Lead Counselor

Medical/Healthcare Fredericksburg, Virginia


Job title: Lead Counselor

Classification: Exempt under the Fair Labor Standards Act (FLSA)  

Reports to: Clinical Supervisor/Executive Director  

Summary/objective: Coordinate all treatment aspects of a patient's drug and alcohol treatment  

program. Serves as a professional staff member and/or team leader of an interdisciplinary team  

and is responsible directly to the Clinical Service Supervisor for the coordination and continuity  

of care from admission through discharge and follow-up of the residents. Serves as an assistant  

to the Clinical Service Supervisor. Provides statistical reports for billable services, CARF reports,  

and participates in CARF and Licensure audits. Completes IOP assessments under the  

supervision of Licensed clinician, contributes to clinical curriculum development. Provides  

feedback on protocols, processes for patient care. Provides trainings as assigned under  

supervision of CS/Director.  

Essential functions:  

Ensures completion of patient databases, treatment plans, progress notes, discharge  

summaries, and other essential documentation as required by state, federal, and  

accreditation standards  

Maintains a caseload of up to 30 patients.  

Shall provide patients with orientation regarding objectives of the program, phase  

system requirements, rules and regulations, sanctions, hours of services, patient rights,  

and additional information to help a patient adjust to the program.  

Assures that patients are assessed and placed in appropriate phases of treatment  

according to state and federal guidelines.  

Keeps all patient files updated and organized for agency use.  

Counsels patients and addresses specific needs of the persons served.  

Arranges referrals and community information to patients as appropriate.  

Develop knowledge regarding state, federal and agency regulations regarding  

confidentiality, methadone treatment, and substance abuse service counseling  


Assures all documentation is collected from patients as required by state and federal  


Submit required statistical and other data as required by supervisor.  

Shall provide and obtain the following therapeutic services as determined by the  

Treatment Team and specified in the patient's Individual Treatment Plan: individual counseling, family counseling, group counseling, community activities, Facility visits,  

vocational training, and follow-up care.  

Shall report to the Clinical Service Supervisor any and all relevant developments and  

information affecting the patients and facility operation  

Shall provide staff duty coverage as scheduled.  

Perform other duties as assigned by the Clinical Supervisor.  

Complete administrative tasks, as assigned by Clinical Supervisor or Executive Director.  

Maintains billable services due records for all counselors and reports to CS/Director  


Completes CARF reports as assigned  

Completes IOP/SA assessments as assigned under the supervision of a licensed clinician  

Provides trainings as assigned by the CS/Director under their supervision  

Provide weekly supervision for CSAC in supervision candidates, registered with the  

Board of Health Professions for 4-8 candidates.  

Present trainings, analyze feedback, respond professionally to supervisors and peers foadjusting presentations  

Provide orientation trainings: EMR, Program Services, all service forms, case  

presentation, staffing a case, treatment planning, time management skills, use of EMR reports  

Intakes and triage responsibilities  

Monitor new hires for first year  

Collaborate with CS and Director to assign new hire a mentor  

PowerPoint presentations: treatment planning, therapy modalities, internal protocols, and as assigned by CS and Director  


DBHDS regulations 

DMAS service requirements  

Pinnacle Policy and procedure  

Google spreadsheets, docs  

Treatment plan construction according to DBHDS, CARF, DMAS, CARF regulations  

Exceptional verbal and written communication skills  

Ability to keep accurate reports and records  

Excellent problem solving, leadership, and customer service skills  

Ability to work in fast-paced, rapid growth environment  

Strong organizational skills, including the ability to prioritize, and multi-tas

Ability to handle feedback and direction in support of continuous improvement.  

Ability to work in fast-paced, rapid growth environment 
Supervisory responsibilities: CSAC Supervision as assigned, new hire counselors for the first  

year as assigned by CS/Director.  

Work environment: the work environment; temperature, noise level, inside or outside, or  

other factors that will affect the person's working conditions while performing the job.  


Physical demands: the physical demands of the job, including bending, sitting, lifting and  

Position type and expected hours of work: Full time, salary, no overtime is paid due to salary.  

May exceed over 40 hours per week occasionally as need arises to complete work or preparing for an audit.  

Travel: May be for 2 nights every 18 months for VAMARP conference.  

Required education and experience:  

Bachelor’s Degree in Human Services, Counseling, Psychology, Social Work.  

Licensed (or in Supervision for Licensure) or certified by the applicable Virginia health  

regulatory board or by a nationally recognized certification board or eligible for thilicense or certification with relevant training, experience, or both, in the treatment of  individuals with opioid addiction  

**Must be eligible by State Board of Health Professions to supervise CSAC in supervision.  

Preferred education and experience

Bachelors with five (5) years’ experience in mental health (substance abuse preferred)  

Masters with one (1) year experience in mental health (substance abuse preferred)  

We are an Equal Opportunity Employer with a commitment to diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability or veteran status.