Pelago is the leading specialty substance use care provider, built on the belief that effective treatment means matching care intensity to what each member actually needs rather than defaulting to the most expensive intervention. Our programs guide members through every stage of the substance use spectrum, from unhealthy habits to active use disorders, delivering personalized treatment for tobacco, alcohol, opioid, cannabis, and stimulant use based on individual health, habits, genetics, and goals.

With Sona, our voice-first AI Mental Health Specialist, Pelago now applies that same clinically-driven model to mental health, pairing deep clinical expertise with technology to expand access without compromising care quality. We believe technology should make clinical care more precise and more human, not replace the judgment behind it.

Pelago has scaled to helping hundreds of employers and health plans and has already helped more than 750,000 members better manage their substance use. If you're passionate about AI and making an impact on the health of others, join us and make it happen!

About the Role:

We're on the lookout for a remote drug and alcohol counselor to join the leading digital clinic for substance addictions. As a key member of our counseling team, you'll play a crucial role in supporting and empowering individuals on their journey to overcome substance addictions. Your main objective will be guiding members towards leading addiction-free lives! Collaborating closely with our dynamic team, you'll contribute to the rapid growth of our business, gaining invaluable firsthand experience in scaling up a successful venture.

This is a full-time, remote position with flexible working hours, open to candidates based anywhere in the U.S.

In this role you will:

• Provide counseling to members on a weekly basis through text-based chat, video calls, and phone calls, to monitor their progress on their recovery journey
• Onboard the users with an initial phone call and complete a multidimensional assessment to gather relevant behavioral health history and symptoms
• Work within Atlas, Pelago's AI-native EHR, which automates session documentation, surfaces real-time evidence-based guidance during calls, and prepares clinical context before each session — so your time stays focused on member care, not administrative lift
• Monitor the progress of members and offer therapeutic strategies on how to deal with temptations and cravings
• Be supportive and encouraging to members to help them establish and sustain motivation to change their substance use
• Collaborate with other departments to ensure a positive experience for all members and provide valuable feedback to the product development team
• Uphold good standing with your active license(s)/certification(s)
• Attend team meetings and/or case discussions as scheduled
• Help someone transform their life and the life of their family through their addiction recovery!

The background we are looking for:

• Active Massachusetts credential in good standing
• Licensed Professional Counselor or Licensed Clinical Social Worker
• Bachelors Degree required
• 2+ years of clinical experience delivering CBT and/or behavioral support for substance use disorders (tobacco, alcohol, opioids)
• Comfort working in an AI-augmented care environment; openness to adopting AI-assisted tools that support documentation, member communication, and clinical decision-making
• Proficient with Motivational Interviewing (MI), Motivational Enhancement Therapy (MET), MAT coordination, and Relapse Prevention
• Proven ability to collaborate with cross-disciplinary healthcare teams (coaches, physicians, nurses)
• Excellent written and verbal communication skills
• Adaptable in fast-moving environments; able to prioritize competing demands
• Technologically fluent; quick to learn new tools and platforms
• Preferred: Prior telehealth experience across multiple time zones and/or digital health settings

What you’ll love about us:

We have a whole host of perks for our people! From life essentials to nice-to-haves, there are more than a few good reasons to love working with us. We strive to ensure Pelago employees have equitable access to healthcare, wellbeing, time away, and then some.

Generous equity package
Full Medical, Dental & Vision coverage
401k Plan
Unlimited PTO + company-wide “Me Time” Days
Paid parental leave
Flexible remote work environment
Annual Learning & Development stipend
Wellness Reimbursement Program
Substance Use Support for employees and family members

At this time, we are unable to offer visa sponsorship for this position.