Top 20 Substance use counselor Jobs in Lexington, Ky

Behavioral Health Clinician (LPCA or CSW)
Confidential —Winchester, KY
- $28 - $35 an hour
- Part-time
- Background check
- HIPAA
- Mid-level
Quick Apply
9d
Substance Use Counselor
Groups Recover Together, Inc. —Richmond, KY
- $55,000 - $70,000 a year
- Full-time
- Addiction Medicine
- Licensed Clinical Social Worker
- Mid-level
- Work from home
Substance Abuse Counselor
New Season —Lexington, KY
- Full-time
- LMFT
- Addiction Medicine
- Licensed Clinical Social Worker
- Disability insurance
- Health insurance
Quick Apply
Counselor
Behavioral Health Group —Lexington, KY
- No nights
- Hybrid work
- Addiction Medicine
- Mid-level
- Master's degree
- Paid holidays
- Health insurance
Quick Apply
Counselor - CSW, CADC or TCADC
Behavioral Health Group —Lexington, KY
- No nights
- Hybrid work
- Addiction Medicine
- Mid-level
- Master's degree
- Paid holidays
- Health insurance
Quick Apply
Therapist
The Commitment House LLC —Lexington, KY
- $60,000 - $85,000 a year
- Full-time
- Addiction Medicine
- Customer service
- Computer literacy
Alcohol and Drug Counselor
Solid Foundation Recovery —Lexington, KY
- $63,300 - $63,600 a year
- Full-time
- Writing skills
- Licensed Clinical Social Worker
- HIPAA
- Paid time off
- Professional development assistance
Quick Apply
10d
Substance Abuse Counselor
Behavioral Health Group —Lexington, KY
- $20 - $21 an hour
- 8 hour shift
- Addiction Medicine
- Computer literacy
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
12d
Clinical Counselor
Addiction Recovery Care —Lexington, KY
- Full-time
- LMFT
- Addiction Medicine
- Licensed Clinical Social Worker
- Paid holidays
- Health insurance
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Clinical Therapist
Solid Foundation Recovery —Lexington, KY
- $55,999 - $82,000 a year
- Full-time
- Writing skills
- Licensed Clinical Social Worker
- HIPAA
- Paid time off
- Professional development assistance
Quick Apply
13d
Community Clinician- CSW, LCSW, LPCA, LPCC
New Vista of the Bluegrass Inc —Lexington, KY
- Full-time
- LMFT
- Addiction Medicine
- Licensed Clinical Social Worker
- Tuition reimbursement
Quick Apply
Mental Health and Substance Abuse Therapist
Level Up Recovery —Lexington, KY
- $60,000 - $75,000 a year
- Part-time
- LMFT
- Addiction Medicine
- Licensed Clinical Social Worker
- Dental insurance
- Paid time off
Quick Apply
12d
Outpatient Recovery Therapist
Ramey-Estep / Re-group —Georgetown, KY
- From $60,000 a year
- Full-time
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Loan repayment program
- Health insurance
Quick Apply
Licensed Therapeutic Counselor
NeuroRestorative —Lexington, KY
- $53,000 - $69,000 a year
- Full-time
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Continuing education credits
Treatment Services Coordinator
New Season —Lexington, KY
- Full-time
- Addiction Medicine
- Computer literacy
- Writing skills
Quick Apply
Behavioral Health Care Manager
Era Supports —Lexington, KY
- $62,500 - $75,000 a year
- Part-time
- Spanish
- Psychiatry
- Addiction Medicine
- Health insurance
- Dental insurance
Quick Apply
9d

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Behavioral Health Clinician (LPCA or CSW)
Confidential —Winchester, KY
This is a hands-on clinical position that includes *completing intake assessments, developing individualized treatment plans, facilitating Therapeutic…
$28 - $35 an hour
Quick Apply
9d
Licensed Mental Health Counselor
Headway —Lexington, KY
You’re a fully-licensed Mental Health Counselor at a Master’s level or above with LMHC, LPCMH, or LIMHP licensure (accepted on a state by state basis), a valid…
Up to $90 an hour

