Alcohol and Drug Counselor Jobs
Alcohol and Drug Counselor jobs are open across behavioral health, community health centers, hospital systems, and residential treatment facilities, from entry-level counselor to clinical supervisor and program director, with specializations in adolescent treatment, co-occurring disorders, and medication-assisted recovery. See the openings below and apply to the ones that match your experience.
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Showing 5 of 148+ Alcohol and Drug Counselor jobs
ABOUT RIA HEALTH
Ria Health, recognized as the leading national telehealth provider specializing in alcohol use disorder (AUD) treatment, recently raised $12.5 million through a Series B financing led by Peloton Equity. Our existing investors SV Health, BPEA and SOSV also participated in the Series B. The investment will further the momentum of commercial partnerships that include regional and national health plans, including Anthem Blue Cross Blue Shield, UnitedHealth Group Optum, Beacon Health Options, Highmark Health, and Magellan Health. Ria Health will enable patients to achieve long term success in reducing or eliminating their alcohol consumption, and live healthier and happier lives. We are seeking a Clinical Intake/Triage Nurse to join our rapidly growing team.
JOIN THE RIA HEALTH TEAM!
Join the team that integrates medical care, behavioral support, and technology tools to help members achieve their personal goals in treating alcohol misuse. Ria Health is a Center of Excellence that delivers a Joint Commission accredited program that leverages evidence-based pharmacotherapy, psychosocial support, and an engaging care delivery platform to help members achieve lasting improvements in their quality of life. Ria’s published outcomes data set the standard for effectiveness in alcohol treatment. The Ria program is delivered through telehealth and by a care team of Physicians, Nurse Practitioners, and Coaches with clinical expertise to manage care and outcomes for Ria Health members.
WORK AT RIA HEALTH AS A RECOVERY COACH
The role of a Ria Health Recovery Coach is to support Ria members to reduce or eliminate alcohol use through pharmacotherapy, targeted protocols, technology platforms, and coaching tools. Coaches are to provide education on alcohol use and its effects on health, the benefits of using pharmacotherapy, and effective behavioral change. Next is to use various coaching tools based on CBT and MI to provide positive short- and long term health outcomes for members. Last is using various engagement techniques based on empathy, rapport, compassion, nonjudgement, warmth, and positive regard.
All the above is done in a virtual team clinic environment. All coaches are to work interdependently with various team members and departments. Coaches are to use Ria’s various technology platforms to monitor members to positive outcomes, collaborate with various team members, develop new coaching tools, problem-solve on retention concerns, and manage member’s coaching experiences from beginning to end.
PRINCIPLE DUTIES and ESSENTIAL RESPONSIBILITIES
Evaluation of new members including a standardized intake with a formulation of an individualized care plan
Collaborate with supervising medical staff and interdisciplinary treatment team, to develop and revise member care plans
Facilitate individual coaching through 15-30 minute video/phone calls and app-based communication channels.
Manage a caseload of members and monitor health outcomes, coordination of care, and case management services.
Facilitate various evidence-based interventions to support pharmacotherapy, reduction in alcohol use, and promotion of positive health outcomes.
Demonstrate professionalism, attentiveness, and promptness during the session, throughout the course of care, and during various technology interfaces with members.
Build relationships with Ria members to ensure high engagement and quality experiences with members
Document sessions into EMR and billing systems
Develop a plan of action for maintaining members and keeping active productivity
Provide coordination of care, case management, and advocacy when needed and throughout a member’s time with Ria Health.
Provide coaching services during normal business hours and/or as approved
Plan around member load to optimize continuity of care
Track member’s engagement and outcomes throughout the program
Attending team meetings, coaching syncs, and other related meetings
Develop new clinical tools for Ria Members
Collaborate with Product and Coaching team on program development
Maintain HIPAA and privacy standards and/or as determined by funding and accreditation bodies.
Continuous learning and change advocacy as determined by industry trends, community needs, and best practices.
Ability to work some evenings and/or weekends
As needed administrative tasks and member coverage
Acknowledgment that work may involve working with Protected Healthcare Information and agree to abide by all company policies and procedures for keeping that information secure and private.
Agree to work within the policies and procedures of Ria Health, including the Information Security, Acceptable Use, Remote Work/Teleworking, and the Monitoring and Recording policies. Violation of company policies may be grounds for discipline, up to and including termination.
