.org .
Residential Counselor- Cayuga Addiction Recovery Services Men's Residence- Full Time- Evenings
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 Residential Counselor is responsible for positive, collaborative relationships with clients, their families, and the CARS' team. The RC ensures the safety of the clients and an orderly day-to-day operation/flow of clients in the residential program.
Roles and Responsibilities:
- Assist with the admissions and discharge process, ensuring thorough safety checks of new admissions, belongings, and that clients are properly oriented to the program.
- Maintain a safe community; keep an environment free of substances, minimize risk of contraband entering the building, be accountable for knowing client and visitor whereabouts, and follow emergency protocols.
- Maintain the structure and integrity of the milieu; be a presence in the community, enforce rules of the program with empathy, complete all daily paperwork and documentation, reinforce positive behavior, and assist clients in adapting to the program structure.
- Teach social skills in the milieu, modeling pro-social adult decision making, remain the calmest person in the room while interacting with clients, and when appropriate look for teachable moments to help clients learn from their behavior within the milieu. Demonstrated skills at being a professional and an outstanding team member. This will include conduct that at all times recognizes and supports the primacy of team needs, agendas and priorities over individual ones.
Required Skills and Experience:
- High School degree and one-year relevant experience A basic understanding of addiction and recovery issues
Preferred Skills and Experience:
- Associates or Bachelor's degree in SUD, human services, or related field, CASAC-T or working towards a CASAC-T certification
- Excellent interpersonal skills, ability to multi-task, crisis intervention skills, positive, polite, optimistic role model for clients, and utilization of computer for documentation and communication Ability to maintain healthy & appropriate treatment boundaries while being proactive and a flexible team player.
Location and Travel Requirements:
- Onsite at CARS Residential Campus- 6621 NYS Route 227, Trumansburg, NY 14886
- Shift: 37.5 hours per week, 3pm - 11pm, rotating holidays and weekends Travel: 0% Travel can be expected in this role
Pay Range Disclosure:
Standard rate of $18.45 - $24.21 per hourCentralus 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 .
About Cayuga Health
Cayuga Health offers patient-centered, comprehensive health services at Cayuga Medical Center in Ithaca; Schuyler Hospital in Montour Falls; and more than 40 medical offices in the Finger Lakes and Central New York. Cayuga Health employs more than 450 providers from 40+ specialties. Additional services include a neo-natal intensive care unit, a home health care agency, an addiction recovery organization, and a skilled nursing facility.
Cayuga Health is a member of Centralus Health, a community-based integrated delivery system. Our mission is to deliver high-quality care, empower our teams to succeed, and improve the wellbeing of the communities we serve.
Our commitment to quality personalized care begins with our exceptional team—over 6500 employees strong. At Cayuga Health, you will work in a collaborative environment that values excellence, integrity, compassion and stewardship. Together, we create an environment where empathy, honesty and a dedication to quality thrive, empowering us to make a positive impact on the lives we touch.
We offer competitive wages, comprehensive benefits, and professional development opportunities to help our employees grow and thrive. Whether you are just starting your career or taking the next step in healthcare, we invite you to join us in shaping the future of care in our communities.
Learn more at www.cayugahealth.org .
Residential Counselor- Cayuga Addiction Recovery Services Men's Residence- Full Time- Evenings
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 Residential Counselor is responsible for positive, collaborative relationships with clients, their families, and the CARS' team. The RC ensures the safety of the clients and an orderly day-to-day operation/flow of clients in the residential program.
Roles and Responsibilities:
- Assist with the admissions and discharge process, ensuring thorough safety checks of new admissions, belongings, and that clients are properly oriented to the program.
- Maintain a safe community; keep an environment free of substances, minimize risk of contraband entering the building, be accountable for knowing client and visitor whereabouts, and follow emergency protocols.
- Maintain the structure and integrity of the milieu; be a presence in the community, enforce rules of the program with empathy, complete all daily paperwork and documentation, reinforce positive behavior, and assist clients in adapting to the program structure.
