Substance Use Counselor - ACT
- Driver's license
How this pay compares
This posting does not state an hourly rate. Open substance abuse counselor jobs in New York post a median of $28.84 an hour, the middle half $26.25–$31.24, across 23 jobs that state their pay. Substance abuse counselors employed in New York earn a median of $28.58 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).
Substance abuse counselors in New York: pay by town and employer
The Mental Health & Social Work job market: pay, applicant demand and hiring, researched nightly
Mental health and social work jobs in our research
- How long these jobs stay listed: Still listed at 7 days 76.6%
- Applicant demand per open job on this site (1.00x is the average job): Index 0.61x · Clicks 32
- How often these jobs state their pay: Jobs stating any pay 59.0% · Stating an hourly rate 43.4%
From every open job we read and every apply click on this site, as of 5 Nov 2026. Every figure for Mental health and social work jobs
About the job
Location: Mt. Vernon, NY
Hours: M-F 9 am to 5 pm (35 hours weekly)
Rate of pay: $28.50 (CASAC-T) or $30.50 (CASAC)
Drivers license required.
OVERVIEW OF PRIMARY RESPONSIBILITES:
The Substance Use Counselor will provide substance use counseling, education, and support to individuals living with co-occurring mental health and substance use challenges. This position maintains a caseload, delivers individual and group counseling, participates in treatment planning, and coordinates care with the interdisciplinary team and other community partners and resources. The counselor will utilize a harm reduction approach to support program participants in working toward their self-identified recovery and life goals.
Assertive Community Treatment (ACT), is an evidenced-based practice that uses a person-centered and recovery-based approach to offer treatment, rehabilitation, and support services to individuals that have been diagnosed with serious mental illness (SMI). Typically, individuals served by ACT have a treatment history that includes multiple psychiatric hospitalizations, risk of harm to self or others, and lack of success in traditional outpatient services. Many of these individuals are also living with co-occurring substance use disorders, and ACT utilizes a harm reduction approach to support them in reaching their self-identified recovery goals.
ACT services are provided by a mobile, multi-disciplinary team who meet at the program participant’s residence and in mutually agreed upon settings in the community where the participant feels comfortable. ACT supports recovery through a highly individualized approach that provides participants with the tools to obtain and maintain housing, employment, relationships, wellness, and relief from symptoms and medication side effects. The nature and intensity of ACT services are developed through the person-centered service planning process and adjusted through the process of daily team meetings and frequent contacts with participants and their collaterals.
The goal of ACT services is to assist individuals to achieve their personally meaningful goals and life roles. ACT integrates the principles of trauma-informed care and cultural competence, addressing the impact of discrimination/stigma, and inter-system collaboration into its service philosophy.
PRIMARY FUNCTIONS:
Maintain a caseload of 12-15 participants and provide case management services. This can fluctuate based on staffing and other team needs.
Perform intake interviews and evaluate appropriateness for treatment.
Complete bio-psycho-social assessments and treatment plans, and other required reporting (e.g. AOT, CAIRS) within required timeframes.
Establish collaborative, supportive relationships with participants to promote engagement in recovery and work toward life-goals.
Utilize trauma-informed and evidence-based approaches to provide individual, group, and family counseling as indicated by treatment plan.
Provide psychoeducation around substance use, co-occurring disorders, recovery, and relapse prevention strategies.
Complete timely and accurate progress notes for all participant and collateral contacts in compliance with all relevant regulations, laws, and agency policies and protocols.
Complete discharge summaries and documentation in accordance with agency policy and regulatory standards.
Attend and actively participate in interdisciplinary team meetings.
Make appropriate referrals to outside providers and community resources as needed.
Provide crisis intervention and support during emergencies. Participate in on-call rotation.
ADDITIONAL FUNCTIONAL / ORGANIZATIONAL SUPPORT:
Stay current on agency and clinic policies, as well as State and Federal requirements related to substance use services.
Participate in individual and group supervision as scheduled.
Respect and support interdisciplinary team decisions regarding patient care.
Participate in staff training and professional development activities.
Perform additional duties as assigned.
QUALIFICATIONS AND ATTRIBUTES:
Current CASAC or CASAC-T credential required.
Ability to work independently while functioning as part of an interdisciplinary team.
Strong skills in boundary-setting, limit-setting, and crisis management.
Excellent communication, writing, and organizational skills.
Knowledge of co-occurring disorders, evidence-based practices, and recovery supports.
Ability to use electronic health record systems for documentation and other electronic systems for communication (e.g. email, Teams, Zoom, etc.)
EDUCATION AND EXPERIENCE:
Bachelors degree or Associates degree with experience.
CASAC or CASAC-T credential required.
Prior experience providing substance use counseling preferred, ideally in community-based or mental health settings.
Valid NYS driver’s license required.
Bilingual Spanish, Haitian Creole, or Yiddish speaking a plus.
PHYSICAL CHARACTERISTICS:
These physical demands are representative of the physical requirements necessary for an employee to perform the job's essential functions successfully.
Must be able to move throughout the workday and accompany individuals served in the community.
Ability to sit or stand for long periods while using a computer.
Able to work in an open-space office setting in close proximity to co-workers (within 3 feet).
Must be able to move in tight spaces as needed.
Occasional lifting of more than 5 lbs. (e.g., carrying backpack with laptop and materials).
Able to work in open space floor plan
Must be capable to move throughout work day
From Access: Supports for Living's job posting, checked 5 Nov 2026. The employer's own page is the final word on requirements and availability.
Selected agencies hiring now
All agencies and apps →
Pioneer Healthcare ServicesTravel nursing agency
Places travel nurses, therapists, allied health and school-based professionals on contract assignments.
Places: Nurses, CNAs & PCTs, Therapy & rehab, Mental health

The Stepping Stones GroupHealthcare staffing agency
Places school-based therapists, psychologists, nurses and behavior specialists in K-12 and community roles.
Places: Therapy & rehab, Mental health, Nurses
These agencies and apps pay CareJobs.Now a referral fee when someone we introduce is placed or signs up. It costs you nothing and never changes your pay. Hospital and clinic jobs below keep their own order.
Sponsored jobs from job networks, which pay CareJobs.Now when you click one.
Free tools for this application: check your resume against this job, answer the application's questions or see every free tool.
New mental health and social work jobs in New York, by email
One email a week with the newest ones, straight from the employers' own careers sites, with the pay each posting states. Free, stop anytime.
About Access: Supports for Living
Access: Supports for Living hires mental health staff, caregivers and nurses in Middletown, Newburgh and other towns in New York.
Hires in New YorkPay on its listings: 40.3% of its open jobs state an hourly rate
More open jobs at Access: Supports for Living
More mental health and social work jobs
A licensed counselor or social worker?
One profile for every employer here. Hospitals, clinics and care companies ask us for people with a specific license, specialty, language or schedule: add yours once, and when a job fits, we introduce you, only with your yes. Free.
Access: Supports for Living openings, sent to you weekly
Each week we send the newest postings from Access: Supports for Living's own careers site, along with similar openings at other hospitals and care employers. It costs nothing and you can stop anytime.