COMPETENCIES:
Advocacy & Mentorship: Support clients in navigating recovery systems and accessing resources.
Ethical Practice: Maintain confidentiality and establish professional boundaries.
Cultural Competence: Respect diverse backgrounds and promote inclusive recovery pathways.
Clinical Competence: Develop individualized, stage-of-change–aligned treatment plans with clear goals and interventions
Proficient in evidence-based modalities: Motivational Interviewing, CBT, trauma-informed and culturally attuned approaches.
Facilitate therapeutic individual and group sessions
GOALS:
Conduct prompt coaching sessions for Ria members as scheduled
Respond to Ria members chat-based communication and scheduling needs within 1 business day
Maintain fidelity checklists and benchmarks in a coaching model, clinical protocols, and pharmacotherapy guidelines
Timely documentation within 24 hours
Come prepared with coaching plans in supervision and collaborative care meetings.
Ensure care plan goals and related health-outcomes are met with members at 3, 6, 9, and 12 months
Provide various touch-points with members to build dynamic experiences and manage expectations with members
Maintain member satisfaction throughout the program
REQUIRED SKILLS AND EXPERIENCe:
Certified as an alcohol and drug counselor in your state or equivalent to Advance Alcohol and Drug Counselor (AADC), Alcohol and Drug Counselor (ADC), CADC (Certified Alcohol Drug Counselor), CADAC (Credentialed Alcoholism and Substance Abuse Counselor), LAADC (Licensed Advanced Alcohol Drug Counselor), or MCAP (Master Certified Addiction Professional) or equivalent
Certification must be part of IC&RC (International Certification & Reciprocity Consortium) and able to apply for reciprocity
3-5 years in AUD or addiction treatment
BA/BS and/or MA preferred
Background in addiction treatment/services, wellness, chronic disease management, and related topics
Secure private space with proper lighting to conduct video coaching sessions, team meeting, and maintain privacy compliance
Direct high-speed internet access to properly host video coaching sessions, team meetings and related meetings
Experience with EMR systems, Zoom conferencing, and app-based applications
Knowledgeable of SUD treatment programs that are evidence-based and outcome-driven
Knowledgeable of harm reduction models
Experience with planning and managing client caseload around their health
Experience with providing continuous professionalism, engagement, and promptness
Experience with pharmacotherapy and/or medicated-assisted treatment
Experience with a startup, virtual health and/or telehealth settings
KEY PERFORMANCE METRICS:
On-time delivery of coaching sessions as measured through call and video logs.
Active licensed and in good standing as measured by licensing board
Notes charted and signed with 24 hours as measured in the timestamps
Maintain continuity care for members as measured by number of reschedules through API and Zoom.
Weekly coaching sessions scheduled during coaching operating hours as measured through internal scheduling systems.
Utilization of evidence-based practices as measured through reporting of EMR based documentation.
Weekly coaching sessions performed as measured through internal system completion percentage
Member satisfaction maintained as measured by program surveys, discharge questionnaire, and supervision
ENJOY MANY RIA HEALTH BENEFITS
Join a team of Mission driven professionals dedicated to offering a next-generation solution in the treatment of heavy alcohol use and addiction
Experience professional growth within a rapidly expanding tech-healthcare company
Work remotely anywhere in the United States
Career opportunities include full-time, part-time, and on a contract basis
Competitive compensation
Telehealth training and development
Accrued PTO for full-time team members
EQUAL EMPLOYMENT OPPORTUNITY
Ria Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
MAKE AN IMPACT AT A CRITICAL TIME
The pandemic has caused a global crisis; there has been a tremendous increase in anxiety, trauma, and stress for millions of people, increasing the misuse of alcohol. As a result, Ria Health has experienced a 500% increase in demand from patients seeking a specialized treatment program for alcohol misuse. We seek team members motivated to provide high-quality, patient-centered, evidence-based care through telemedicine that improves the health and wellbeing of the people we support.
Ria Health Vision:
A world with accessible, compassionate, and effective treatments to reduce the burden of all those who suffer from Alcohol Use Disorder.
Ria Health Mission:
We combine medical science, technology, and human compassion to deliver private, evidence-based, telehealth alcohol treatment programs for anyone who wants to drink less and live better.
Ria Health Values:
Compassion – we promote a culture of empathetic care and communication. We actively listen, we always encourage, and we provide support.
Integrity – We are honest, open, ethical, and fair. We hold ourselves accountable when we make mistakes.
