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East House

Community-based housing and recovery services

Counselor

Full-TimeUpdated on 10/23/2026
No salary listed
Mid
Rochester, NY, USA
In PersonTravel within the greater Rochester area; travel outside Monroe County may be required.
Social & Community ServicesResidential & Direct Support

About the job

Requirements
  • Maintain confidentiality with sensitive information and comply with established processes, procedures, and regulations.
  • Be available for weekend, holiday, and/or emergency shifts.
  • Meet the stated physical demands, with reasonable accommodations available.
Responsibilities
  • Partner with each client to develop and implement an individualized Service Plan based on assessment and client-identified goals.
  • Provide coaching, teaching, and individual and group counseling within the scope of the program’s services to assist clients in achieving their goals.
  • Collaborate with East House staff and external providers to coordinate client services and make referrals as needed.
  • Maintain familiarity with clients in the unit and program by reviewing communication logs and overlap, participating in Case Reviews, and communicating with staff; address clients’ needs during on-duty shifts.
  • Provide education and support to clients’ family and friends to promote successful treatment outcomes.
  • Participate in developing and maintaining the therapeutic community within the residence.
  • Manage a small caseload and complete required OASAS documentation.
  • Coordinate with the Program Manager and Financial Case Manager to assist clients with funding and financial case management.
  • Teach, support, and assist clients with daily living skills, including light housekeeping, meal preparation, shopping, and maintaining safe and sanitary living conditions.
  • Supervise and assist clients in following through with appointments, such as medical and therapy appointments, and ensure treatment recommendations are met.
  • Supervise clients in managing medications in accordance with East House policies and procedures, and maintain medication-management documentation in accordance with regulatory standards.
  • Coordinate residence activities and schedules, organizing resources and ensuring activities run smoothly.
  • Facilitate individual and group sessions and activities as necessary.
  • Maintain a safe and supportive living environment and ensure the residence remains sober, clean, and safe.
  • Address emergent client needs or crises during on-duty hours and collaborate with appropriate staff to resolve issues.
  • Document client interactions, service plans, and progress accurately according to East House standards and regulatory requirements.
  • Provide regular updates and progress reports to supervisors and stakeholders regarding client status and goals.
  • Represent the organization professionally and align with its mission.
  • Take responsibility for work activities and personal actions, follow through on commitments, and implement agreed-upon decisions.
  • Acknowledge and learn from mistakes without blaming others, and recognize the impact of one’s behavior on others.
  • Value and appreciate individuals’ unique backgrounds, experiences, and perspectives; include others in conversations and decision-making; listen without judgment; communicate politely and civilly; acknowledge contributions; offer help; encourage collaboration; and create safe spaces for sharing ideas and concerns.

About the company

East House provides housing and recovery support services for adults with mental health and substance use issues. It operates in Monroe, Genesee, Livingston, Orleans, Wayne, and Wyoming Counties, offering community-based programs that help people transition from institutional care to stable, supportive living. A key program is Affinity Place, a no-fee, short-term housing option that serves as a hospital diversion and is staffed by individuals with lived experience to support recovery. The organization funds its work through community support, donations, and partnerships to sustain its programs and reach over 1,200 people each year. East House aims to help adults 21 and older recover and lead fulfilling lives in a safe, empowering community while reducing crisis-driven services.

Company Size

51-200

Company Stage

N/A

Total Funding

N/A

Headquarters

Rochester, New York

Founded

1966

Get referred to East House

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Simplify Jobs

Simplify's Take

What believers are saying

  • New York awarded East House $1.4 million in July 2026 for a clubhouse.
  • East House celebrated its 60th anniversary in April 2026, strengthening referrals and donor visibility.
  • The 2026 PBS short film and community events broaden employer brand and community trust.

What critics are saying

  • Affinity Place waitlists and no-immediate-placement rules limit access during urgent crises.
  • East House still relies on donations and donor-funded services like Connections, risking volatility.
  • A funding shortfall or state grant loss would threaten its clubhouse expansion and core programs.

What makes East House unique

  • Since 1966, East House pairs housing with peer-led recovery support across six counties.
  • Affinity Place offers no-fee, short-term crisis respite staffed by people with lived experience.
  • East House blends residential, rehabilitation, education, and employment programs for behavioral health recovery.

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Benefits

  • Flexible Work Hours
  • Remote Work Options

Company News

13 WHAM
Sep 19th, 2025
Joe Theismann predicts Bills Super Bowl run at Rochester event

Theismann delivered the keynote address at East House's annual Hope & Recovery event, which aims to raise awareness for those dealing with mental health and substance use disorders.