Addiction Counselor (CADC/ LCAS)
Listed compensation
$52k-$58k
The week · per this posting · Monday – FridayWeekdays only
Ask the employer about the work setting and time off.
Job Description
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 Counselor – LCAS / CADC
- Location: Asheville, NC
- Pay: $52,000–$58,000 annually, based on licensure and experience
- Schedule: Full-Time | Monday–Friday | 5:00 AM–1:00 PM
- Required Credentials: CADC-I, CADC, LCAS-A, or LCAS
- Benefits: Medical, Dental, Vision, PTO, Paid Holidays, and 401(k) Match
Make a Difference in Addiction Recovery
Pyramid Healthcare is seeking a dedicated Substance Abuse Counselor to join our methadone treatment team in Asheville, NC. In this role, you will provide direct clinical services to individuals receiving treatment for opioid use disorder and other substance use disorders in a structured outpatient treatment setting.
This is an excellent opportunity for a compassionate counselor who enjoys building therapeutic relationships, supporting long-term recovery, and helping individuals develop the skills needed to achieve meaningful, lasting change.
Enjoy a consistent Monday–Friday, 5:00 AM–1:00 PM schedule while making a positive impact on the lives of individuals in recovery.
Key Responsibilities
- Provide individual, group, and family counseling to clients receiving substance use disorder treatment.
- Complete clinical assessments and develop individualized treatment plans based on each client's needs and recovery goals.
- Deliver substance use education, recovery support, and relapse prevention services.
- Monitor client progress and update treatment plans as clinically appropriate.
- Maintain accurate, timely, and thorough clinical documentation in the electronic health record (EHR).
Collaborate with multidisciplinary treatment team members to coordinate care and support positive client outcomes.
Assist with continuity of care, aftercare recommendations, discharge planning, and referrals to appropriate community resources.
- Communicate professionally with referral sources, families, and other providers as appropriate.
- Assist with crisis intervention and level-of-care assessments when needed.
- Maintain client confidentiality, appropriate professional boundaries, and compliance with applicable state regulations, clinical standards, and company policies.
- Contribute to a safe, respectful, and recovery-focused treatment environment.
Qualifications
- Required Licensure or Certification
- Candidates must hold at least one of the following credentials:
- CADC-I
- CADC
- LCAS-A
- LCAS
Education
A master's degree in Counseling, Social Work, Psychology, or a related behavioral health field is preferred. Candidates with an associate degree, bachelor's degree, or high school diploma may be considered based on applicable CADC/CADC-I credentials, qualifications, and experience.
Experience and Skills
- Experience working with individuals with substance use disorders is preferred.
- Experience in opioid use disorder treatment or medication-assisted treatment (MAT) is a plus.
- Experience working with co-occurring mental health disorders is preferred.
- Knowledge of recovery-oriented, evidence-based, and trauma-informed care practices.
- Strong clinical documentation, organizational, and time-management skills.
- Excellent verbal and written communication skills.
- Ability to work effectively as part of a multidisciplinary treatment team.
- Commitment to client confidentiality, professional ethics, and recovery-focused care.
Why Join Pyramid Healthcare?
At Pyramid Healthcare, we are committed to providing compassionate, evidence-based addiction and behavioral healthcare. Join a team where your work makes a meaningful difference and where you can continue developing your clinical skills and career.
Full-Time Benefits Include
- Medical, Dental, and Vision Insurance
- 401(k) with Company Match
- Paid Time Off (PTO)
- Paid Holidays
- Tuition Reimbursement
- Paid Training and Professional Development
- Employee Recognition Programs
- Career Growth Opportunities
- Employee Referral Bonus Opportunities
Ready to Make a Difference?
If you hold a CADC-I, CADC, LCAS-A, or LCAS credential and are looking for a full-time counseling opportunity with a consistent weekday schedule, we encourage you to apply.
Join Pyramid Healthcare in Asheville, NC, and help individuals take meaningful steps toward recovery while growing your career in addiction treatment.
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: bit. ly.
Pyramid Healthcare, Inc. is proud of its diverse workforce, and is an Equal Opportunity Employer.
Qualifications
- Education
- Master's degree (postgraduate degree)
- Experience
- 2+ years of experience
Key Skills
Addiction Medicine — Counselor Career Context
The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$55k midpoint carries the purchasing power of roughly $58k in an average-cost state. 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
| Measure | This job | Market |
|---|---|---|
| Work-life score | 8.0 / 10 · top 5% in substance use / addiction counselor | ranked against 1,008 Substance Use / Addiction Counselor listingslisting-based score, 0–10 |
| Listed pay | $52k–$58k | Substance Use / Addiction Counselor median $60k (middle half $59k–$71k)12 comparable listings, Oct 2026 |
| Cost-of-living adjusted pay | ~$58k in purchasing power | North Carolina index 94.3 (US = 100)BEA Regional Price Parities (2024) |
| Substance Use / Addiction Counselor listings in North Carolina | 499 active | 13,593 nationallylive on WeekdayDoc, Oct 2026 |
| Sign-on & loan repayment | not stated | North Carolina Counselor listings: 15% state a sign-on bonus (median $5k) · 13% offer loan repayment499 active listings, Oct 2026 |
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Addiction Counselor (CADC/ LCAS) at Pyramid Healthcare a 8.0 out of 10 for work-life balance — classified as excellent. This places the position in the top 5% in Substance Use / Addiction Counselor — ranked against 1,008 active Substance Use / Addiction Counselor listings on WeekdayDoc. Contributing factors include no on-call duties, no weekend requirements, no night shifts.
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