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Intake/Admissions Counselor Outpatient SUD (CAC-AD / CSC-AD / LGADC / LCADC)

P2H Wellness
Easton, MD Full Time
POSTED ON 10/17/2026
AVAILABLE BEFORE 2/13/2027

Job Title: Substance Use Disorder Counselor (CAC-AD / CSC-AD / LGADC / LCADC)

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Job Summary

We are hiring an Intake & Admissions Counselor to own the front door of the program: first contact, screening, comprehensive assessment, ASAM level-of-care determination, and admission. This is a clinical position, not a scheduling one — you will be doing assessments and making level-of-care recommendations. How well this seat runs determines whether a person who calls on Monday is in treatment by Thursday or gone.

What you will do

  • Take initial inquiry calls and referrals from Mid Shore Behavioral Health, the Talbot County Health Department, hospitals, courts, and self-referrals, and complete telephone screening the same business day where possible.
  • Verify insurance eligibility and benefits at inquiry and identify coverage barriers before the assessment appointment, referring benefit problems to the appropriate staff member.
  • Complete the comprehensive biopsychosocial assessment and ASAM level-of-care determination at a scope consistent with your credential, with the Clinical Director holding final authority on level of care.
  • Prepare and submit initial authorization requests before service initiation and record the authorization number, span, units, and approved setting in the client record and the authorization tracker.
  • Complete the admission packet with the client: consents, client rights and responsibilities, release of information, program rules, grievance procedure, and MOUD non-discrimination notice.
  • Develop the initial treatment plan with the client within 7 working days of the comprehensive assessment and hand off to the assigned counselor with a documented warm transfer.
  • Conduct risk assessment at intake for suicidal ideation, self-harm, overdose risk, and homicidal ideation, and escalate to the Clinical Director immediately where indicated.
  • Deliver overdose recognition and naloxone training at admission and document completion.
  • Coordinate MAT starts with the contracted telehealth prescriber so that a client entering with opioid use disorder has a prescriber appointment scheduled at admission, not after.
  • Refer out or divert to a higher level of care where the assessment indicates the client’s needs exceed Level 2.1, documenting the referral and following through to a confirmed disposition.
  • Track inquiry-to-admission conversion and time to first appointment, and report both to the Clinical Director monthly as a quality indicator.
  • Carry a small ongoing caseload or group assignment as census allows, per the written assignment on file.

Experience

  • Experience in addiction counseling or mental health and behavioral care is preferred.
  • Prior experience working with individuals who have co-occurring disorders is highly desirable.
  • Familiarity with client assessment techniques used in therapy settings.
  • Ability to work effectively with clients from diverse cultural backgrounds.
  • Knowledge of EMR/EHR systems for documentation purposes is advantageous.
  • Candidates should possess a Maryland counselor credential at the CAC-AD, CSC-AD, LGADC, LCADC level or be working toward it under approved supervision.

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This position offers an opportunity to make a meaningful impact on individuals seeking recovery while advancing your professional development within a supportive environment committed to ethical and culturally competent care.

Pay: $25.94 - $31.23 per hour

Benefits:

  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Work Location: In person

Salary : $26 - $31

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