Teamwork – working together, we will achieve great things.
Embrace Change – we work to drive improvement over perfection, measuring and questioning the status quo to make progress and enhancement.
Always Learning – We celebrate curiosity and discovery through development and research.
ABOUT RIA HEALTH
Ria Health, recognized as the leading national telehealth provider specializing in alcohol use disorder (AUD) treatment, recently raised $12.5 million through a Series B financing led by Peloton Equity. Our existing investors SV Health, BPEA and SOSV also participated in the Series B. The investment will further the momentum of commercial partnerships that include regional and national health plans, including Anthem Blue Cross Blue Shield, UnitedHealth Group Optum, Beacon Health Options, Highmark Health, and Magellan Health. Ria Health will enable patients to achieve long term success in reducing or eliminating their alcohol consumption, and live healthier and happier lives. We are seeking a Clinical Intake/Triage Nurse to join our rapidly growing team.
JOIN THE RIA HEALTH TEAM!
Join the team that integrates medical care, behavioral support, and technology tools to help members achieve their personal goals in treating alcohol misuse. Ria Health is a Center of Excellence that delivers a Joint Commission accredited program that leverages evidence-based pharmacotherapy, psychosocial support, and an engaging care delivery platform to help members achieve lasting improvements in their quality of life. Ria’s published outcomes data set the standard for effectiveness in alcohol treatment. The Ria program is delivered through telehealth and by a care team of Physicians, Nurse Practitioners, and Coaches with clinical expertise to manage care and outcomes for Ria Health members.
WORK AT RIA HEALTH AS A RECOVERY COACH
The role of a Ria Health Recovery Coach is to support Ria members to reduce or eliminate alcohol use through pharmacotherapy, targeted protocols, technology platforms, and coaching tools. Coaches are to provide education on alcohol use and its effects on health, the benefits of using pharmacotherapy, and effective behavioral change. Next is to use various coaching tools based on CBT and MI to provide positive short- and long term health outcomes for members. Last is using various engagement techniques based on empathy, rapport, compassion, nonjudgement, warmth, and positive regard.
All the above is done in a virtual team clinic environment. All coaches are to work interdependently with various team members and departments. Coaches are to use Ria’s various technology platforms to monitor members to positive outcomes, collaborate with various team members, develop new coaching tools, problem-solve on retention concerns, and manage member’s coaching experiences from beginning to end.
PRINCIPLE DUTIES and ESSENTIAL RESPONSIBILITIES
Evaluation of new members including a standardized intake with a formulation of an individualized care plan
Collaborate with supervising medical staff and interdisciplinary treatment team, to develop and revise member care plans
Facilitate individual coaching through 15-30 minute video/phone calls and app-based communication channels.
Manage a caseload of members and monitor health outcomes, coordination of care, and case management services.
Facilitate various evidence-based interventions to support pharmacotherapy, reduction in alcohol use, and promotion of positive health outcomes.
Demonstrate professionalism, attentiveness, and promptness during the session, throughout the course of care, and during various technology interfaces with members.
Build relationships with Ria members to ensure high engagement and quality experiences with members
Document sessions into EMR and billing systems
Develop a plan of action for maintaining members and keeping active productivity
Provide coordination of care, case management, and advocacy when needed and throughout a member’s time with Ria Health.
Provide coaching services during normal business hours and/or as approved
Plan around member load to optimize continuity of care
Track member’s engagement and outcomes throughout the program
Attending team meetings, coaching syncs, and other related meetings
Develop new clinical tools for Ria Members
Collaborate with Product and Coaching team on program development
Maintain HIPAA and privacy standards and/or as determined by funding and accreditation bodies.
Continuous learning and change advocacy as determined by industry trends, community needs, and best practices.
Ability to work some evenings and/or weekends
As needed administrative tasks and member coverage
Acknowledgment that work may involve working with Protected Healthcare Information and agree to abide by all company policies and procedures for keeping that information secure and private.
Agree to work within the policies and procedures of Ria Health, including the Information Security, Acceptable Use, Remote Work/Teleworking, and the Monitoring and Recording policies. Violation of company policies may be grounds for discipline, up to and including termination.
COMPETENCIES:
Advocacy & Mentorship: Support clients in navigating recovery systems and accessing resources.
Ethical Practice: Maintain confidentiality and establish professional boundaries.
Cultural Competence: Respect diverse backgrounds and promote inclusive recovery pathways.