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Mental Health Therapist-Youth (#IND123)
Mental Health Services for Clark & Madison Counties —Madison County, OH
Bachelor’s Degree in Social Work or related field (Required). Master’s Degree Social Work, Counseling or related field or Ph.D./Psy.
$52,000 - $62,700 a year
Quick Apply
6d
Mental Health Therapist-Adult (#IND123)
Mental Health Services for Clark & Madison Counties —Madison County, OH
Bachelor’s Degree in Social Work or related field (Required). Master’s Degree Social Work, Counseling or related field or Ph.D./Psy.
$52,000 - $62,700 a year
Quick Apply
6d

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Behavioral Health Clinician (LPCA or CSW)

Confidential
Winchester, KY

Quick Apply

Job Details

Part-time | Full-time
$28 - $35 an hour
9 days ago

Qualifications

Health screenings
Teamwork
Interdisciplinary collaboration in health services social work
Interviewing clients
Intake
HIPAA
Clinical case management notes
Organizational skills
Multidisciplinary team collaboration for treatment planning
Psychoeducation
Risk assessment
Social Work
Clinical documentation standards
Interdisciplinary behavioral health coordination experience
Group counseling
Therapy progress note documentation
Group therapy instruction

Full Job Description

Behavioral Health Clinician – LPCA or CSW

We are seeking a compassionate, dependable, and motivated Kentucky Licensed Professional Counselor Associate (LPCA) or Certified Social Worker (CSW) to join our growing behavioral health and substance use treatment team.

This position is ideal for a clinician who is passionate about helping individuals overcome substance use, mental health, and life challenges while building stability, independence, and long-term recovery.

Clinical supervision with an LCSW is provided. We offer a supportive, team-oriented environment with opportunities for professional development, clinical consultation, and growth.

Position Summary

The Behavioral Health Clinician will provide clinical services to individuals receiving substance use disorder and behavioral health treatment. This is a hands-on clinical position that includes completing intake assessments, developing individualized treatment plans, facilitating Therapeutic Rehabilitation Program (TRP) groups, providing individual clinical services, completing required documentation, and participating in multidisciplinary treatment planning.

All clinical duties must be performed within the clinician's Kentucky credential, education, training, authorized scope of practice, and applicable supervision requirements.

Essential Duties & Responsibilities

Complete comprehensive client intake assessments and clinical evaluations within authorized scope of practice.
Conduct screenings and other appropriate clinical assessments to identify behavioral health, substance use, psychosocial, and recovery-related needs.
Gather and document relevant client history, presenting concerns, strengths, barriers, risk factors, support systems, and treatment needs.
Develop individualized treatment plans based on assessment findings and identified client goals.
Review and update treatment plans according to client progress and applicable clinical requirements.
Plan, develop, and facilitate Therapeutic Rehabilitation Program (TRP) groups.
Prepare appropriate TRP group topics, educational materials, activities, and interventions based on client needs and treatment goals.
Facilitate therapeutic and psychoeducational groups addressing topics such as relapse prevention, coping skills, emotional regulation, healthy relationships, communication, decision-making, life skills, recovery skills, triggers, boundaries, stress management, and independent living.
Provide individual clinical services within the clinician's authorized scope of practice.
Utilize person-centered, strengths-based, trauma-informed, and evidence-based approaches when clinically appropriate.
Utilize motivational interviewing and other appropriate therapeutic techniques to promote client engagement and progress.
Monitor client progress and identify changes in behavioral health symptoms, substance use, functioning, safety, and treatment needs.
Participate in treatment-team meetings, case consultations, discharge planning, and coordination of care.
Collaborate appropriately with other members of the treatment team, including clinical supervisors, case managers, peer support specialists, medical providers, and other behavioral health professionals.
Coordinate with community providers, recovery supports, courts, probation/parole, recovery residences, and other authorized parties when clinically appropriate and properly authorized.
Assist with referrals and transitions to appropriate levels of care and community resources.
Complete progress notes, group documentation, assessments, treatment plans, treatment-plan reviews, discharge documentation, and other required clinical records accurately and within established timeframes.
Maintain accurate, professional, and complete documentation that supports the services provided and the client's treatment needs.
Maintain client confidentiality and comply with HIPAA, 42 CFR Part 2 when applicable, organizational policies, and other applicable federal and Kentucky requirements.
Maintain professional and ethical boundaries with clients.
Identify and appropriately respond to safety concerns, crisis situations, suspected abuse or neglect, and other reportable events according to organizational policy and applicable law.
Participate in clinical supervision, staff meetings, trainings, quality-assurance activities, case reviews, and continuing education.
Work collaboratively with leadership and other team members to support quality client care and positive treatment outcomes.
Maintain all required licenses, credentials, continuing education, and supervision requirements.
Perform additional clinically appropriate duties consistent with the employee's credential, education, training, supervision, and legal scope of practice.

