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Casa Esperanza

Bilingual behavioral health services and housing

Counselor 2

Full-TimeUpdated on 10/24/2026
$24.52 - $30/hr
Senior
Bachelor's
Tewksbury, MA, USA
In Person
Medical, Clinical & VeterinaryMental & Behavioral Health

About the job

Requirements
  • Completion of 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.
  • A CAC, CADC, LADC, or LADC-II credential is required.
  • A minimum of 5 years of work in a substance use therapy program is required.
  • The candidate must demonstrate the ability to relate sensitively to a substance use treatment population and willingness to work in a multicultural setting.
  • The candidate must be proficient with Microsoft Windows and Microsoft Office.
  • The candidate must use independent judgment to determine appropriate action in resolving problems and emergencies.
  • The candidate must communicate effectively in writing and orally in interdisciplinary and culturally diverse settings with clients, families, staff, and regulatory agencies.
  • The candidate must manage difficult or emotional client situations, respond promptly to client needs, focus on resolving conflict, maintain confidentiality, and know relevant community resources for continuing care and aftercare placement.
Responsibilities
  • Welcome new clients and create a 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 compassionate, culturally responsive care as part of an integrated team-treatment approach.
  • Complete needs assessments, including risk assessment and safety planning.
  • Ensure evidence-based practices are 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, and supervisors about client care, verbally and in writing.
  • Use American Society of Addiction Medicine criteria to complete assessments and recommend appropriate treatment levels.
  • Conduct substance use screening and overdose assessments.
  • Interview clients, review records, and consult 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 develop treatment plans in consultation with residents.
  • Facilitate groups on relapse prevention and evidence-based health and wellness topics in recovery.
  • Participate in care management, including case management and referral services.
  • Educate clients about symptom management individually and in groups.
  • Complete intake enrollment as needed.
  • Counsel clients individually, with families, and in groups to support treatment goals under the Clinical Supervisor's direction.
  • Prepare and maintain reports and case histories according to agency requirements for format, timeliness, and quality assurance.
  • Enter client data into paper and electronic records according to program policies and timelines.
  • Follow regulatory and licensing guidelines for clinical workflows.
  • Manage client crises using holistic, trauma-informed de-escalation techniques.
  • Respond promptly to client needs.
  • Complete extension authorizations and clinical reviews with insurance companies and payers.
  • Complete discharge notes and disenrollment forms when clients are discharged.
  • Attend staff meetings and supervision sessions.
  • Participate in multidisciplinary team meetings.
  • Act as a liaison and advocate for patient needs.
  • Maintain milieu management and provide comprehensive clinical interventions in crisis response.
Desired Qualifications
  • Bilingual English/Spanish skills are preferred.

About the company

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's Take

What believers are saying

  • The May 2026 Roxbury open house signals active expansion and stronger community demand.
  • Same-day and next-day BHUC access supports faster patient acquisition and referral capture.
  • Leadership visibility in Massachusetts behavioral-health circles strengthens fundraising and policy influence.

What critics are saying

  • In January 2026, SAMHSA terminated $2.7 million of Casa Esperanza contracts before reinstatement.
  • Medicaid cuts already hit services, squeezing reimbursements across Casa Esperanza's free-care model.
  • Dependence on government grants makes another federal funding reversal an existential staffing risk.

What makes Casa Esperanza unique

  • Casa Esperanza opened eastern Massachusetts's only fully bilingual Behavioral Health Urgent Care in 2026.
  • Its 2024 Tewksbury ATS/CSS unit was Massachusetts's first fully bilingual, bicultural integrated program.
  • Latinas y Niños lets mothers and children stay together during residential treatment in Roxbury.

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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