Substance Abuse Counselor Jobs in New York

Substance Abuse Counselor jobs in New York are among the most active in the country, with steady openings across public health agencies, nonprofit treatment centers, hospital-based behavioral health units, and community mental health organizations at levels from entry-level counselor aide through senior clinician and program director. The heaviest hiring concentrates in New York City, Buffalo, and Albany, where established employers like NYC Health + Hospitals, Acacia Network, and Samaritan Daytop Village maintain large behavioral health programs. Co-occurring disorders treatment, adolescent substance use, and medication-assisted treatment are the most in-demand specialties statewide. Find a role that fits below and apply directly.

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Overview

Open roles38
Top employerSun River Health
Top cityBronx, NY
Cities hiring22
Work type90% On-site
Top industryHealthcare

Showing 5 of 38+ Substance Abuse Counselor jobs

University of Rochester
Substance Abuse Counselor 2
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University of Rochester
Added 5d ago
Substance Abuse Counselor 2
University of Rochester
Rochester, New York
Customer Service
Healthcare Administration
Human Resources
$29 - $40/hr
Master's degree
10,000+

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R
Substance Abuse Counselor- outpatient
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R
Added 6d ago
Substance Abuse Counselor- outpatient
Restorative Management Corp
Middletown, New York
Community & Nonprofit Services
Mental & Behavioral Health
Social Work & Counseling
$48k - $60k/yr
On-Site

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Innovative Health Systems, Inc
Substance Abuse Counselor
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Innovative Health Systems, Inc
Added 1w ago
Substance Abuse Counselor
Innovative Health Systems, Inc
White Plains, New York
Allied Health
Community & Nonprofit Services
Human Resources
Social Work & Counseling
$28 - $34/hr
On-Site
Master's degree
11-50

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Neighborhood Coalition for Shelter Inc
Substance Abuse Counselor
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Neighborhood Coalition for Shelter Inc
Added 1w ago
Substance Abuse Counselor
Neighborhood Coalition for Shelter Inc
Manhattan, New York
Customer Service
Customer Support
Hospitality & Guest Services
51-200

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Children's Rescue Fund
Credentialed Alcoholism and Substance Abuse Counselor (CASAC)
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Children's Rescue Fund
Added 1w ago
Credentialed Alcoholism and Substance Abuse Counselor (CASAC)
Children's Rescue Fund
Bronx, New York
Executive Leadership & C-Suite
Project & Program Management
Technical Product & Program Management
$50k - $60k/yr
High school diploma or GED
201-500

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See All 38 Substance Abuse Counselor Jobs in New York

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Substance Abuse Counselor Jobs by City in New York

Where New York roles are concentrated, by current openings.

Bronx
4 jobs
Manhattan
4 jobs
Rochester
4 jobs
Brooklyn
3 jobs
Mineola
2 jobs
Staten Island
2 jobs
Coram
1 job
Lyons
1 job
Auburn
1 job

Substance Abuse Counselor Job Market in New York

A snapshot from current New York openings, updated as new roles post.

Who's Hiring

Sun River Health
Sun River Health4 open roles
Bowery Residents Committee (BRC)
Bowery Residents Committee (BRC)3 open roles
Nao Medical
Nao Medical2 open roles

Top Industries Hiring

  • Healthcare & Medical Services
  • Non-Profit & Social Services
  • Consulting & Professional Services
  • Education

What New York Employers Look For

The qualifications that appear most often in substance abuse counselor jobs across New York.

  • Active CASAC or CASAC-T credential issued by the New York State OASAS
  • Bachelor's or master's degree in counseling, social work, or related human services field
  • Experience delivering individual and group counseling in a licensed treatment setting
  • Familiarity with motivational interviewing, CBT, or other evidence-based treatment modalities
  • Ability to document treatment plans and progress notes in an electronic health record system
  • Knowledge of HIPAA regulations and New York State confidentiality requirements for substance use records

Substance Abuse Counselor Jobs in New York: Frequently Asked Questions

How do you become a substance abuse counselor in New York?

You become a substance abuse counselor in New York by earning the Credentialed Alcoholism and Substance Abuse Counselor credential, known as CASAC, through the New York State Office of Addiction Services and Supports. You need a qualifying education in human services or a related field, a set number of supervised practice hours in a licensed treatment program, and a passing score on the required examination. A provisional CASAC-T credential is available for those still accumulating hours, which lets you work under supervision while completing requirements.

Which companies hire substance abuse counselors in New York?

Employers hiring substance abuse counselors in New York right now include Sun River Health, Bowery Residents Committee (BRC), and Nao Medical, based on current listings on Migrate Mate as of August 2026. New York's dense network of OASAS-licensed outpatient clinics, federally qualified health centers, and hospital behavioral health departments means consistent openings appear across both nonprofit and health system employers throughout the state.

Which New York cities have the most substance abuse counselor jobs?

The cities with the most substance abuse counselor openings in New York are Bronx, Manhattan, and Rochester. New York City drives the majority of listings given the scale of its public health infrastructure, large nonprofit treatment networks, and hospital systems with dedicated behavioral health divisions, while demand in Buffalo and Albany reflects state agency headquarters, regional medical centers, and community treatment programs serving those metropolitan areas.

Are there remote substance abuse counselor jobs in New York?

Yes, but they're limited. Substance abuse counseling is primarily a direct-service role that involves in-person sessions, group therapy, and on-site coordination with treatment teams, which keeps most positions tied to a physical location. About 10% of substance abuse counselor openings tied to New York are remote or hybrid as of August 2026, and the positions most likely to allow remote work are telehealth counseling roles at larger health systems or platforms operating under New York's expanded telehealth authorizations.

How can I get hired as a substance abuse counselor in New York with little or no experience?

The most realistic entry path is applying for a counselor aide, case manager, or peer recovery specialist role at an OASAS-licensed program while pursuing your CASAC-T, the provisional credential that lets you work under supervision before completing all requirements. Large New York employers like NYC Health + Hospitals and nonprofits such as BronxWorks and Samaritan Daytop Village regularly hire entry-level staff into structured training tracks. Coming in from a peer support or social services role, or completing a field placement at a licensed clinic through an accredited New York program, gives candidates a genuine edge.

Where can I find and apply to substance abuse counselor jobs in New York?

You can find and apply to substance abuse counselor jobs in New York on Migrate Mate, which lists current openings from employers hiring across the state. Search the listings to see roles that match your credentials and experience, then apply directly to the ones that fit.

See All 38 Substance Abuse Counselor Jobs in New York

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