Certified Substance Abuse Counselor –… at Envision Health · Lynchburg

ENVISION HEALTH INC.

Job Description

Certified Substance Abuse Counselor – Supervisee (CSAC-S)

Department: Substance Abuse Intensive Outpatient Program (SAIOP/IOP) Location: As Assigned Reports To: Clinical Supervisor / Program Director Employment Status: Full-Time or Part-Time Classification: As Determined by Employment Agreement

Position Summary

The Certified Substance Abuse Counselor – Supervisee (CSAC-S) provides substance use disorder counseling, recovery support, psychoeducation, and case management services to individuals participating in Envision Health Inc.'s Intensive Outpatient Program (IOP).

The CSAC-S works under appropriate clinical supervision and collaborates with licensed clinicians and other members of the interdisciplinary treatment team to provide individualized, evidence-based services that support recovery, relapse prevention, and improved daily functioning.

All services must comply with Virginia Department of Behavioral Health and Developmental Services (DBHDS), Department of Medical Assistance Services (DMAS), applicable Board of Counseling requirements, and Envision Health policies.

Essential Duties and Responsibilities

1. Substance Abuse Counseling and Group Facilitation

• Facilitate structured substance use disorder counseling and psychoeducational groups.
• Provide individual substance abuse counseling within the authorized scope of practice and under appropriate supervision.
• Educate individuals on addiction, relapse prevention, coping skills, recovery strategies, and healthy decision-making.
• Utilize evidence-based approaches, including motivational interviewing, cognitive behavioral strategies, and recovery-oriented interventions.
• Encourage active participation in treatment and promote a supportive therapeutic environment.
• Address barriers to recovery, including social, behavioral, and environmental challenges.

2. Assessment and Treatment Planning

• Assist with intake screenings and administration of approved substance use assessment instruments.
• Participate in ASAM multidimensional assessments and recommendations for appropriate levels of care.
• Collaborate with licensed clinical staff in developing and updating individualized service plans (ISPs).
• Identify treatment needs, recovery goals, strengths, and potential barriers.
• Monitor progress toward treatment objectives and recommend adjustments to the treatment team.
• Obtain required review, approval, and signatures from appropriately credentialed professionals.

3. Intensive Outpatient Program Services

• Participate in the delivery of structured ASAM Level 2.1 intensive outpatient programming.
• Facilitate scheduled counseling and educational sessions consistent with program requirements.
• Monitor attendance, engagement, participation, and progress.
• Communicate concerns regarding relapse, deterioration, or increased treatment needs to the clinical supervisor.
• Assist individuals with transitions between levels of care.
• Coordinate referrals for additional behavioral health, psychiatric, medical, or community services.

4. Documentation and Compliance

• Complete accurate, timely, and clinically appropriate documentation in the agency's electronic health record.
• Document individual and group services, interventions, client responses, and progress toward ISP goals.
• Maintain accurate attendance records and supporting documentation.
• Complete assessments, treatment plan updates, and discharge-related documentation within established deadlines.
• Submit documentation for supervisory review and co-signature when required.
• Follow all DBHDS, DMAS, HIPAA, payer, and agency documentation requirements.
• Participate in internal chart audits, quality assurance activities, and corrective action processes.

5. Clinical Supervision and Collaboration

• Participate in required clinical supervision with an appropriately qualified supervisor.
• Maintain documentation of supervision hours and professional development activities.
• Consult with the supervisor regarding complex clinical situations and treatment concerns.
• Attend interdisciplinary treatment team meetings, clinical staffing, and program huddles.
• Follow supervisory guidance regarding clinical decisions and authorized services.
• Maintain professional boundaries and ethical conduct.

6. Crisis Intervention and Client Safety

• Recognize warning signs of relapse, overdose risk, psychiatric distress, and other safety concerns.
• Provide substance use-related crisis intervention within the permitted scope of practice.
• Immediately notify appropriate clinical personnel of significant safety concerns.
• Follow agency emergency response and crisis intervention protocols.
• Coordinate referrals for emergency or higher-level services when clinically indicated.

7. Case Management and Recovery Support

• Assist individuals in accessing community recovery resources and support networks.
• Coordinate with referral sources, treatment providers, and other authorized professionals.
• Promote continuity of care and recovery engagement.
• Assist with discharge planning and referrals for continuing treatment.
• Encourage self-management, accountability, and long-term recovery planning.

Minimum Qualifications

• Current Virginia Board of Counseling registration as a Certified Substance Abuse Counselor – Supervisee (CSAC-S).
• Education and supervised practice eligibility consistent with Virginia Board of Counseling requirements.
• Knowledge of substance use disorders, addiction treatment, recovery principles, and relapse prevention.
• Familiarity with ASAM criteria and intensive outpatient treatment programming.
• Ability to provide services under required clinical supervision.
• Strong verbal and written communication skills.
• Ability to maintain accurate clinical records and meet documentation deadlines.
• Ability to work effectively with diverse populations and interdisciplinary teams.
• Ability to maintain confidentiality and professional boundaries.

Preferred Qualifications

• Previous experience in substance use disorder treatment, SAIOP/IOP, outpatient behavioral health, or residential recovery services.
• Experience facilitating substance use disorder groups.
• Familiarity with Virginia Medicaid ARTS services and DMAS documentation requirements.
• Experience using electronic health record systems.
• Training in motivational interviewing, trauma-informed care, and relapse prevention.

Required Knowledge, Skills, and Abilities

• Understanding of substance use disorders and co-occurring behavioral health conditions.
• Ability to facilitate structured therapeutic and educational groups.
• Knowledge of ethical standards and confidentiality requirements.
• Strong organizational and time-management skills.
• Ability to recognize and report clinical concerns promptly.
• Ability to work independently within the limits of required supervision.
• Commitment to culturally responsive, person-centered, and recovery-oriented care.

Performance Expectations

The employee is expected to:

• Maintain timely and accurate clinical documentation.
• Meet established attendance and productivity expectations.
• Participate consistently in required supervision and team meetings.
• Demonstrate professionalism, dependability, and ethical behavior.
• Maintain appropriate client boundaries.
• Comply with agency policies and applicable regulatory standards.
• Participate in mandatory training and continuing professional development.
• Support positive treatment outcomes and continuity of care.

Physical and Work Requirements

• Ability to sit, stand, walk, and perform routine office and clinical duties.
• Ability to operate computers and electronic documentation systems.
• Ability to respond appropriately to behavioral health emergencies.
• Availability to work assigned IOP schedules, including evenings when required.
• Ability to perform essential job functions with or without reasonable accommodation.

Equal Employment Opportunity

Envision Health Inc. is an Equal Opportunity Employer committed to providing a professional, respectful, and inclusive workplace. Employment decisions are made without unlawful discrimination based on any protected characteristic.