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Co-Occurring Counselor/ Therapist

Arrowleaf
Cairo, IL Full Time
POSTED ON 10/16/2026
AVAILABLE BEFORE 2/12/2027

We have TWO openings for Co-Occurring Counselor/ Therapist positions

About us:

When you join the Arrowleaf team, you are committing to a meaningful career where your work will make a difference for your neighbors throughout Southern Illinois and strengthen our region as a whole. You’ll have a chance to build well-being not just for the people you work with, but for yourself as well, as you gain life-changing experiences, enjoy highly competitive benefits, and experience unmatched opportunities for advancement.

Mission: Arrowleaf’s mission is to help all Southern Illinoisans reach their full potential. We provide resources and opportunities that support individuals of all ages so they can thrive, make our communities more vibrant, and build economic prosperity that benefits everyone.

Vision: We envision a Southern Illinois where all individuals are contributing to a community that is safe and vibrant for everyone.

Visit our website: myarrowleaf.org/employment to learn more about Arrowleaf

Job Title: Counselor/ Therapist (Co-Occurring)

Home Office: Cairo, IL or Vienna, IL

Area of Focus: Behavioral Health

Program(s): Behavioral Health - Outpatient Mental Health Programming helps individuals build life skills and well-being through behavioral health counseling, psychiatric care, and other care coordination and support services. SUPR provides those impacted by substance misuse and their families with intervention, recovery support, and treatment services that focus on the unique needs of the individual and the community.

Immediate Supervisor: Assistant Director

Hours of Work: Full-time, 40 hours/week. Afterhours on-call rotation required.

FLSA Classification: Non-exempt

Co-Occurring Counselor/ Therapist Minimum Qualifications: Bachelor’s Degree in Human Services or related field; Master’s Degree in Human Services or related field preferred. Qualifies as a Mental Health Professional (MHP); qualifies as a Qualified Mental Health Professional (QMHP) is preferred. Certified Alcohol and Drug Counselor (CADC) eligible and must become certified within two (2) years of employment.

Co-Occurring Counselor/ Therapist Skills & Knowledge: Knowledge of co-occurring mental health and substance use diagnoses and interventions, family systems theory, counseling theory, stages of human development, expectations of professional ethics, assessment tools and testing, case management processes, community resources and referral options, crisis intervention process/conflict resolution, drug and chemical dependencies, addiction process and theories of substance use and recovery, excellent written and oral communication skills, excellent computer skills.

Co-Occurring Counselor/ Therapist Special Requirements: Travel to other sites; maintains a valid driver’s license and vehicle liability insurance; maintain First Aid & CPR certification; at least 21 years of age; must complete required registry clearances and criminal fingerprint background checks; participates in after-hours and day call crisis rotation; maintains CADC licensure once eligible.

Co-Occurring Counselor/ Therapist job duties include, but are not limited to:

  • Interviews and evaluates consumers, establishes diagnoses. Develops treatment plan collaboratively with consumers by defining goals, specific outcomes and time-frames for treatment. Monitors consumer's behavior.
  • Provides counseling and clinical services to consumers experiencing problems due to their own or another's substance use.
  • Intervenes therapeutically to change attitudes, beliefs and behaviors of consumers to address concerns related to mental health diagnosis and to improve individual and family level of functioning.
  • Provides crisis intervention to stabilize consumer's condition by utilizing short-term crisis intervention techniques and/or referral to other support services.
  • Carries a caseload as assigned by the Substance Use Programs Coordinator.
  • Completes required monthly direct service hours to consumers as defined on yearly Direct Service Requirement sheet.
  • Plans, develops, and facilitates group programs to be used with consumers.
  • Provides and arranges transportation services to consumers which they translate to their natural environment
  • Effectively teaches life-management skills to consumer which they translate to their natural environment.

Co-Occurring Counselor/ Therapist Benefit Package

  • Health, vision and dental insurance options available after 1st day of the month after 60 calendar days of employment
  • Up to $50,000 life insurance policy
  • 401(k) with company match for qualifying staff.
  • Voluntary Benefits (Critical Illness, Short-Term disability, Accident/Incident, Hospital Indemnity)
  • Mileage reimbursement
  • Up to 376 hours of paid time off just within your first year of employment! Includes 13 paid holidays, up to 40 hours personal time, 12 sick days, 40 hours bereavement leave, 12 vacation days (6 month probation period), and 8 hours volunteer paid time off per year.
  • Paid advanced trainings and certification opportunities
  • Free clinical supervision for licensure (LCSW, LCPC, CADC)
  • Leadership & Advancement Opportunities
  • Public Service Loan Forgiveness (PSLF) Eligible Employer
  • CCBHC Workforce Career Accelerator Program
  • National Health Service Corps (NHSC) Eligible Site
  • Additional opportunities for compensation are available above starting salary


Salary Range:
$47,132 - $69,427 (pay is dependent on education level and credentials)

  • This is a bargaining unit, union position


Questions? visit
myarrowleaf.org/employment or call 618-658-3079 to learn more!


Arrowleaf is committed to the full inclusion of all qualified individuals. As part of this commitment, Arrowleaf will ensure that persons with disabilities are provided reasonable accommodations unless the accommodation will impose an undue hardship. If you require a reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to Human Resources.

Arrowleaf is firmly committed to Equal Employment Opportunity (“EEO”) and to compliance with all Federal, State and local laws regarding it. EEO is a set of standards that make it illegal to discriminate against a job applicant or an employee because of the person’s actual or perceived race, color, religion, sex (including pregnancy and related conditions, gender identity, and sexual orientation), marital status, national origin, ancestry, age (40 or older), disability or genetic information (including family history), order of protection status, or military status or unfavorable discharge from military service. The laws apply to all types of work situations, including recruiting, hiring, disciplinary actions, terminations, promotions, pay practices, training, wages, and benefits

Salary : $47,132 - $69,427

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