Substance Abuse Counselor Jobs in Massachusetts
Substance Abuse Counselor jobs in Massachusetts are in strong and sustained demand, concentrated across community health centers, hospital systems, outpatient behavioral health clinics, and state-funded treatment programs, with openings at every level from entry-level case aide to licensed senior clinician. Boston, Worcester, and Springfield anchor most of the hiring, with well-established employers such as Fenway Health, Tufts Medicine, and the Vinfen Corporation accounting for a consistent share of openings. Recovery coaching, co-occurring disorders treatment, and medication-assisted treatment support are the specialties recruiters request most often in Massachusetts postings. Find a role that fits below and apply directly.
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Showing 5 of 13+ Substance Abuse Counselor jobs
Responsibilities:
- Individual will conduct individual and group counseling sessions.
- Coordinate care of assigned patients and present patient status and concerns with treatment team accordingly.
- Conduct comprehensive patient assessments and the development and implementation of patient treatment plans according to State regulatory requirements
- Provide clinical services and patient care and education and opiate addiction counseling services to patients
- Excellent documentation and computer skills required
- Other related duties as determined by supervisor
- Must have a CADC or be working toward a CADC and able to obtain within 2 years of working while supervised.
- Previous experience working with chemically dependent individuals;
- Must demonstrate a positive, non-judgmental, and accepting attitude toward our patient population
- Understanding of an EMR system (electronic medical records)
- Satisfactory drug screen and criminal background check.
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Salary Range:
Salary ranges from $22.77 to $25.30 an hour.
The salary of the candidate(s) selected for this role will be set based on a variety of factors, including but not limited to, experience, education, specialty, and training.
- 401K match
- Medical, Dental, Vision Insurance
- Accident Injury, Hospital Indemnity and Critical Illness Plans
- Company paid Short & Long Term Disability
- Company paid Basic Life Insurance
- Paid Time Off
- Bereavement Leave
- Flexible Sick Time
- Employee Referral Program
What to expect from us:
BayMark Health Services is committed to Equal Employment Opportunity (EEO) and to compliance with all Federal, State and local laws that prohibit employment discrimination on the basis of race, color, age, natural origin, ethnicity, religion, gender, pregnancy, marital status, sexual orientation, citizenship, genetic disposition, disability or veteran’s status or any other classification protected by State/Federal laws.
Responsibilities:
- Individual will conduct individual and group counseling sessions.
- Coordinate care of assigned patients and present patient status and concerns with treatment team accordingly.
- Conduct comprehensive patient assessments and the development and implementation of patient treatment plans according to State regulatory requirements
- Provide clinical services and patient care and education and opiate addiction counseling services to patients
- Excellent documentation and computer skills required
- Other related duties as determined by supervisor
- Must have a CADC or be working toward a CADC and able to obtain within 2 years of working while supervised.
- Previous experience working with chemically dependent individuals;
- Must demonstrate a positive, non-judgmental, and accepting attitude toward our patient population
- Understanding of an EMR system (electronic medical records)
- Satisfactory drug screen and criminal background check.
We Invest in Tools That Make Your Job Easier
Salary Range:
Salary ranges from $22.77 to $25.30 an hour.
The salary of the candidate(s) selected for this role will be set based on a variety of factors, including but not limited to, experience, education, specialty, and training.
- 401K match
- Medical, Dental, Vision Insurance
- Accident Injury, Hospital Indemnity and Critical Illness Plans
- Company paid Short & Long Term Disability
- Company paid Basic Life Insurance
- Paid Time Off
- Bereavement Leave
- Flexible Sick Time
- Employee Referral Program
What to expect from us:
BayMark Health Services is committed to Equal Employment Opportunity (EEO) and to compliance with all Federal, State and local laws that prohibit employment discrimination on the basis of race, color, age, natural origin, ethnicity, religion, gender, pregnancy, marital status, sexual orientation, citizenship, genetic disposition, disability or veteran’s status or any other classification protected by State/Federal laws.
See All 13 Substance Abuse Counselor Jobs in Massachusetts
Find roles in Massachusetts that match your experience and apply in just a few clicks.
Find JobsSubstance Abuse Counselor Jobs by City in Massachusetts
Where Massachusetts roles are concentrated, by current openings.
Substance Abuse Counselor Job Market in Massachusetts
A snapshot from current Massachusetts openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
What Massachusetts Employers Look For
The qualifications that appear most often in substance abuse counselor jobs across Massachusetts.
- Active LADC I or LADC II credential issued or recognized by Massachusetts
- Bachelor's degree in counseling, social work, psychology, or a related human services field
- Experience conducting individual and group substance use disorder counseling sessions
- Familiarity with Massachusetts BSAS billing and documentation standards for treatment programs
- Knowledge of motivational interviewing, trauma-informed care, and evidence-based treatment models
- Ability to coordinate with multidisciplinary teams and community referral networks in Massachusetts
Substance Abuse Counselor Jobs in Massachusetts: Frequently Asked Questions
How do you become a substance abuse counselor in Massachusetts?
Massachusetts requires substance abuse counselors to hold a Licensed Alcohol and Drug Counselor credential, either LADC I or LADC II, issued through the Massachusetts Board of Substance Use Disorder Counselor Certification. Candidates must complete an approved education program in counseling or a related field, accumulate supervised clinical hours, and pass the IC&RC ADC examination. Most employers also expect some experience with co-occurring mental health conditions before hiring at the full counselor level.
Which companies hire substance abuse counselors in Massachusetts?
Employers hiring substance abuse counselors in Massachusetts right now include Eliot Community Human Services, Health Care Resource Centers, and Legacy Healing Center, based on current listings on Migrate Mate as of October 2026. Massachusetts's dense network of community health centers, state-contracted residential programs, and integrated behavioral health practices means hiring is spread across both large systems and smaller community-based organizations throughout the state.
Which Massachusetts cities have the most substance abuse counselor jobs?
Chicopee, Lynn, and Boston have the most substance abuse counselor openings in Massachusetts. Boston's concentration of hospital systems, federally qualified health centers, and harm-reduction organizations drives the largest share of postings, while Worcester and Springfield reflect strong state investment in community-based recovery services and residential treatment capacity in those regions.
Are there remote substance abuse counselor jobs in Massachusetts?
Yes, but they're rare. About 0% of substance abuse counselor openings tied to Massachusetts are remote or hybrid as of October 2026, reflecting that most of this work requires in-person sessions, urine drug screening oversight, and direct crisis intervention. Telehealth counseling roles and clinical supervision positions are the most likely to offer partial remote flexibility.
How can I get hired as a substance abuse counselor in Massachusetts with little or no experience?
The most realistic entry path is a recovery coach or substance use disorder counselor aide role, which Massachusetts community health centers and residential programs routinely hire for without requiring full LADC licensure. Organizations such as Vinfen, Bay State Community Services, and Brockton Area Multi-Services hire entry-level case managers and recovery support specialists who build supervised hours toward LADC certification. Completing a Massachusetts Board-approved counselor trainee registration and any peer recovery specialist training gives candidates a measurable edge in applications.
Where can I find and apply to substance abuse counselor jobs in Massachusetts?
You can find and apply to substance abuse counselor jobs in Massachusetts on Migrate Mate, which lists current Massachusetts openings across community health centers, hospital systems, residential programs, and outpatient clinics. Find roles that fit your credentials and experience level and apply directly.
See All 13 Substance Abuse Counselor Jobs in Massachusetts
Find roles in Massachusetts that match your experience and apply in just a few clicks.
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