OTP Counselor-CADC-I

Coastal Horizons Center•Wilmington, NC

2d•Onsite

About The Position

The OTP Counselor-CADC-I provides individual and group counseling to patients enrolled in the Opioid Treatment Program, using evidence-based therapeutic interventions. The role supports treatment planning and recovery, coordinates care with clinical and medical teams, maintains ethical and timely documentation, and helps ensure adherence to program requirements. The position requires early morning hours and is based in Wilmington, North Carolina. The counselor provides support focused on relapse prevention, coping skills, and recovery; monitors patient progress; helps patients access appointments and community resources; and educates patients and families about opioid use disorder and medication-assisted treatment. The role operates within the counselor’s certification scope and under supervisor direction, while following applicable regulatory requirements and confidentiality standards.

Requirements

High school diploma, equivalent, or higher, combined with knowledge of wellness and recovery-based concepts.
Registration with NCSAPPB as CSAC-I or LCAS.
Considerable knowledge of therapeutic approaches, group dynamics, and crisis intervention.
Considerable knowledge of community resources.
Knowledge of psychosocial, socioeconomic, and behavioral problems and their treatment.
Knowledge of laws, regulations, and policies governing the program.
Knowledge of medical terminology, disease processes, and psychopharmacy.
Skill in establishing rapport with clients and families and assessing psychosocial, behavioral, and psychological aspects of clients.
Ability to establish and maintain effective working relationships with coworkers, supervisors, and members of civic, medical, social, and religious organizations.
Ability to formulate treatment goals and record required documentation concisely.
Knowledge of psychological evaluation methods, including semi-structured diagnostic clinical interviews.
Effective oral and written communication skills.
Ability to perform basic life operational functions including stooping, reaching, walking, fingering, grasping, talking, hearing, and repetitive motions.
Ability to perform sedentary work involving up to 10 pounds of force occasionally or negligible force constantly or frequently to move objects.
Visual acuity to perform extensive reading.

Nice To Haves

One year or more of experience working with patients with substance use disorders.
One year or more of experience working within medication-assisted treatment programs.

Responsibilities

Provide individual and group counseling focused on relapse prevention, coping skills, and recovery support.
Monitor patient progress and document clinical activities in accordance with regulatory and agency standards.
Coordinate care with clinical and medical teams, including reviewing needs with patients, scheduling appointments, and monitoring urine drug screen results.
Reduce barriers to participation through referral and linkage to community supports.
Coordinate care with medical staff, case managers, and community resources.
Complete progress notes, treatment plan reviews, and discharge summaries in a timely manner.
Participate in multidisciplinary team meetings and case consultations.
Educate patients and families about opioid use disorder, medication-assisted treatment, and available community resources.
Maintain compliance with SAMHSA, DEA, and state regulatory requirements governing OTP programs.
Adhere to HIPAA and confidentiality standards, including 42 CFR Part 2.
Participate in regular clinical supervision as required by CADC-I scope of practice.
Maintain ethical and professional standards, work within certification scope, and act under supervisor direction.