Required Qualifications

Current and active Kentucky LPCA or CSW credential in good standing.
Appropriate graduate-level education required for the individual's professional credential.
Must maintain all applicable Kentucky supervision and credentialing requirements.
Must be comfortable completing comprehensive intake assessments and clinical documentation within authorized scope of practice.
Must be comfortable facilitating TRP, therapeutic, and psychoeducational groups.
Strong written and verbal communication skills.
Strong clinical documentation and organizational skills.
Ability to manage time effectively and complete required documentation within established deadlines.
Ability to work professionally as part of a multidisciplinary behavioral health team.
Ability to maintain confidentiality and appropriate professional boundaries.
Dependable, professional, compassionate, and client-centered.
Must successfully complete applicable background checks, credential verification, screenings, and onboarding requirements.

Preferred Qualifications

Previous experience working with individuals with substance use disorders and co-occurring mental health needs.
Experience completing behavioral health or substance use assessments.
Experience facilitating therapeutic, rehabilitation, recovery-focused, or psychoeducational groups.
Experience with treatment planning and clinical documentation.
Knowledge of substance use disorders, relapse prevention, recovery principles, trauma-informed care, motivational interviewing, and behavioral health treatment.
Experience working with individuals involved with courts, probation/parole, recovery housing, or other community-based systems is a plus.

Clinical Supervision & Professional Development

Clinical supervision with an LCSW is provided.

We believe clinicians should have access to support, consultation, and opportunities to continue developing their clinical skills. Team members have opportunities to participate in:

Regular clinical supervision
Case consultation and case review
Multidisciplinary treatment-team collaboration
Professional development and training
Continued development of assessment, treatment-planning, documentation, and group-facilitation skills
Opportunities for professional growth as the organization continues to expand

Applicants remain responsible for ensuring that supervision arrangements satisfy the requirements of their individual Kentucky credential and licensing board.

What We Are Looking For

We are looking for someone who genuinely wants to make a difference in the lives of individuals affected by addiction and behavioral health challenges.

The right candidate understands the importance of combining compassion with accountability. Our clients may be rebuilding multiple areas of their lives, including recovery, mental health, employment, housing, relationships, legal responsibilities, and family connections.

We want a clinician who can meet clients where they are while maintaining professional standards, appropriate boundaries, accurate documentation, and high-quality clinical care.

Compensation

$28.00–$35.00 per hour

Compensation is based on credential, experience, qualifications, and responsibilities.

Full-time and/or part-time opportunities may be available.

Equal Opportunity Employer

We are an Equal Opportunity Employer and consider qualified applicants without regard to legally protected characteristics. Employment decisions are based on qualifications, experience, organizational needs, and applicable law.

Pay: $28.00 - $35.00 per hour

People with a criminal record are encouraged to apply

Work Location: In person

Quick Apply

Refine Your Search

substance use counselor jobs in lexington, ky

Behavioral Health Clinician (LPCA or CSW)

Substance Use Counselor

Substance Abuse Counselor

Counselor

Counselor - CSW, CADC or TCADC

Therapist

Alcohol and Drug Counselor

Substance Abuse Counselor

Clinical Counselor

Clinical Therapist

Community Clinician- CSW, LCSW, LPCA, LPCC

Mental Health and Substance Abuse Therapist

Outpatient Recovery Therapist

Licensed Therapeutic Counselor

Treatment Services Coordinator

Behavioral Health Care Manager

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