Substance Abuse Counselor ACTT

Pyramid Healthcare • Asheville, NC

9d • $50,000 - $57,000 • Hybrid

About The Position

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.

Substance Abuse Specialist – ACTT (LCAS / LCAS-A)
Pyramid Healthcare – Asheville ACTT
📍 Asheville, NC (Local community travel required)
💰 $50,000–$57,000 annually (based on licensure and experience)
🕒 Full-Time | Flexible Schedule

Help Individuals Build Recovery While Receiving Care in Their Community
Pyramid Healthcare is seeking a compassionate and motivated Substance Abuse Specialist (LCAS or LCAS-A) to join our Assertive Community Treatment Team (ACTT) in Asheville, NC. As a member of our multidisciplinary ACTT team, you'll provide community-based substance use services to adults living with serious mental illness who are working toward long-term recovery. This role combines clinical expertise with outreach, allowing you to meet clients where they are while helping them reduce barriers, strengthen recovery skills, and improve overall quality of life.

If you're passionate about recovery-oriented care and enjoy building meaningful relationships in the community, we'd love to have you on our team.

Requirements

• Active North Carolina LCAS or LCAS-A license required.
• LCAS-A candidates must be working toward full licensure.
• Qualified Professional (QP) status under North Carolina regulations preferred or ability to obtain.
• Valid North Carolina driver's license with an acceptable driving record.
• Ability to travel throughout the Asheville service area.

Nice To Haves

• Experience working with adults experiencing serious mental illness, substance use disorders, or community-based behavioral health services preferred.

Responsibilities

• Provide substance use assessments, counseling, education, and recovery support in community settings.
• Deliver individual and group interventions that promote recovery and reduce relapse risk.
• Utilize evidence-based practices including motivational interviewing and relapse prevention strategies.
• Help clients develop coping skills, recovery goals, and healthy support systems.
• Collaborate with psychiatrists, nurses, therapists, peer support specialists, and case managers to develop and implement individualized treatment plans.
• Coordinate care with community providers, referral sources, families, and natural supports.
• Assist clients in accessing community resources that support long-term recovery and independence.
• Complete timely, accurate clinical documentation in accordance with ACTT, Medicaid, and agency standards.
• Maintain treatment plans, progress notes, authorizations, discharge planning, and other required documentation.
• Participate in daily team meetings and contribute to ongoing care coordination.
• Assist clients experiencing behavioral health or substance use crises.
• Participate in the ACTT crisis phone rotation, including one assigned weekday and rotating weekend coverage.
• Support crisis intervention, hospital diversion efforts, safety planning, and community stabilization.

Benefits

• Competitive salary: $50,000–$57,000 annually
• In-house licensure supervision for LCAS-A clinicians
• Company vehicle and company phone provided
• Mileage reimbursement when applicable
• Flexible scheduling with community-based work
• Comprehensive benefits package including medical, dental, vision, PTO, paid holidays, and 401(k)
• ACTT-specific onboarding, training, and professional development
• Collaborative, multidisciplinary team focused on improving lives
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed