Keystone Substance Abuse Services

Clinical Counselor


  • Understands Keystone’s organizational chart and uses appropriate professional protocol; displays kindness and respect in all communications and interactions with stakeholders, supervisors, co-workers and patients.  Performs duties as prescribed by Supervisor(s).
  • Commits to upholding Keystone’s Vision/Mission/Core Value statements; understands and complies with Keystone’s policies and procedures; promotes a Recovery Oriented System of Care including actively supporting integration of Medication Assisted Treatment across all Keystone programs; maintains the commitment to ethics and total quality, and complies with all applicable rules and regulations including state and federal confidentiality laws.
  • Provides quality service and opportunity to all appropriate employees/patients regardless of race, color, religion, national origin, sexual orientation, gender identity, marital status, physical condition/health status or age, or because they may be considered handicapped as provided for by the Americans with Disabilities Amendments Act (ADAA) of 2009.
  •  Works as a member of the Keystone leadership team, helping as needed and as directed.  
  • Will project a positive, can do attitude.   


  • Provides all core functions as defined by SCAADAC.
  • Core Functions: The primary role of a Certified Addictions Counselor is to establish a therapeutic relationship while assisting clients in the recognition of problem areas that exist which may prohibit a successful recovery. To this end, the following core functions are utilized in the certification process to assure competence of the Addictions Counselor:
  • Screening and Intake:  The determination of the appropriateness of the individual to serve the client; gathering of basic demographic information; and establishing a schedule for further contact.
  • Orientation: Informing the client of rules and goals of the program; the governance of conduct and treatment compliance that may affect treatment outcome; hours of operation and costs as well as clients’ rights.
  • Assessment:  The evaluation and identification of strengths, weaknesses, needs and problems of an individual to aid in the development of the treatment plan. An analytical process that facilitates diagnosing the individual as well as ability to function while in treatment.
  • Treatment Planning: Establishing an agreement between counselor and client to achieve goals that are measurable and attainable; the opportunity to determine treatment process and appropriate resources.
  • Counseling: The use of specific skills to aid individuals, families, or groups through exploration of problems, attitudes, and feelings. Determining alternative solutions and developing appropriate decision• making skills.
  • Individual Counseling: Using the one-to-one relationship as the primary method of application. G
  • Group counseling: Using the group process as the primary method of application
  • Family and couples counseling: Using the family dynamic as the primary method of application.
  • Case Management: The coordination of activities that bring together all essential services and resources to aid in the achievement of treatment goals.
  • Crisis Intervention:  The provision of immediate services to a client under emergency circumstances that may be directly or indirectly related to misuse of alcohol or other drugs (i.e., arrest, suicidal/homicidal ideation, family separation, divorce, or death of significant other).
  • Client Education: The provision of information to clients individually or in a group setting which is based on general knowledge of alcohol and other drug issues, mutual-help, other community resources, and/or other pertinent information.
  • Reports and Record Keeping: The maintenance of written materials necessary for the orderly provision of services to the client. Documentation will include assessment, treatment plan, written reports, progress notes, continuing care plan, case consultation notes, discharge summary and other documentation determined pertinent to client care.  Documentation must be completed prior to the next service provision, unless prior arrangements have been made with clinical supervisor prior to the next service.  Counselors will complete all documentation within time limits set by licensing, payer, and regulatory agencies.
  • Case Consultation: The giving or receiving of information, advice and aid between professionals to assure comprehensive quality care of a client.  These must be documentation in the record.
  • Termination and Continuing Care: The management of the orderly ending of regularly scheduled client contact and implementation of necessary client contact following termination.
  • Clinical Supervision: Providing oversight of clinical caseloads to assure appropriate methods of counseling are being provided and to provide the opportunity for supervised counselors to develop and enhance clinical capabilities and skills.
  • Training: The provision of information and skills to professionals and other target groups to provide an opportunity for specific knowledge, attitudinal and/or behavior changes.
  • Acquires and maintains credentialing as a certified clinical addiction counselor in the
  • State of South Carolina through SCAADAC.  Follows the SCAADAC code of ethics.
  • Maintains patient record in compliance with all governing bodies to include, DAODAS, DHEC, CARF and DHHS (Medicaid).
  • Attends clinical supervision and develops an annual supervision and training plan.
  • Obtains and maintains a working knowledge of ASAM PPC2-R and DSM 5 criteria for substance use disorders.
  • Attends monthly individual and group clinical supervision. Develops an annual supervision and training plan. 
  • Observes, trains, and becomes proficient in all treatment programs; to include working knowledge of program curriculums. 
  • Works within various programs to provide staff coverage of group, individual, or assessment sessions.
  • Attends at least weekly program case consultation meetings to staff patient’s progress in programs that are covered by multi-program counselor.
  • Delivers group and individual counseling sessions as needed.
  • Provides individualized treatment planning.
  • Provides biopsychosocial assessments as assigned. 
  • Provides case management as needed.
  • Obtains the co-sign of a certified/licensed staff member on required documentation as directed by supervisor.
  • Participates as a Peer Review Auditor when requested.
  • Requires regular and reliable attendance.
  • Remains current by attending Safety Trainings, mandatory trainings/licensure, and receiving an annual Tb skin test.
  • Proficiency with MS office computer software applications and/or Medical Records software applications, emails, etc.
  • Master’s Degree preferred, Bachelor Degree in human service related field required (such as counseling, social work or psychology).  Other degrees will be considered based on relevance to position and acceptability to DAODAS/SCAADAC for credentialing purposes. Provisional certification as an alcohol and drug counselor by an agency approved association is required post-employment.  Related work experience desirable.


  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The qualifications listed below are representative of the knowledge, skills and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  While performing the duties of this job, the employee is regularly required to remain seated for extended periods of time, to use hands/fingers to use various writing or computer systems, to answer telephones periodically, to file documents, and for employees of the medical withdrawal management unit, to assist patients in ambulatory motion. The normal course of business may include dealing with volatile consumers and/or stakeholders.
  • Bloodborne pathogen exposure classification: II

Counseling / Healthcare

Tagged as: clinical counselor, counseling, counselor, psychology, Social Work