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Substance Abuse Counselor

Triumph Health and Wellness Center
Baltimore, MD Full Time
POSTED ON 8/26/2026
AVAILABLE BEFORE 12/24/2026

Job Title: Substance Abuse Counselor – IOP/PHP

Reports to: Clinical Supervisor / Program Director
Department: Substance Use Disorder Services
Location: [Insert Facility Name and Address]
Employment Type: Full-Time / Part-Time
FLSA Status: Exempt / Non-Exempt

Job Summary:

The Substance Abuse Counselor in the IOP/PHP setting is responsible for providing structured, evidence-based treatment to clients with substance use and co-occurring mental health disorders. This role includes assessment, treatment planning, individual and group counseling, case coordination, and relapse prevention within a multidisciplinary team. The counselor ensures that clinical services meet the standards required for high-acuity levels of care in a recovery-oriented system.

Primary Responsibilities

  • Conduct comprehensive assessments including ASAM Criteria evaluations and biopsychosocial intakes.
  • Develop individualized treatment plans with measurable goals and target dates tailored to IOP/PHP intensity.
  • Facilitate a minimum of 9–20 hours per week of structured therapy sessions per IOP/PHP requirements:
  • Individual counseling
  • Psychoeducational groups
  • Process groups
  • Family/support sessions
  • Address both substance use and co-occurring mental health symptoms through integrated therapeutic interventions.
  • Monitor and document treatment progress, client attendance, participation, and engagement.
  • Participate in treatment team meetings, case reviews, and care coordination discussions.
  • Collaborate with medical staff for MAT coordination and psychiatric symptom management.
  • Assist clients with crisis stabilization and referrals to inpatient or residential treatment as needed.
  • Maintain current and accurate documentation in the electronic health record (EHR) per agency and regulatory timelines.
  • Educate clients on relapse prevention, coping strategies, emotional regulation, and life skills.
  • Provide discharge planning, continuing care coordination, and referral services.
  • Support a trauma-informed, client-centered treatment environment.

Minimum Qualifications:

  • Bachelor's Degree in Counseling, Psychology, Social Work, or related behavioral health field (Master’s preferred).
  • Certification/licensure required per state (e.g., CAC-AD, CSC-AD, LGPC, LMSW, LCPC, LCADC, LCSW-C).
  • At least one year of experience working with clients in an IOP, PHP, or other structured behavioral health setting.
  • Knowledge of ASAM Criteria, MAT protocols, and best practices in substance use disorder treatment.
  • Familiarity with co-occurring disorders, trauma-informed care, and evidence-based therapy models.
  • Proficient in documenting using EHR systems and adhering to clinical timelines.

Preferred Qualifications:

  • Bilingual (English/Spanish or other) preferred.
  • Certified in or trained in CBT, DBT, MI, Seeking Safety, or other evidence-based approaches.
  • Experience in managing group dynamics and conflict resolution in therapeutic groups.
  • Knowledge of local recovery resources and referral systems.

Core Competencies:

  • Clinical Knowledge & Assessment
  • Skilled in applying ASAM criteria, DSM-5 diagnoses, and identifying appropriate level of care.
  • Treatment Planning
  • Develops collaborative, individualized, and measurable treatment plans tailored to the intensity of PHP/IOP.
  • Facilitation of Therapeutic Groups
  • Leads engaging and structured therapeutic groups and psychoeducation sessions aligned with the treatment phase.
  • Integrated Co-Occurring Care
  • Understands and addresses the interaction between mental health and substance use symptoms.
  • Crisis Management
  • Identifies and responds promptly to signs of relapse, suicidal ideation, or psychiatric instability.
  • Documentation & Compliance
  • Maintains accurate, timely documentation that meets Medicaid, state licensing, and CARF standards.
  • Client Engagement & Retention
  • Builds therapeutic alliances that foster trust and motivate clients to actively engage in treatment.
  • Collaboration & Teamwork
  • Communicates effectively with clinical staff, case managers, nurses, and external providers.
  • Cultural Humility & Trauma-Informed Practice
  • Practices in a culturally responsive and trauma-aware manner that respects clients’ lived experiences.
  • Relapse Prevention & Aftercare
  • Supports clients in creating realistic, structured plans for post-treatment success, including community linkage.

Working Conditions:

  • Must be able to work in a high-demand, fast-paced clinical environment.
  • Some evening or weekend hours may be required.
  • Exposure to individuals in active recovery and emotionally challenging situations.
  • Regular use of computer for documentation and telehealth as needed.

Job Type: Full-time

Pay: $27.75 - $35.00 per hour

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Tuition reimbursement
  • Vision insurance

People with a criminal record are encouraged to apply

Work Location: In person

Salary : $28 - $35

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