Clinical Competence: Develop individualized, stage-of-change–aligned treatment plans with clear goals and interventions
Proficient in evidence-based modalities: Motivational Interviewing, CBT, trauma-informed and culturally attuned approaches.
Facilitate therapeutic individual and group sessions
GOALS:
Conduct prompt coaching sessions for Ria members as scheduled
Respond to Ria members chat-based communication and scheduling needs within 1 business day
Maintain fidelity checklists and benchmarks in a coaching model, clinical protocols, and pharmacotherapy guidelines
Timely documentation within 24 hours
Come prepared with coaching plans in supervision and collaborative care meetings.
Ensure care plan goals and related health-outcomes are met with members at 3, 6, 9, and 12 months
Provide various touch-points with members to build dynamic experiences and manage expectations with members
Maintain member satisfaction throughout the program
REQUIRED SKILLS AND EXPERIENCe:
Certified as an alcohol and drug counselor in your state or equivalent to Advance Alcohol and Drug Counselor (AADC), Alcohol and Drug Counselor (ADC), CADC (Certified Alcohol Drug Counselor), CADAC (Credentialed Alcoholism and Substance Abuse Counselor), LAADC (Licensed Advanced Alcohol Drug Counselor), or MCAP (Master Certified Addiction Professional) or equivalent
Certification must be part of IC&RC (International Certification & Reciprocity Consortium) and able to apply for reciprocity
3-5 years in AUD or addiction treatment
BA/BS and/or MA preferred
Background in addiction treatment/services, wellness, chronic disease management, and related topics
Secure private space with proper lighting to conduct video coaching sessions, team meeting, and maintain privacy compliance
Direct high-speed internet access to properly host video coaching sessions, team meetings and related meetings
Experience with EMR systems, Zoom conferencing, and app-based applications
Knowledgeable of SUD treatment programs that are evidence-based and outcome-driven
Knowledgeable of harm reduction models
Experience with planning and managing client caseload around their health
Experience with providing continuous professionalism, engagement, and promptness
Experience with pharmacotherapy and/or medicated-assisted treatment
Experience with a startup, virtual health and/or telehealth settings
KEY PERFORMANCE METRICS:
On-time delivery of coaching sessions as measured through call and video logs.
Active licensed and in good standing as measured by licensing board
Notes charted and signed with 24 hours as measured in the timestamps
Maintain continuity care for members as measured by number of reschedules through API and Zoom.
Weekly coaching sessions scheduled during coaching operating hours as measured through internal scheduling systems.
Utilization of evidence-based practices as measured through reporting of EMR based documentation.
Weekly coaching sessions performed as measured through internal system completion percentage
Member satisfaction maintained as measured by program surveys, discharge questionnaire, and supervision
ENJOY MANY RIA HEALTH BENEFITS
Join a team of Mission driven professionals dedicated to offering a next-generation solution in the treatment of heavy alcohol use and addiction
Experience professional growth within a rapidly expanding tech-healthcare company
Work remotely anywhere in the United States
Career opportunities include full-time, part-time, and on a contract basis
Competitive compensation
Telehealth training and development
Accrued PTO for full-time team members
EQUAL EMPLOYMENT OPPORTUNITY
Ria Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
MAKE AN IMPACT AT A CRITICAL TIME
The pandemic has caused a global crisis; there has been a tremendous increase in anxiety, trauma, and stress for millions of people, increasing the misuse of alcohol. As a result, Ria Health has experienced a 500% increase in demand from patients seeking a specialized treatment program for alcohol misuse. We seek team members motivated to provide high-quality, patient-centered, evidence-based care through telemedicine that improves the health and wellbeing of the people we support.
Ria Health Vision:
A world with accessible, compassionate, and effective treatments to reduce the burden of all those who suffer from Alcohol Use Disorder.
Ria Health Mission:
We combine medical science, technology, and human compassion to deliver private, evidence-based, telehealth alcohol treatment programs for anyone who wants to drink less and live better.
Ria Health Values:
Compassion – we promote a culture of empathetic care and communication. We actively listen, we always encourage, and we provide support.
Integrity – We are honest, open, ethical, and fair. We hold ourselves accountable when we make mistakes.
Teamwork – working together, we will achieve great things.
Embrace Change – we work to drive improvement over perfection, measuring and questioning the status quo to make progress and enhancement.
