Licensed Counselor - Behavioral Health & Detox (LCMHC/LCSW)

Pyramid Healthcare•Gastonia, NC
•$60,000 - $65,000•Onsite

About The Position

Pyramid Healthcare is seeking a compassionate and experienced Licensed Behavioral Health Counselor to join the clinical team at Freedom Detox in Gastonia, North Carolina. The role supports people receiving detox and substance use treatment, as well as clients facing behavioral health challenges. Candidates must hold an active North Carolina LCSW-A or LCMHC-A; full North Carolina LCSW or LCMHC licensure is also accepted. The counselor provides individual, family, and group counseling; completes clinical assessments and individualized treatment plans; facilitates therapeutic and psychoeducational groups; and applies evidence-based approaches including Cognitive Behavioral Therapy and Motivational Interviewing. The role also includes trauma-informed support, crisis intervention, clinical documentation, collaboration with medical and clinical staff, discharge planning, aftercare coordination, utilization review and insurance authorization support, and assistance with clinical programming and best practices. The counselor helps maintain a safe, supportive, and therapeutic environment. This is a full-time position with a Monday–Friday daytime schedule and occasional weekend availability required to support program needs. The posted annual salary is $60,000–$65,000, based on licensure and experience. Pyramid Healthcare describes a collaborative clinical environment with supportive leadership, professional development and advancement opportunities, and meaningful work supporting individuals through detox and recovery.

Requirements

  • Master's degree in Counseling, Social Work, Psychology, Chemical Dependency, or a related field.
  • Active North Carolina LCSW-A or LCMHC-A license required; full North Carolina LCSW or LCMHC licensure is also accepted.
  • Experience providing substance use treatment, behavioral health, or mental health services.
  • Availability for occasional weekend work to support program needs.
  • Excellent communication and interpersonal skills.
  • Ability to remain calm, professional, and effective in challenging situations.
  • Ability to work collaboratively within a multidisciplinary treatment team.

Nice To Haves

  • Strong understanding and application of Cognitive Behavioral Therapy (CBT) and Motivational Interviewing (MI).
  • Experience providing trauma-informed care.
  • Strong group facilitation and counseling skills.
  • Excellent clinical documentation and assessment skills.
  • Knowledge of substance use treatment and recovery-focused clinical practices.
  • Effective de-escalation and crisis intervention abilities.

Responsibilities

  • Provide individual, family, and group counseling to clients receiving detox and substance use treatment.
  • Complete comprehensive clinical assessments and develop individualized treatment plans.
  • Facilitate therapeutic and psychoeducational groups.
  • Apply evidence-based clinical approaches, including Cognitive Behavioral Therapy (CBT) and Motivational Interviewing (MI).
  • Provide trauma-informed care and support clients throughout treatment and recovery.
  • Use de-escalation and crisis intervention techniques.
  • Maintain accurate, timely, and thorough clinical documentation.
  • Participate in treatment team meetings and collaborate with medical and clinical staff.
  • Assist with discharge planning and coordinate appropriate aftercare services.
  • Support utilization review and insurance authorization activities.
  • Assist with clinical programming and implementation of best practices.
  • Maintain a safe, supportive, and therapeutic environment for clients.
  • Align with and uphold Pyramid Healthcare’s CORE values and standards.

Benefits

  • Comprehensive benefits package.
  • 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.
  • Professional development and advancement opportunities.
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