Green Card Addiction Counselor Jobs
Addiction Counselor roles can qualify for EB-2 or EB-3 green card sponsorship through PERM labor certification when employers demonstrate no qualified U.S. workers are available. State licensure requirements, degree equivalency, and prevailing-wage compliance all shape how your sponsorship case is built and filed.
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Get Access To All JobsINTRODUCTION
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
ABOUT THE JOB
The Vice President of Addiction Services reports to the President of Behavioral Services and provides executive leadership for the strategic direction, operational performance, financial stewardship, regulatory compliance, and continued growth of the Addiction Services continuum across Beth Israel Lahey Health Behavioral Services (BILHBS). Working in a dyadic partnership with the Medical Director of Addiction Services, the Vice President is responsible for the oversight and advancement of a comprehensive, integrated system of addiction care. This includes inpatient withdrawal management, clinical stabilization services, residential treatment, recovery housing, Opioid Treatment Programs (OTPs), medication clinics, and all associated inpatient and outpatient addiction services. The Vice President collaborates closely with physician leaders, hospital executives, and system stakeholders to ensure the delivery of high-quality, evidence-based, patient-centered care while advancing organizational strategy, clinical excellence, operational efficiency, and sustainable growth across the continuum of addiction services. The Vice President is responsible for ensuring high-quality, patient-centered care; regulatory, accreditation, and licensing compliance; workforce planning and development; financial performance; quality outcomes; and operational excellence. This role leads strategic planning, program growth, and process improvement initiatives while fostering collaboration across Behavioral Services, BILH, and community partners to advance access to integrated, evidence-based substance use disorder treatment.
KEY RESPONSIBILITIES
- Leads Addiction Services in a dyadic partnership with the Medical Director of Addiction Services, collaborating with the Director of Nursing to drive strategy, operational excellence, and the delivery of safe, high-quality, evidence-based care across the continuum.
- Reinforces a culture of accountability and teamwork through clear performance metrics and data-driven decision-making.
- Accountable for the full employee lifecycle management of direct and indirect reports, including workforce planning, recruitment and hiring, role deployment, performance evaluation, leadership development, and employee relations in alignment with organizational policies and compliance requirements.
- Drive performance visibility and accountability. Maintain full operational visibility across staffing models, supply utilization, Epic workflows, and front-end revenue cycle across all addiction treatment services. Identify and implement best practices and reduce program variation where appropriate.
- Maintains current expertise in evidence-based practices, trauma-informed care, and wraparound services; monitors and translates federal and state policy and regulatory changes into organizational strategy, program design, and policy implementation, while representing the agency in key external forums.
- Leads budget development and ongoing financial oversight, including revenue and expense forecasting, variance analysis, and real-time monitoring to ensure alignment with financial targets and timely corrective adjustments.
- Develop and execute the strategic vision for Addiction Services, aligning programmatic, operational, and growth initiatives with the mission and goals of BILH Behavioral Services. Identify opportunities for service expansion, innovation, and new care delivery models to address emerging community needs, improve access to care, and advance integrated substance use disorder treatment across the continuum.
- Foster a culture of safety, accountability, quality improvement, and risk management while partnering with clinical and operational leaders to monitor quality outcomes and patient experience.
- Cultivate strong partnerships with health system leaders, hospitals, community organizations, government agencies, academic institutions, and payers to advance addiction treatment services, research, workforce development, and recovery-oriented systems of care.
- Provides executive leadership and oversight for directors, managers, and supervisors across the division. Responsible for talent acquisition, performance management, employee development, succession planning, and fostering a culture of accountability, engagement, and continuous improvement in accordance with organizational policies and applicable laws.
QUALIFICATIONS AND EDUCATION
- Master's degree preferred, and at least 10+ years of significant and graduated leadership responsibility within Addiction treatment, including clinical operations and financial management, preferably at a senior level in a large, geographically distributed network.
- Possesses comprehensive knowledge of addiction services operations, finance, workforce management, health IT, Epic, and performance management, with expertise in advancing quality, safety, patient experience, and clinical outcomes across a diverse service portfolio.
- Proven executive leader with a strong market presence, exceptional relationship-building skills, and the ability to lead complex organizational change across hospital-based and ambulatory settings. Successfully translates strategy into execution while fostering accountability through a dyad leadership model.
