Addiction Therapist Jobs
Addiction Therapist jobs are open across behavioral health, substance use treatment, corrections, and community mental health settings, from entry-level counselor roles to senior clinician and program director positions, with specializations in medication-assisted treatment, dual-diagnosis, and adolescent substance use. See the openings below and apply to the ones that match your experience.
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Job Title: Addiction Therapist
Department: Chemical Dependency - Greece Clinic
Location: 1565 Long Pond Road, Rochester, NY 14626
Hours Per Week: 40
Schedule: Monday- Friday; 8:30PM-5:00PM
Why Join Us?
Room for advancement into Senior Addiction Therapist or leadership positions.
Ongoing professional development and supervision.
Collaborative team approach.
SUMMARY:
The Addiction Therapist provides addiction diagnostic assessment, treatment planning, case management, and individual/group counseling for clients with chemical dependency. Treatment is provided in the context of a clinical team, supervised by the staff psychiatrist.
RESPONSIBILITIES:
Serves as a primary therapist providing Substance Use Disorder treatment through individual and group counseling.
Responsible for the timely completion of progress summaries and all patient documentation
Conducts quality audits of patient records and processes
Provides initial and ongoing assessment for clients in order to determine diagnosis and appropriate level of care.
Provides individual, family and group counseling, which engages and motivates clients throughout treatment.
Develops treatment plans that are individualized and culturally sensitive.
Communicates with other care providers and referral sources to increase understanding of client problems and assets.
Participates in professional supervision and education that supports continuous improvement of client care.
Completes required medical record documentation in a timely and comprehensive manner and in compliance with regulatory standards.
Meets productivity requirements by utilizing various techniques to engage clients and minimize failed appointments.
Participates as a contributing member of an interdisciplinary team in coordination and delivery of patient care.
REQUIRED QUALIFICATIONS:
Masters Degree not required for CASAC-T or CASAC or Masters Degree in corresponding OASAS QHP license or permit
Completion of a clinical internship in chemical dependency or at least 1 year of work experience in chemical dependency or mental health program
CASAC, CASAC-T permitted with the condition that full certification is obtained within 36 months or OASAS QHP (LCSW, LMSW, LMHC, LCAT, LMFT or permit holder)
New graduates: Official transcript from accredited school or letter emailed directly from the school’s registrar’s office confirming program completion will be accepted upon graduation. Primary source education verification required within 90 days of start date.
PREFERRED QUALIFICATIONS:
Associates, Bachelors, or Master’s Degree in Human service field
#RRHBehavioralHealth26
EDUCATION:
LICENSES / CERTIFICATIONS:
PHYSICAL REQUIREMENTS:
S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.
Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.
PAY RANGE:
$61,000.00 - $77,000.00CITY:
POSTAL CODE:
The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.
Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.
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Find Addiction Therapist JobsAddiction Therapist Job Market
Who's Hiring


Top Industries Hiring
- Healthcare & Medical Services
What Employers Look For
The qualifications that appear most often in addiction therapist jobs.
- Active state licensure such as CADC, LCDC, LPC, or LCSW in the state of employment
- Master's degree in counseling, social work, psychology, or a closely related field
- Experience providing individual and group therapy in a substance use disorder setting
- Proficiency in electronic health records and clinical documentation within an EHR system
- Knowledge of evidence-based treatment modalities including motivational interviewing and CBT
- Familiarity with medication-assisted treatment protocols and co-occurring disorder treatment
Tips for Your Addiction Therapist Job Search
Tailor your resume to licensure level
Hiring managers in addiction therapy screen immediately for licensure status. List your credential acronym exactly as it appears on your license, whether CADC, LCDC, LADC, or LPC-A, so your application clears automated filters before a human ever reads it.
Apply early to roles that fit
Migrate Mate lists addiction therapist openings from across the United States in one place, so you can find roles that match your licensure level and treatment modality and apply directly to each listing without sorting through unrelated results.
Highlight specific treatment modalities you use
Generic resumes that say 'individual and group therapy' get passed over. Name the exact modalities you practice, such as motivational interviewing, cognitive behavioral therapy for substance use, or contingency management, and tie each to a clinical setting where you applied it.
Target postings by accreditation type
CARF- and Joint Commission-accredited programs often require documentation experience and treatment planning in specific formats. If you have that background, filter your search to accredited facilities and call it out explicitly in your cover letter to move past initial screening.
Prepare for a clinical scenario interview
Most addiction therapist interviews include at least one structured clinical vignette, often involving a client in active ambivalence or relapse. Practice talking through your clinical reasoning out loud using a specific framework so your answer sounds practiced, not improvised.
Negotiate supervision hours into your offer
If you're pre-licensed, the number of weekly supervised hours directly affects how fast you reach full licensure. Ask about supervision structure, who provides it, and whether hours are documented toward your state board requirements before you accept any offer.
Addiction Therapist Jobs: Frequently Asked Questions
Which companies are hiring the most addiction therapists?
The companies hiring the most addiction therapists right now include Rochester Regional Health, UPMC, and Birches Health, with the largest share of openings in New York, Indiana, and Pennsylvania, based on current listings on Migrate Mate as of August 2026. Demand is concentrated in residential treatment centers, outpatient behavioral health groups, and community mental health organizations.
How many addiction therapist jobs are remote?
About 31% of addiction therapist openings are fully remote or hybrid as of August 2026, with telehealth availability varying significantly by state prescribing and licensure reciprocity rules. Outpatient individual counseling and case management roles are most likely to offer remote or hybrid schedules, while residential and intensive outpatient roles almost always require on-site presence.
How do you become an addiction therapist?
You become an addiction therapist by earning a master's degree in counseling, social work, or a related field, then completing your state's required supervised clinical hours in a substance use disorder setting. After accumulating those hours, you sit for your state licensure exam. Some states also recognize national credentials like the CADC as a pathway to licensure or as a standalone credential for certain positions.
How do you get hired as an addiction therapist with little or no experience?
Candidates with limited clinical experience most often get hired by targeting entry-level roles at community mental health centers, residential treatment facilities, or county-funded programs that offer built-in supervision. Completing a practicum or internship at a substance use treatment site during your graduate program makes a significant difference, and many employers will hire pre-licensed clinicians who have that direct placement experience even without independent hours.
What does the addiction therapist interview process look like?
The addiction therapist interview process typically includes a phone screen with HR or a recruiter, followed by a clinical interview with a program director or lead clinician that includes at least one scenario-based question about a client in crisis or relapse. Some organizations add a second round with a multidisciplinary team or require a writing sample such as a progress note or treatment plan before extending an offer.
Where can I find and apply to addiction therapist jobs?
You can find and apply to addiction therapist jobs on Migrate Mate, which lists current openings from across the United States in one place. Search for roles that match your licensure level, treatment modality, and preferred setting, then apply directly to each listing that fits your background.
See All 37 Addiction Therapist Jobs
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