Pyramid Healthcare logo
Pyramid Healthcare
Pittsburgh, Pennsylvania

Counselor / Therapist

Counselor / TherapistNo weekendsFull-Time

Compensation

Pay not listed

The week · per this posting · Monday – Friday

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 18m ago · Verified live

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.

Location & Schedule

  • Full-Time Monday-Friday No Weekends!
  • Location: 1401 Forbes Avenue, Suite 200, Pittsburgh, PA 15219

Make a Difference in Recovery

At Pyramid Healthcare, we believe recovery is possible for everyone. Our Pittsburgh Outpatient Program provides compassionate, evidence-based treatment that empowers individuals struggling with substance use and co-occurring mental health disorders to build healthier lives, strengthen recovery skills, and achieve long-term wellness.

We are seeking a dedicated and compassionate Outpatient Counselor to join our clinical team. If you are passionate about behavioral health, addiction recovery, counseling, and helping individuals create meaningful change, we encourage you to apply.

Position Summary

The Outpatient Counselor is responsible for providing comprehensive clinical services in accordance with Pyramid Healthcare's treatment philosophy, ASAM Criteria, and outpatient program standards. This position facilitates individual counseling, group therapy, assessments, treatment planning, case management, and discharge planning while maintaining timely and accurate clinical documentation.

The ideal candidate is passionate about supporting individuals with substance use disorders and co-occurring mental health conditions through every stage of recovery.

Essential Responsibilities

Clinical Services

  • Conduct biopsychosocial assessments and evaluate clients' behavioral, emotional, social, and recovery needs.
  • Facilitate individual, group, and family counseling sessions utilizing evidence-based treatment approaches.
  • Develop, implement, and regularly update individualized treatment plans.
  • Monitor client progress and collaborate with multidisciplinary treatment teams.
  • Complete ASAM-based Level of Care Assessments as appropriate.
  • Provide case management and coordinate referrals for community resources and support services.
  • Assist clients in developing aftercare and relapse prevention plans that promote long-term recovery success.
  • Provide crisis intervention and de-escalation support as needed.
  • Support treatment engagement and retention through motivational and strengths-based approaches.

Documentation & Compliance

  • Maintain accurate, timely, and compliant electronic clinical records.
  • Complete utilization reviews and insurance authorizations as required.
  • Ensure compliance with HIPAA, CARF, ASAM, Pennsylvania state regulations, and organizational policies.
  • Participate in outcome tracking and quality improvement initiatives.
  • Maintain organized and compliant client files.

Team Collaboration

  • Participate in clinical supervision, staff meetings, and treatment team meetings.
  • Collaborate with physicians, nurse practitioners, case managers, recovery specialists, and other clinical professionals.
  • Contribute to program development and clinical excellence initiatives.
  • Support operational needs and program coverage as directed by leadership.

What Our Team Is Saying

"I am Pyramid Proud because I love watching the light come on in someone's eyes. I love when people come in broken and desperate and then they are able to start to find themselves in the process of early recovery. I love when I hear from people months after they finish treatment where they say thank you for helping them become who they were always meant to be. Pyramid has given me the opportunity to grow in this field, and for that I am truly grateful."

– Pyramid Healthcare Counselor

Qualifications

Candidates Must Meet One of the Following Requirements

Master's Degree in chemical dependency, psychology, social work, counseling, or a related behavioral health with a master's-level license (LPC, LSW, LCSW, LMFT, or equivalent) or CAADC certification, or actively pursing licensure.

Bachelor's Degree with CADC certification (or actively pursuing CADC) and a minimum of one year of qualifying clinical experience.

Associate's Degree with CAAC certification (or actively pursuing CAAC) and a minimum of two years of qualifying clinical experience.

High School Diploma or GED with CAAC certification.

Current Pennsylvania Registered Nurse license, degree from an accredited nursing program, and one year of qualifying clinical experience.

