Certified Substance Abuse Counselor – Supervisee (CSAC-S)

Envision Health Inc•Lynchburg, VA

About The Position

The Certified Substance Abuse Counselor – Supervisee (CSAC-S) provides substance use disorder counseling, recovery support, psychoeducation, and case management to individuals participating in Envision Health Inc.'s Intensive Outpatient Program (IOP). The counselor works under appropriate clinical supervision and collaborates with licensed clinicians and the interdisciplinary treatment team to deliver individualized, evidence-based services that support recovery, relapse prevention, and improved daily functioning. Services must comply with Virginia DBHDS, DMAS, applicable Board of Counseling requirements, and agency policies.

Requirements

Current Virginia Board of Counseling registration as a Certified Substance Abuse Counselor – Supervisee (CSAC-S).
Education and supervised practice eligibility consistent with Virginia Board of Counseling requirements.
Knowledge of substance use disorders, addiction treatment, recovery principles, and relapse prevention.
Familiarity with ASAM criteria and intensive outpatient treatment programming.
Ability to provide services under required clinical supervision.
Strong verbal and written communication skills.
Ability to maintain accurate clinical records and meet documentation deadlines.
Ability to work effectively with diverse populations and interdisciplinary teams.
Ability to maintain confidentiality and professional boundaries.
Understanding of substance use disorders and co-occurring behavioral health conditions.
Ability to facilitate structured therapeutic and educational groups.
Knowledge of ethical standards and confidentiality requirements.
Strong organizational and time-management skills.
Ability to recognize and report clinical concerns promptly.
Ability to work independently within the limits of required supervision.
Commitment to culturally responsive, person-centered, and recovery-oriented care.
Ability to sit, stand, walk, and perform routine office and clinical duties.
Ability to operate computers and electronic documentation systems.
Ability to respond appropriately to behavioral health emergencies.
Ability to perform essential job functions with or without reasonable accommodation.

Nice To Haves

Previous experience in substance use disorder treatment, SAIOP/IOP, outpatient behavioral health, or residential recovery services.
Experience facilitating substance use disorder groups.
Familiarity with Virginia Medicaid ARTS services and DMAS documentation requirements.
Experience using electronic health record systems.
Training in motivational interviewing, trauma-informed care, and relapse prevention.

Responsibilities

Facilitate structured substance use disorder counseling and psychoeducational groups, and provide individual counseling within the authorized scope of practice and under appropriate supervision.
Educate individuals about addiction, relapse prevention, coping skills, recovery strategies, and healthy decision-making using evidence-based approaches such as motivational interviewing and cognitive behavioral strategies.
Encourage treatment participation, foster a supportive therapeutic environment, and address social, behavioral, and environmental barriers to recovery.
Assist with intake screenings and approved substance use assessments, participate in ASAM multidimensional assessments, and collaborate with licensed clinical staff on individualized service plans.
Identify treatment needs, recovery goals, strengths, and barriers; monitor progress and recommend adjustments to the treatment team; obtain required review, approval, and signatures from credentialed professionals.
Participate in structured ASAM Level 2.1 intensive outpatient programming and facilitate scheduled counseling and educational sessions.
Monitor attendance, engagement, participation, and progress; report concerns about relapse, deterioration, or increased treatment needs to the clinical supervisor.
Assist with transitions between levels of care and coordinate referrals for behavioral health, psychiatric, medical, emergency, higher-level, and community services as appropriate.
Complete accurate, timely clinical documentation in the electronic health record, including service notes, interventions, client responses, progress, attendance, assessments, treatment plan updates, and discharge documentation.
Submit documentation for supervisory review and co-signature when required, and comply with DBHDS, DMAS, HIPAA, payer, and agency requirements.
Participate in chart audits, quality assurance activities, and corrective action processes.
Participate in clinical supervision, document supervision hours and professional development, consult with the supervisor, and follow supervisory guidance regarding clinical decisions and authorized services.
Attend interdisciplinary treatment team meetings, clinical staffing, and program huddles while maintaining professional boundaries and ethical conduct.
Recognize warning signs of relapse, overdose risk, psychiatric distress, and other safety concerns; provide permitted substance use-related crisis intervention, notify appropriate clinical personnel, and follow emergency protocols.
Assist individuals in accessing recovery resources and support networks, coordinate with authorized professionals, promote continuity of care, support discharge planning, and encourage self-management and long-term recovery planning.
Meet attendance and productivity expectations, participate in mandatory training and continuing professional development, and support positive treatment outcomes and continuity of care.