Always Learning – We celebrate curiosity and discovery through development and research.
Alcohol and Drug Counselor Jobs by Experience Level
See All 148+ Alcohol and Drug Counselor Jobs
Find roles that match your experience and apply in just a few clicks.
Find JobsAlcohol and Drug Counselor Job Market
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
- Education
- Consulting & Professional Services
What Employers Look For
The qualifications that appear most often in alcohol and drug counselor jobs.
- State licensure or certification such as CADC, LADC, LCDC, or equivalent credential
- Bachelor's or master's degree in counseling, social work, psychology, or a related field
- Experience conducting individual and group counseling sessions using evidence-based modalities
- Familiarity with 12-step facilitation, motivational interviewing, and cognitive behavioral therapy
- Ability to complete clinical documentation and maintain accurate case records in an EHR system
- Experience working with co-occurring mental health and substance use disorder populations
Tips for Your Alcohol and Drug Counselor Job Search
List your credentials front and center
Employers scan for licensure first. Put your CADC, LADC, LPC, or state-specific credential in your resume header and repeat it in your summary. Buried credentials cost you callbacks, especially when an ATS filters by certification keyword before a human ever reads your application.
Tailor your resume to the setting
A residential treatment facility and an outpatient community clinic want very different things. Highlight inpatient group facilitation for the former and case management and community referrals for the latter. One generic resume sent everywhere performs far worse than two targeted versions.
Apply early to roles that fit
Migrate Mate lists alcohol and drug counselor openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Filter openings by supervision requirements
If you're still accumulating supervised clinical hours toward full licensure, prioritize postings that explicitly mention clinical supervision or intern-to-hire tracks. Applying to roles that require full independent licensure before you have it wastes everyone's time and delays your search.
Prepare specific case examples for interviews
Behavioral interview questions in this field drill into your crisis intervention approach and your experience with specific populations. Before each interview, outline two or three concrete situations where you de-escalated a client, coordinated with a treatment team, or navigated a dual-diagnosis case.
Negotiate your continuing education benefit
Licensure renewal and CEU requirements are ongoing costs in this profession. During offer negotiations, ask specifically about annual CEU reimbursement, supervision hours toward licensure advancement, and paid time off for training days. These benefits vary widely and are almost always negotiable.
Alcohol and Drug Counselor Jobs: Frequently Asked Questions
Which companies are hiring the most alcohol and drug counselors?
The most active employers for alcohol and drug counselors right now are Sagent Behavioral Health, EOSIS, and Ria Health, and the most openings are in California, Minnesota, and Pennsylvania, based on current listings on Migrate Mate as of August 2026. Demand tends to be highest at large behavioral health networks and integrated hospital systems.
How many alcohol and drug counselor jobs are remote?
About 18% of alcohol and drug counselor openings are fully remote or hybrid as of August 2026, which is lower than many counseling fields because direct client care often requires in-person contact. Telehealth roles are most available for individual outpatient sessions, case management coordination, and crisis line work rather than residential or intensive outpatient programs.
How do you become an alcohol and drug counselor?
You start by earning a degree in counseling, social work, or a related behavioral health field, then complete supervised clinical hours that your state board specifies for licensure. After that, you pass a certification exam such as the NCAC or CADC, submit your application to your state's licensing authority, and maintain your credential through continuing education each renewal cycle.
How do you get hired as an alcohol and drug counselor with little or no experience?
Target postings that explicitly offer clinical supervision toward licensure, since many treatment facilities actively seek pre-licensed counselors they can train. Volunteer or internship experience at a detox unit, sober living home, or community recovery center counts as direct exposure. Emphasize any peer support work, crisis hotline shifts, or case aide roles in your application to show firsthand knowledge of the population.
What does the alcohol and drug counselor interview process look like?
Most hiring processes include a phone screen with HR, followed by a panel interview with a clinical supervisor and often a senior counselor on the team. Expect scenario-based questions about handling a client in active crisis, managing ethical dilemmas, and your approach to motivational interviewing. Some employers add a short written case conceptualization exercise or ask you to review a mock client file before the final round.
Where can I find and apply to alcohol and drug counselor jobs?
You can find and apply to alcohol and drug counselor jobs on Migrate Mate, which lists current openings from across the United States. Search the listings to find roles that match your licensure level, preferred setting, and location, then apply directly to each one that fits your background.
See All 148+ Alcohol and Drug Counselor Jobs
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