- Advanced skills with Microsoft applications which may include Outlook, Word, Excel, or PowerPoint and other web-based applications. May produce complex documents, perform analysis and maintain databases.
- Familiarity with CARF requirements/procedures. Familiarity with BSAS/DPH, DMH, and other regulatory policies/procedures.
PAY RANGE
$180,000.00 USD - $220,000.00 USD
The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. In addition to base compensation, this position may be eligible for additional compensation, which may include performance-based incentive bonuses.
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.
More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.
Equal Opportunity Employer/Veterans/Disabled
INTRODUCTION
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
ABOUT THE JOB
The Vice President of Addiction Services reports to the President of Behavioral Services and provides executive leadership for the strategic direction, operational performance, financial stewardship, regulatory compliance, and continued growth of the Addiction Services continuum across Beth Israel Lahey Health Behavioral Services (BILHBS). Working in a dyadic partnership with the Medical Director of Addiction Services, the Vice President is responsible for the oversight and advancement of a comprehensive, integrated system of addiction care. This includes inpatient withdrawal management, clinical stabilization services, residential treatment, recovery housing, Opioid Treatment Programs (OTPs), medication clinics, and all associated inpatient and outpatient addiction services. The Vice President collaborates closely with physician leaders, hospital executives, and system stakeholders to ensure the delivery of high-quality, evidence-based, patient-centered care while advancing organizational strategy, clinical excellence, operational efficiency, and sustainable growth across the continuum of addiction services. The Vice President is responsible for ensuring high-quality, patient-centered care; regulatory, accreditation, and licensing compliance; workforce planning and development; financial performance; quality outcomes; and operational excellence. This role leads strategic planning, program growth, and process improvement initiatives while fostering collaboration across Behavioral Services, BILH, and community partners to advance access to integrated, evidence-based substance use disorder treatment.
KEY RESPONSIBILITIES
- Leads Addiction Services in a dyadic partnership with the Medical Director of Addiction Services, collaborating with the Director of Nursing to drive strategy, operational excellence, and the delivery of safe, high-quality, evidence-based care across the continuum.
- Reinforces a culture of accountability and teamwork through clear performance metrics and data-driven decision-making.
- Accountable for the full employee lifecycle management of direct and indirect reports, including workforce planning, recruitment and hiring, role deployment, performance evaluation, leadership development, and employee relations in alignment with organizational policies and compliance requirements.
- Drive performance visibility and accountability. Maintain full operational visibility across staffing models, supply utilization, Epic workflows, and front-end revenue cycle across all addiction treatment services. Identify and implement best practices and reduce program variation where appropriate.
- Maintains current expertise in evidence-based practices, trauma-informed care, and wraparound services; monitors and translates federal and state policy and regulatory changes into organizational strategy, program design, and policy implementation, while representing the agency in key external forums.
- Leads budget development and ongoing financial oversight, including revenue and expense forecasting, variance analysis, and real-time monitoring to ensure alignment with financial targets and timely corrective adjustments.
- Develop and execute the strategic vision for Addiction Services, aligning programmatic, operational, and growth initiatives with the mission and goals of BILH Behavioral Services. Identify opportunities for service expansion, innovation, and new care delivery models to address emerging community needs, improve access to care, and advance integrated substance use disorder treatment across the continuum.
- Foster a culture of safety, accountability, quality improvement, and risk management while partnering with clinical and operational leaders to monitor quality outcomes and patient experience.
- Cultivate strong partnerships with health system leaders, hospitals, community organizations, government agencies, academic institutions, and payers to advance addiction treatment services, research, workforce development, and recovery-oriented systems of care.
- Provides executive leadership and oversight for directors, managers, and supervisors across the division. Responsible for talent acquisition, performance management, employee development, succession planning, and fostering a culture of accountability, engagement, and continuous improvement in accordance with organizational policies and applicable laws.
QUALIFICATIONS AND EDUCATION
- Master's degree preferred, and at least 10+ years of significant and graduated leadership responsibility within Addiction treatment, including clinical operations and financial management, preferably at a senior level in a large, geographically distributed network.
- Possesses comprehensive knowledge of addiction services operations, finance, workforce management, health IT, Epic, and performance management, with expertise in advancing quality, safety, patient experience, and clinical outcomes across a diverse service portfolio.
