Full-Time

Counselor

Updated on 8/23/2026

Casa Esperanza

Casa Esperanza

51-200 employees

Bilingual behavioral health services and housing

Compensation Overview

$24.52 - $25/hr

Tewksbury, MA, USA

In Person

Bachelor's

Category
Medical, Clinical & Veterinary (1)
Required Skills
Microsoft Office
Microsoft Windows
Electronic Health Records (EHR)
HIPAA

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Requirements
  • A Substance Abuse Counseling Certificate Program or a bachelor's degree in psychology, social work, or a related field and experience in substance use treatment is required.
  • CAC, CADC, LADC, or LADC-II certification is required.
  • A minimum of 5 years of work in a substance use therapy program is required.
  • Ability to relate to a substance use treatment population sensitively and willingness to work in a multicultural setting are required.
  • Proficiency with Microsoft Windows and Microsoft Office is required.
  • Ability to use independent judgment to determine appropriate action when resolving problems and responding to emergencies is required.
  • Ability to communicate effectively in written and oral formats within an interdisciplinary, culturally diverse setting is required.
  • Knowledge of relevant community resources for continuing care and aftercare placement is required.
  • Ability to manage difficult or emotional client situations, respond promptly to client needs, focus on resolving conflict, and maintain confidentiality is required.
  • Ability to walk, stoop, kneel, crouch, or crawl; talk or hear; and occasionally lift or move up to 20 pounds is required.
  • Proof of required COVID-19 vaccination, or an approved medical or religious exemption, is required as a pre-employment condition.
Responsibilities
  • Greet new clients and create a welcoming, comfortable atmosphere.
  • Establish orientation, session, and follow-up appointments with patients.
  • Act as the primary counselor and point of contact for internal and external collaborators.
  • Provide culturally responsive, compassionate care as part of an integrated care team.
  • Complete needs assessments, including risk and safety planning.
  • Apply evidence-based practices appropriate to each patient's diagnosis and assessed needs.
  • Maintain confidentiality and comply with HIPAA and 42 CFR requirements.
  • Communicate professionally with colleagues, collateral contacts, supervisors, and other parties about client care.
  • Complete assessments using American Society of Addiction Medicine criteria and make clinical recommendations about appropriate treatment levels.
  • Conduct substance use screening and overdose assessments.
  • Interview clients, review records, and confer with other professionals to evaluate client conditions.
  • Complete comprehensive biopsychosocial assessments.
  • Share responsibility for therapeutic, educational, and other group programming.
  • Facilitate clinical sessions, discuss relevant issues, and prepare treatment plans in consultation with residents.
  • Facilitate groups on relapse prevention and other evidence-based health and wellness topics in recovery.
  • Participate in care management, including case management and referral services.
  • Provide individual and group education about symptom management.
  • Complete intake enrollment as needed.
  • Counsel clients individually, in family sessions, and in group sessions to help them achieve treatment goals under the Clinical Supervisor's direction.
  • Prepare and maintain reports and case histories according to agency standards for format, timeliness, and quality assurance.
  • Enter client data into paper and electronic records according to program policies.
  • Maintain regulatory and licensing requirements for clinical workflows.
  • Manage client crises using de-escalation techniques and a holistic, trauma-informed approach.
  • Respond promptly to client needs.
  • Complete extension authorizations and clinical reviews with insurers and payers.
  • Complete discharge notes and client disenrollment forms when cases close.
  • Attend staff meetings and supervision sessions.
  • Participate in multidisciplinary team meetings.
  • Act as a liaison and advocate for patient needs.
  • Maintain milieu management and comprehensive clinical interventions during crisis response.
Desired Qualifications
  • Bilingual English/Spanish ability is preferred.

Casa Esperanza provides behavioral health services for the Latine community in Massachusetts, including residential treatment for substance use, outpatient clinics, and 37 units of sober, affordable housing, all at no cost to clients. Its CasaCare model combines behavioral health and primary care to offer coordinated, integrated services, with programs like the Men's Program and the Latinas y Niños Center that allow mothers with young children to live on-site during treatment, plus telehealth through a CARF-accredited outpatient clinic. The organization distinguishes itself as one of the first bilingual, bicultural residential programs in the state and by offering a no-cost, no-denial policy, a broad continuum of care, and family-reunification support. Its goal is to reduce substance use and trauma-related health issues while helping clients achieve stable recovery, improve mental health, and re-enter society with housing and community resources.

Company Size

51-200

Company Stage

N/A

Total Funding

N/A

Headquarters

Boston, Massachusetts

Founded

1984

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Simplify Jobs

Simplify's Take

What believers are saying

  • HigherGov shows a $600,000 SAMHSA peer-support grant active through September 2027.
  • Casa Esperanza expanded bilingual family support in October 2025 with a hybrid group.
  • Supportive housing at 245 Eustis Street keeps graduates housed while recovery stabilizes.

What critics are saying

  • In January 2026, SAMHSA terminated $2.7 million of Casa Esperanza contracts.
  • Federal reinstatement after January 2026 cuts still left services exposed to future clawbacks.
  • Medicaid cuts already hit services, threatening staffing and continuity across Roxbury programs.

What makes Casa Esperanza unique

  • Casa Esperanza built Massachusetts' first bilingual, bicultural residential treatment program in 1984.
  • CasaCare integrates behavioral health and primary care for Roxbury Latine patients.
  • Latinas y Niños Center keeps mothers and young children together during treatment.

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Benefits

Health Insurance

401(k) Retirement Plan

401(k) Company Match

Paid Vacation

Paid Sick Leave

Paid Holidays

Long/Short-Term Disability

Life Insurance

Health Savings Account/Flexible Spending Account

Hybrid Work Options

Tuition Reimbursement

Professional Development Budget

Employee Discounts

Mental Health Support