Substance Abuse Counselor ACTT

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.

Why Join Pyramid Healthcare?

• 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

Key Responsibilities

Community-Based Substance Use Services

• 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.

Treatment Planning & Care Coordination

• 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.

Documentation & Compliance

• 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.

Crisis Response

• 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.

Qualifications

• 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.

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

Why You'll Love ACTT

ACTT is often described as a "hospital without walls." Our team brings comprehensive behavioral healthcare directly into the community, providing highly individualized services that help people remain stable, independent, and engaged in recovery. Every day offers the opportunity to build lasting relationships and make a meaningful difference in the lives of those we serve.

Apply today and become part of a team dedicated to transforming lives through compassionate, community-based behavioral healthcare.

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:

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