Mid Level Clinical Counselor Jobs
Mid level clinical counselor jobs go to clinicians ready to carry a full caseload independently, guide less experienced colleagues, and shape treatment decisions without close supervision. Openings run across Healthcare & Medical Services, Education, and Social Media, with a mix of on-site, remote, and hybrid settings available and employers like Alexander Youth Network, Sun River Health, and Naphcare 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.
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 Clinical Counselor Job Market
Who's Hiring
- Alexander Youth Network10
- Sun River Health5
- Naphcare3
- Cornerstone Family Healthcare3
- Alabama State Department of Education3A
Top Industries Hiring
- Healthcare & Medical Services28
- Education17
- Social Media10
- Technology & Software10
- Marketing & Advertising10
Mid Level Clinical Counselor Jobs: Frequently Asked Questions
How do I get a mid level clinical counselor job?
Lead with the complexity of the cases you have managed independently and the modalities you have applied without close supervision. Highlight any group facilitation, crisis intervention experience, or coordination with interdisciplinary teams. Employers at this level want to see that you can hold a full caseload, exercise clinical judgment, and document to professional standards, so make those specifics visible in your resume and cover letter.
Which companies hire mid level clinical counselors?
Companies hiring mid level clinical counselors right now include Alexander Youth Network, Sun River Health, and Naphcare, based on current listings on Migrate Mate as of July 2026. Hiring at this level tends to come from outpatient behavioral health practices, community mental health centers, hospital systems, and employee assistance program providers that need clinicians who can work with minimal oversight.
Are there remote mid level clinical counselor jobs?
Yes, though availability varies by licensure state and employer. About 2% of mid level clinical counselor openings are remote or hybrid as of July 2026, reflecting the ongoing expansion of telehealth across behavioral health. Roles requiring crisis response, group therapy, or coordinated inpatient care are more likely to remain on-site.
How do I move up to a mid level clinical counselor role?
Reaching mid level typically means accumulating supervised clinical hours toward full licensure, building a consistent caseload, and demonstrating judgment on complex or high-acuity cases. Clinicians who advance fastest take on co-facilitation of groups, volunteer for intake or assessment responsibilities, and seek feedback that sharpens their documentation and treatment planning, turning each year of practice into visible, measurable clinical growth.
Which industries hire the most mid level clinical counselors?
Mid Level clinical counselor roles concentrate in Healthcare & Medical Services, Education, and Social Media, based on current listings on Migrate Mate as of July 2026. These sectors drive demand because they serve high volumes of clients with ongoing mental health, substance use, or behavioral needs, requiring experienced clinicians who can work independently and manage complex treatment plans without daily supervision.