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Substance Abuse Counselor - Tyler, TX; OTP

Job in Tyler, Smith County, Texas, 75701, USA
Listing for: Crossroads
Full Time position
Listed on 2026-01-01
Job specializations:
  • Healthcare
    Mental Health, Substance Abuse Counselor
Job Description & How to Apply Below
Position: Substance Abuse Counselor - Tyler, TX (OTP)

Substance Abuse Counselor - Tyler, TX (OTP)

Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder, providing evidence‑based medication assisted treatment (MAT) options and supporting communities across the U.S. for over 26,500 patients.

Day in the Life of a Substance Abuse Counselor
  • Provides individual counseling to highly complex patients
  • Conducts clinical assessments to determine patients’ treatment needs
  • Designs and updates treatment plans, including care coordination, referrals, and discharge planning
  • Manages assigned caseload, ensuring compliance with clinical treatment requirements
  • Collaborates with nurses and providers to deliver holistic treatment services
  • Facilitates urine drug screening for patients
Schedule and Hours

Our clinical team enjoys an early morning schedule with early afternoon out times. All clinical team members participate in a Saturday rotation. Expected hours for this role are 37–40 hours per week.

5:15 AM – 10:00 AM, Monday through Friday
5:15 AM – 7:30 AM, rotating Saturdays
37–40 hours per week

Education and Experience Requirements
  • General experience working with underserved populations in a clinical setting
  • Lived addiction experience is a plus
Qualified Candidates will hold one or more of the following certifications/licenses
  • Bachelor’s degree or equivalent, plus LCSW, LPC, LCDC – ADC in Texas, or a recognized substance abuse certification from a National Board
  • Candidate must be willing to start early in the morning, as work hours start at 5:00 AM
Position Benefits
  • Consistent schedule with early in times and out times
  • Advancement opportunities – clear, climbable structure into Counselor levels (1, 2,
    3) based on certification or license
  • Targeted caseload. Caseloads follow state regulations and can range from 40–55 patients
  • Opportunity to save lives every day
Benefits Package
  • Medical, Dental, and Vision Insurance
  • PTO
  • 401K options including a match program with no vesture period
  • Annual Continuing Education Allowance (in related field)
  • Life Insurance
  • Short/Long Term Disability
  • Paid maternity/paternity leave
  • Mental Health Day
  • Calm subscription for all employees
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