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Eliot Community Human Services Kentucky statewide Posted 5/23/2026

Substance Abuse Counselor - ACCS

Therapy job in Lexington, KY

25–$45/hrest.
Days / NightsTherapy licensemental health

About This Role

You'll provide direct counseling and support to individuals struggling with substance abuse, helping them develop coping strategies and work toward recovery goals. Your day-to-day work includes conducting assessments, facilitating individual and group therapy sessions, and connecting clients with community resources. You'll collaborate with other healthcare professionals to coordinate care and monitor client progress. This role is based in Lexington, Kentucky, and suits compassionate professionals who excel at building trust with vulnerable populations. Strong communication skills, patience, and the ability to work within a structured treatment program are essential. You should be comfortable with documentation requirements and feel motivated by helping people achieve meaningful change in their lives.

Pay

$25–$45/hr

Setting

Hospital / Clinic

Shift

Days / Nights

License

Therapy license

Experience

2 years of experience

Benefits

Dental, Vision, 401(k), Paid time off

Listings updated regularly Review pay & requirements before applying

Location & Routes

  • Base city: Lexington, KY

Benefits & Bonuses

  • Dental
  • Vision
  • 401(k)
  • Paid time off

Hiring Process

  1. Apply — Submit your application online
  2. Review — A recruiter reviews your qualifications
  3. Background check — Standard employment and license verification
  4. Start your assignment — Begin your therapy role

Requirements

License Required

Active state license in good standing (LCSW, LPC, LMFT, or equivalent)

Experience

Experience requirements vary by employer.

Certifications

BLS typically required.

Physical Requirements

Ability to stand for long shifts, lift up to 50 lbs, and assist with patient transfers.

Frequently asked questions

  • What license do I need to apply?

    An active state license in your discipline (PT, OT, SLP, LCSW, LPC, BCBA, etc.) in good standing. Therapy licensure is state-specific — the PT, OT, and ASLP-IC compacts let you practice in member states without a separate license.

  • Is this a school-year or year-round position?

    School-based therapy roles typically follow a 9- or 10-month school-year calendar with summers off. Outpatient, hospital, home-health, and telehealth positions are year-round with PTO. Both options are widely available — check the job description for specifics.

  • What experience is expected?

    Most therapy roles welcome new grads through mid-career clinicians. Specialty positions (acute care, NICU, pediatric feeding, hand therapy) typically prefer 2+ years plus relevant certifications.

Apply for this Therapy Job

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Therapy Jobs in Lexington, KY

Lexington, Kentucky therapy jobs include PT, OT, SLP and mental health positions across clinics, hospitals, schools and home health agencies.

Therapists in Lexington can find roles in outpatient orthopedics, pediatrics, home health, school-based settings and telehealth. New grads and experienced clinicians are both in demand.

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Full Job Details

JOIN ELIOT – A PLACE TO BELONG, GROW, AND INSPIRE CHANGE At Eliot, your work has purpose. You’ll be part of a compassionate, mission-driven team committed to resilience, empowerment, and lasting change. We foster an inclusive workplace where all backgrounds and perspectives are valued, creating a culture of belonging and professional growth. BENEFITS AT ELIOT We prioritize your well-being, work-life balance, and career growth. Benefit eligible positions include: Generous Paid Time Off – Vacation, sick time, and paid holidays Comprehensive Benefits – Medical, dental, and vision plans Retirement Savings – 401(k) with employer match Wellness & Family Support – Discounted fitness services and access to trusted childcare resources Financial Security – 100% company-paid life and accidental death insurance Professional Growth – Ongoing training, career advancement programs, tuition reimbursement, and leadership development Eliot is seeking a strong, experienced and licensed Substance Abuse Counselor to join our Adult Community Clinical Services (ACCS) division. Adult Community Clinical Services (ACCS) provides clinically focused evidenced based interventions to adults with severe and persistent mental illness. Services are person centered and are delivered by a multidisciplinary team of professionals in either residential or community based settings. The ideal candidate will have experience in developing and leading dual diagnosis groups, and be skilled in motivational interviewing, harm reduction strategies, twelve-step programs, and working within detoxification settings. Responsibilities:

  • Provide direct support to individuals with substance use providing side by side interventions as needed. Promote recovery through individual intervention and support groups Assist clients and other team members with identifying and obtaining community support for sustained recovery and support. Participate in assessments and treatment planning for clients. Provide comprehensive recovery based care and clinical interventions as part of a multidisciplinary team Qualifications:
  • Requires license (see below): Licensed Alcohol and Drug Counselor I (LADC I) Licensed Alcohol and Drug Counselor II (LADC II) CADC I or II (Certified Alcohol/Drug Abuse Counselor) At least 2 years of experience working with adults with substance use disorders
  • Valid Massachusetts drivers license

Schedule: Monday-Friday 8am-4pm Annual Salary $49,680—$58,680 USD At Eliot, we are committed to supporting you at every stage of your career, providing opportunities for growth, purpose, and community. We foster belonging in the workplace by identifying and removing barriers that may prevent individuals of all backgrounds from reaching their full potential, advancing into leadership roles, and fully engaging at all levels of the organization. Apply today and make a difference.

Substance Abuse Counselor - ACCS
Lexington, KY