- Teach social skills in the milieu, modeling pro-social adult decision making, remain the calmest person in the room while interacting with clients, and when appropriate look for teachable moments to help clients learn from their behavior within the milieu. Demonstrated skills at being a professional and an outstanding team member. This will include conduct that at all times recognizes and supports the primacy of team needs, agendas and priorities over individual ones.
Required Skills and Experience:
- High School degree and one-year relevant experience A basic understanding of addiction and recovery issues
Preferred Skills and Experience:
- Associates or Bachelor's degree in SUD, human services, or related field, CASAC-T or working towards a CASAC-T certification
- Excellent interpersonal skills, ability to multi-task, crisis intervention skills, positive, polite, optimistic role model for clients, and utilization of computer for documentation and communication Ability to maintain healthy & appropriate treatment boundaries while being proactive and a flexible team player.
Location and Travel Requirements:
- Onsite at CARS Residential Campus- 6621 NYS Route 227, Trumansburg, NY 14886
- Shift: 37.5 hours per week, 3pm - 11pm, rotating holidays and weekends Travel: 0% Travel can be expected in this role
Pay Range Disclosure:
Standard rate of $18.45 - $24.21 per hourCentralus 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 .
See All 20 Addiction Counselor Jobs in New York
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Find Addiction Counselor JobsAddiction Counselor Jobs by City in New York
Where New York roles are concentrated, by current openings.
Addiction Counselor Job Market in New York
A snapshot from current New York openings, updated as new roles post.
Who's Hiring
What New York Employers Look For
The qualifications that appear most often in addiction counselor jobs across New York.
- Active CASAC, LMHC, LCSW, or LMFT credential recognized by New York State
- Bachelor's or master's degree in counseling, social work, or a related human services field
- Experience providing individual and group counseling in a substance use disorder setting
- Familiarity with evidence-based modalities such as Motivational Interviewing and Cognitive Behavioral Therapy
- Ability to complete clinical documentation and maintain accurate case records in an electronic health record system
- Knowledge of New York State OASAS regulations and compliance requirements for substance use disorder services
Addiction Counselor Jobs in New York: Frequently Asked Questions
How do you become a addiction counselor in New York?
The primary credential for addiction counselors in New York is the Credentialed Alcoholism and Substance Abuse Counselor, or CASAC, issued through the New York State Office of Addiction Services and Supports. Candidates must complete an OASAS-approved education program, accumulate supervised clinical hours, and pass the required examination. Those pursuing clinical licensure typically earn a master's degree in counseling, social work, or a related field and obtain an LMHC, LCSW, or LMFT through the New York State Education Department.
Which companies hire addiction counselors in New York?
Employers hiring addiction counselors in New York right now include Cayuga Medical Center, NYC Health + Hospitals, and Samaritan Daytop Village, based on current listings on Migrate Mate as of October 2026. New York's large integrated health systems, OASAS-licensed treatment programs, and nonprofit behavioral health organizations account for a significant share of consistent openings across the state.
Which New York cities have the most addiction counselor jobs?
Ithaca, New York, and Bronx lead New York for addiction counselor openings, driven by the concentration of hospital systems, OASAS-licensed outpatient and residential programs, and community mental health centers that cluster in major population centers and their surrounding suburbs.
How can I get hired as a addiction counselor in New York with little or no experience?
The most realistic entry path is pursuing a CASAC-Trainee registration through OASAS, which allows you to work under supervision while accumulating the required clinical hours toward full credentialing. Many New York City Health and Hospitals facilities, NYC-based nonprofit providers, and large residential programs hire trainees and recent graduates into substance use counselor aide or case management associate roles. Adjacent positions in peer support, crisis counseling, or social work case management are common lateral moves that build the documented experience needed to qualify for a full counselor opening.
Where can I find and apply to addiction counselor jobs in New York?
You can find and apply to addiction counselor jobs in New York on Migrate Mate, which lists current openings from employers actively hiring in the state. Search the available roles, identify the ones that match your credentials and experience level, and apply directly to the positions that fit.
See All 20 Addiction Counselor Jobs in New York
Find roles in New York that match your experience and apply in just a few clicks.
Find Addiction Counselor Jobs