Dual Diagnosis Counselor

Hoyleton Youth and Family Services•Fairview Heights, IL

2d•$25 - $32•Onsite

About The Position

The Dual Diagnosis Counselor provides integrated, person-centered mental health and substance use screening, assessment, diagnosis, treatment, safety planning, crisis intervention, counseling, care coordination, and recovery support to children, adolescents, adults, and families. Services may be provided individually or in groups and address mental health, substance use, trauma, and co-occurring needs within the counselor’s scope of practice. The counselor provides services in an office, community, home-based, telehealth, or other approved setting. The role includes assessment and treatment planning; crisis and safety response; monitoring client progress and risk; referrals and coordination with clinical, medical, and community partners; and maintaining accurate, timely records and billing documentation. The position maintains an assigned caseload and meets productivity, documentation, and service-delivery expectations. The position is based in a professional office setting at the Fairview Heights headquarters, with occasional travel to other agency sites. This is a grant-funded role, and continued employment depends on the availability and renewal of grant funding. Completion of CARE and TCI training is an internal requirement upon hire, with ongoing application expected.

Requirements

Master’s degree in Social Work, Counseling, Psychology, Marriage and Family Therapy, or a closely related behavioral health field from an accredited program.
Current Illinois Certified Alcohol and Drug Counselor (CADC) credential issued through the Illinois Certification Board (ICB).
Demonstrated knowledge and skill in clinical assessment, treatment planning, counseling, crisis intervention, case management, organization, and time management, including application of the ASAM Criteria.
Ability to recognize and respond to mental health symptoms, substance intoxication or withdrawal concerns, relapse risk, suicide or self-harm risk, and other urgent safety needs within established protocols.
Knowledge of co-occurring disorders, stages of change, recovery-oriented care, trauma-informed practice, harm-reduction principles, and evidence-based behavioral health interventions.
Effective interpersonal, facilitation, de-escalation, documentation, and written and verbal communication skills.
Ability to establish therapeutic rapport, engage individuals who may be ambivalent about treatment, maintain professional boundaries, and collaborate with families and multidisciplinary partners.
Ability to provide culturally responsive, recovery-oriented services that respect each client’s identity, lived experience, strengths, and recovery goals.
Ability to participate effectively within a multidisciplinary treatment team and engage in ongoing clinical supervision and consultation.
Pass the TCI written test annually.
Pass the TCI physical test every six months, if applicable to the role.

Nice To Haves

Clinical license or license eligibility appropriate to the discipline and services provided; practice must remain within applicable supervision, credentialing, and scope-of-practice requirements.
Experience providing assessment and therapy for mental health and substance use disorders, including co-occurring conditions, trauma, crisis intervention, and recovery-oriented treatment.
Experience facilitating individual, family, and group services and coordinating care across behavioral health, medical, social service, justice, school, or community systems.

Responsibilities

Provide individual, group, and family therapy for mental health, substance use, and co-occurring disorders using developmentally appropriate, trauma-informed, culturally responsive, and evidence-based practices.
Complete comprehensive biopsychosocial and substance use assessments, including screening for co-occurring disorders, trauma exposure, withdrawal risk, suicide risk, self-harm, violence risk, and other safety concerns.
Determine service needs and make referrals when a higher or different level of care is indicated.
Develop, implement, review, and update individualized, measurable treatment plans in collaboration with clients and, when appropriate, their families or care teams.
Use evidence-based and recovery-oriented approaches, which may include motivational interviewing, cognitive behavioral interventions, relapse-prevention strategies, psychoeducation, harm-reduction principles, skills training, and family-focused interventions.
Provide crisis assessment and intervention; develop and update safety, crisis, relapse-prevention, and recovery plans; and follow emergency response, mandated reporting, and crisis-service coordination procedures.
Monitor client progress, treatment response, substance use patterns, recovery barriers, medication adherence concerns, and changes in risk; adjust interventions and goals within scope of practice.
Coordinate care with prescribers, primary care providers, hospitals, treatment programs, recovery support providers, schools, child welfare, courts, probation, and other community partners after obtaining required authorizations.
Facilitate referrals and warm handoffs for psychiatric care, medication-assisted treatment or other medications for substance use disorders, medical evaluation, peer recovery support, mutual-aid resources, housing, transportation, and other social supports.
Participate in multidisciplinary case consultation, clinical supervision, utilization review, quality-improvement activities, and scheduled case staffing.
Maintain timely, accurate clinical records, including assessments, diagnoses when permitted, treatment plans, progress notes, discharge or transition summaries, releases of information, and outcome measures.
Protect client privacy and maintain professional boundaries in accordance with HIPAA, substance use confidentiality requirements, agency policy, ethical standards, and applicable laws.
Ensure services are authorized, documented, coded, and submitted according to payer, Medicaid, managed care, grant, and agency requirements; support accurate billing for self-pay and insured clients.
Maintain an assigned caseload and meet productivity, documentation, and service-delivery expectations, including timely follow-up, engagement, transition, and discharge planning.
Complete CARE and TCI training upon hire and apply those principles in ongoing work.
Complete other duties as assigned.

Benefits

Medical insurance with company-funded Health Savings Account (HSA)
Dental insurance
Vision insurance
Paid vacation, sick, and personal days
10 company holidays and 1 floating holiday
Monthly cell phone reimbursement
6 weeks paid parental leave
403(b) retirement plan with up to 5% employer match
Employer-paid life insurance
Optional voluntary life, short-term disability, long-term disability, accident, and critical illness coverage
Employee Assistance Program (EAP) for employees and their household members
Tuition reimbursement
BenefitHub Perks Program employee discounts