- Proven executive leader with a strong market presence, exceptional relationship-building skills, and the ability to lead complex organizational change across hospital-based and ambulatory settings. Successfully translates strategy into execution while fostering accountability through a dyad leadership model.
- Advanced skills with Microsoft applications which may include Outlook, Word, Excel, or PowerPoint and other web-based applications. May produce complex documents, perform analysis and maintain databases.
- Familiarity with CARF requirements/procedures. Familiarity with BSAS/DPH, DMH, and other regulatory policies/procedures.
PAY RANGE
$180,000.00 USD - $220,000.00 USD
The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. In addition to base compensation, this position may be eligible for additional compensation, which may include performance-based incentive bonuses.
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.
More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.
Equal Opportunity Employer/Veterans/Disabled
See all 36+ Green Card Addiction Counselor Jobs
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Get Access To All JobsTips for Finding Green Card Sponsorship as an Addiction Counselor
Verify your degree meets PERM requirements
PERM requires your employer to define minimum qualifications before filing. A bachelor's degree in counseling, psychology, or social work typically anchors the EB-3 professional category. Foreign three-year degrees may need a credential evaluation to confirm U.S. equivalency before DOL submission.
Secure state licensure before your employer files
Most Addiction Counselor roles require state licensure as a CADC, LADC, or equivalent. If your employer lists licensure as a job requirement in the PERM application, you must hold that credential by the time DOL reviews the filing.
Target behavioral health networks with PERM filing history
Substance use disorder clinics, hospital systems, and federally qualified health centers are more likely to have established PERM workflows than private solo practices. Search OFLC disclosure data to identify employers who have filed PERM applications for counseling roles in your target state.
Use Migrate Mate to find sponsoring employers by role
Migrate Mate lets you filter Addiction Counselor jobs by green card sponsorship history, so you're not cold-applying to employers who have never filed PERM. Focusing your search on verified sponsors shortens the path from offer letter to I-140 filing.
Understand how prevailing wage affects your offer
Your employer must pay at least the DOL prevailing wage for your role and location before PERM is approved. Run the OFLC Wage Search using SOC code 21-1011 to check the Level I through IV wage tiers for Substance Abuse, Behavioral Disorder, and Mental Health Counselors in your area.
Ask your employer about concurrent I-485 filing eligibility
If your priority date is current when the I-140 is approved, you can file the I-485 adjustment of status concurrently rather than waiting. Clarify this with your employer's immigration attorney before accepting an offer, since concurrent filing shortens the time to a green card significantly.
Green Card Addiction Counselor: Frequently Asked Questions
Does an Addiction Counselor role qualify for EB-2 or EB-3 sponsorship?
Most Addiction Counselor positions are sponsored under EB-3 as skilled workers or professionals, since the role typically requires a bachelor's degree plus licensure rather than an advanced degree. EB-2 is possible if the position genuinely requires a master's degree or higher and the employer can document that requirement as a business necessity in the PERM filing.
How does green card sponsorship differ from H-1B for this role?
H-1B visa sponsorship is temporary, subject to an annual cap and lottery, and requires the role to qualify as a specialty occupation. PERM-based green card sponsorship is permanent, has no annual cap at the EB-3 level for most countries, and follows a labor certification process rather than a lottery. The tradeoff is that PERM typically takes longer from filing to approval than a standard H-1B petition.
Can my employer sponsor me if I need state licensure to start the job?
Yes, but the PERM job requirements must reflect what is genuinely needed for the position. If licensure is listed as a requirement, you must hold that credential before DOL approves the application. Some employers structure the offer to allow unlicensed candidates to obtain licensure during a supervised period before the PERM filing begins, which can give you time to complete any required supervised hours.
How do I find Addiction Counselor jobs that offer green card sponsorship?
Migrate Mate is built specifically for this search. You can filter Addiction Counselor roles by employers with a documented history of green card sponsorship, so you're targeting positions where PERM is already a known process for the hiring team. This matters because many clinical employers are willing to sponsor but have never done so, and navigating that conversation without data is difficult.
What happens to my green card case if I change employers during the process?
If you change employers after the I-140 is approved and your priority date has been current for at least 180 days, you may be able to port your green card case to a new employer in the same or a similar occupational category under AC21 portability rules. Changing jobs before the I-140 is approved generally restarts the PERM process with the new employer.