Preferred Experience

  • Substance Use Disorder (SUD) treatment
  • Addiction counseling
  • Intensive Outpatient Programs (IOP)
  • Outpatient behavioral healthcare
  • Co-occurring mental health treatment
  • Individual, group, and family counseling
  • Motivational Interviewing (MI)
  • Cognitive Behavioral Therapy (CBT)
  • Trauma-informed care
  • Relapse prevention planning
  • Case management and discharge planning
  • Utilization review and insurance coordination
  • Knowledge, Skills & Abilities
  • Strong clinical assessment and counseling skills
  • Knowledge of ASAM Criteria and evidence-based treatment practices
  • Understanding of HIPAA, CARF standards, and Pennsylvania behavioral health regulations
  • Ability to build therapeutic relationships with clients and families
  • Excellent verbal and written communication skills
  • Strong critical thinking and problem-solving abilities
  • Ability to manage crisis situations effectively
  • Strong organizational skills and attention to detail
  • Ability to work independently and within a multidisciplinary team environment

Why Join Pyramid Healthcare?

  • Join a nationally recognized behavioral healthcare organization.
  • Make a meaningful impact in the lives of individuals and families affected by addiction.
  • Work in a supportive, mission-driven culture focused on recovery and clinical excellence.
  • Collaborate with experienced professionals dedicated to helping clients achieve lasting recovery.
  • Opportunities for professional growth, training, and advancement.
  • Employees and eligible family members receive free virtual healthcare services.
  • Access up to 50% of earned wages before payday to help manage unexpected expenses.
  • Comprehensive benefits package available for eligible employees.
  • ## Due to the nature of behavioral healthcare work and our responsibility to ensure client safety, candidates selected for hire must successfully pass a criminal background check, drug screening, and any required state-mandated clearances. Employment is contingent upon meeting all screening requirements in accordance with federal, state, and accrediting-body regulations.
  • 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.

Key Responsibilities

The Outpatient Counselor provides comprehensive clinical services including individual and group therapy, biopsychosocial assessments, and individualized treatment planning. They also manage clinical documentation, coordinate community resources, and participate in multidisciplinary treatment team meetings.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
2+ years of experience

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Counselor / Therapist at Pyramid Healthcare a 6.0 out of 10 for work-life balance — classified as good. This places the position in the top 35% of all Mental Health Therapy counselor listings evaluated on our platform. Contributing factors include no weekend requirements.

Counselor Career Context

Pyramid Healthcare ranks #17 of 19 employers hiring Counselor on WeekdayDoc by average advertised pay.

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 34% are remote, 34% have no call, 68% require no weekends.

Mental Health Therapy by the numbers
MeasureThis jobMarket
Cost of livingPennsylvania index 97.6US average = 100BEA Regional Price Parities (2024)
Mental Health Therapy listings in Pennsylvania443 active7,926 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 34% remote · 34% no call · 68% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedPennsylvania Counselor listings: 16% state a sign-on bonus (median $5k) · 14% offer loan repayment753 active listings, Oct 2026
Pyramid Healthcare#17 of 19 for payTop Employers work-life index
Sources: WeekdayDoc live listing index, Top Employers work-life index, BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Counselor Jobs

43 matches · ranked by pay

Salary Distribution

42 jobs · 33 employers
15
<$70k
11
$70k-85k
11
$85k-100k
3
$100k-115k
2
$120k

Annual compensation range

Benefits & Perks

38 jobs · 33 employers
401k / retirement match
84% this job
Sign-on bonus
32%
CME allowance
32%
Loan repayment
8%
PSLF eligible
8%

Share of similar jobs offering each benefit

#1

Licensed Clinical Mental Health Counselor (LCMHC)

Gotham Enterprises · Pinehurst, North Carolina

$115k-$120k
#2

Licensed Mental Health Counselor (LMFT, LCSW, LPC)

Gotham Enterprises · Anchorage, Alaska

$115k-$120k
#3

Child and Adolescent Therapist - LCSW, LPC, LMFT

$50k-$110k
#4

Child and Adolescent Therapist - LCSW, LPC, LMFT

$50k-$105k
+ 41 more · ranked by pay

Work-life snapshot

median 6.0this job 6.0
Better work-life than 50% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 7,918 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
Pyramid Healthcare logo

About Pyramid Healthcare

Hospitals and Health Care
Duncansville, Pennsylvania
1,001-5,000 employees

Benefits & Perks

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

Living in Pittsburgh

Typical 3-bedroom home value
$229k
Typical market rent
$1,569/mo
Residents’ average commute
23 min
Metro price indexU.S. average = 100
94.7
State income tax
Up to 3.1%
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Pittsburgh, PA metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.