Demo

Substance Abuse Counselor

Pyramid Healthcare
Jacksonville, NC Full Time
POSTED ON 4/21/2026
AVAILABLE BEFORE 10/17/2026
Pyramid Healthcare is dedicated to offering the highest quality of care to those we serve. A focus on client-focused care establishes our family of brands as respected leaders in addiction treatment, mental health recovery and eating disorder treatment modalities.

Pyramid Healthcare offers comprehensive behavioral healthcare defined by supportive environments that offer patients the strength they need to overcome life’s challenges. We offer behavioral healthcare services – psychiatry, addiction recovery, mental disorder treatment, etc. – that allow clients at all stages of recovery or rehabilitation to reclaim health and well-being.

Summary: Pyramid Healthcare is seeking a compassionate and motivated Substance Abuse Counselor/Co-Occurring Specialist to join our Assertive Community Treatment Team (ACTT) in Jacksonville, NC. This full-time role focuses on delivering direct outpatient Substance Use Disorder (SUD) services to individuals with serious mental illness and co-occurring substance use disorders in community-based settings. With various specialized programs, Pyramid Healthcare is a leader in behavioral healthcare across North Carolina, committed to providing individualized, recovery-focused treatment plans to support long-term success.

Responsibilities

  • Provide community-based substance use treatment services to ACTT clients in homes and local community settings.
  • Conduct individual, group, and family therapy sessions.
  • Complete LOCAs, pre-authorizations, and clinical reviews in a timely manner.
  • Develop and maintain treatment plans, NCTOPPs, and discharge/aftercare plans aligned with client goals.
  • Maintain ongoing communication with families, referral sources, and support systems.
  • Deliver interventions for individuals with severe and persistent mental health conditions and substance use disorders.
  • Participate in on-call and emergency service rotation, including crisis planning, after-hours assessments, and hospital diversion.
  • Attend treatment team meetings and required staff trainings.
  • Perform additional duties as assigned.

Required Qualifications

  • LCAS(A) or CADC required.
  • Ability to obtain required certification/licensure within 90 days of hire (if applicable).
  • Qualified Professional (QP) status per 10A NCAC 27G.0104.
  • Valid North Carolina driver’s license.
  • Ability and willingness to travel locally within the Jacksonville area.

Pyramid CORE Values

We are committed and proud to live our CORE values and use them to inspire those around us. Our employees are expected to align with these values, behaviors, and standards. We are held accountable for upholding these CORE Values: INTEGRITY is striving to be honest, transparent, and ethical when dealing with clients, staff, and the community. DEDICATION is demonstrating an unwavering commitment to always provide exceptional care and support to those we serve is needed daily. COLLABORATION is a steadfast, team-focused approach; working together to achieve excellence. PASSION is genuine, compelling, and relentless desire to improve lives and support Pyramid Healthcare’s mission.

Total Rewards For Full-Time Positions

  • Medical, Dental, and Vision Insurance
  • Flexible Spending Accounts
  • Life Insurance
  • Paid Time Off
  • 401(k) with Company Match
  • Tuition Reimbursement
  • Employee Recognition Programs
  • Referral Bonus opportunities
  • And More!

Want to know more?

To learn more about Pyramid Healthcare, and how you can achieve personal and professional growth, visit us at: https://bit.ly/Pyramid-Careers.

Pyramid Healthcare, Inc. is proud of its diverse workforce, and is an Equal Opportunity Employer.

Salary.com Estimation for Substance Abuse Counselor in Jacksonville, NC
$53,057 to $64,789
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