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About the Role

The Substance Use Disorder Counselor/Clinician provides evidence-based assessment, counseling, crisis response, care coordination, and recovery support services for adolescents, adults, and families within a New Hampshire Doorway program and integrated healthcare setting. This role supports screening, brief intervention, referral to treatment, and ongoing recovery planning across various workflows. The position partners with patients, families, providers, and community organizations to develop individualized plans, improve access to services, and support sustained recovery.

Responsibilities

Provide evidence-based substance use disorder assessment, counseling, crisis response, and care coordination services.
Conduct bio-psychosocial and substance use assessments, risk screenings, and ongoing reassessments.
Deliver individual, family, and group counseling interventions using trauma-informed, person-centered, strengths-based, and culturally responsive practices.
Support Doorway and SBIRT services by providing screening, brief intervention, referral to treatment, and early engagement.
Respond to walk-in, referred, and crisis-related presentations by completing timely screening and evaluation, assisting with de-escalation and crisis stabilization, and coordinating linkage to the appropriate level of care.
Develop, implement, monitor, and update individualized treatment and recovery plans in collaboration with patients, families, medical providers, peer recovery support, and community partners.
Coordinate referrals, follow-up, and service navigation across the continuum of care.
Collaborate with various departments and community resources to support integrated treatment planning and coordination.
Provide education to patients, families, staff, and community partners regarding substance use disorders, overdose prevention, and recovery supports.
Document screenings, assessments, interventions, treatment plans, referrals, contacts, and outcomes in the electronic health record.
Monitor patient engagement and follow-up after referral, address barriers, and support retention in treatment and recovery services.
Participate in multidisciplinary case review, quality improvement, program development, workflow refinement, data collection, and outcome tracking.
Represent the program professionally in relationships with internal departments and external partners.
Perform additional duties as assigned.

Requirements

Associates in Substance Abuse Counseling, or equivalent in a related field. Masters preferred.
Successful completion of an American Heart Association accredited course in Basic Life Support (BLS), or ACLS and PALS combined (for clinical staff), Heartsaver CPR AED (for nonclinical staff), and renewal on a regular basis.
Licensed Alcohol and Drug Counselor (LADC) Must be able to practice in New Hampshire.
Minimum 2 years’ experience as a Licensed Alcohol or Drug Counselor.

Skills

Knowledge of substance use disorders, co-occurring behavioral health conditions, recovery support services, and integrated behavioral health practices, including SBIRT workflows.
Skill in bio-psychosocial assessment, substance use screening, risk identification, reassessment, and treatment planning.
Ability to provide individual, family, and group counseling using evidence-based, trauma-informed, person-centered, strengths-based, and culturally responsive practices.
Proficiency in motivational interviewing, relapse prevention, harm reduction, recovery-oriented interventions, and crisis response.
Skill in care coordination, referral management, and collaboration with interdisciplinary teams, community partners, and external agencies.
Ability to educate patients, families, staff, and community partners on substance use, overdose prevention, naloxone access, treatment options, and recovery supports.
Strong documentation skills and ability to maintain timely, accurate, and compliant electronic health record documentation.
Ability to identify and address barriers to treatment engagement, access, and retention.
Strong communication, interpersonal, organizational, and relationship-building skills.
Ability to manage multiple priorities in a fast-paced clinical and community-based environment.
Ability to support quality improvement, data collection, workflow refinement, and program outcome tracking.

Location

New Hampshire

Work Type

Full-time

Experience Level

Minimum 2 years’ experience as a Licensed Alcohol or Drug Counselor.

Education Level

Associates in Substance Abuse Counseling, or equivalent in a related field. Masters preferred.

About the Company

North Country Healthcare is a non-profit affiliation of four medical facilities located in the White Mountains Region of New Hampshire.
NCH includes numerous physicians and medical providers at multiple locations.
This leading comprehensive healthcare network employs hundreds of highly-trained individuals and delivers integrated patient care through three community hospitals, specialty clinics, and home health and hospice services.
NCH remains committed to the health and well-being of the communities we serve.
As a valued team member this role emphasizes advancing High-Reliability Organization (HRO) principles, embedding a culture of safety, accountability, and consistent high performance.

Equal Opportunity

North Country Healthcare is committed to providing equal employment opportunities to all applicants and employees.
North Country Healthcare and its affiliates do not exclude people or treat them differently because of race, color, national origin, age, disability or any other protected class.
Employment decisions are made based on job‑related qualifications, skills, and business needs, and without unlawful discrimination in accordance with applicable federal, state, and local laws.
North Country Healthcare provides reasonable accommodation to qualified individuals with disabilities and to individuals with sincerely held religious beliefs, as required by law.
Applicants who require reasonable accommodation to complete the application process, participate in interviews, or undergo pre‑employment testing should contact NCHRecruiting@northcountryhealth.org.