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Pyramid Healthcare
Charlotte, North Carolina

Substance Abuse Counselor (ACTT)

CounselorIncludes callIncludes weekendsFull-Time

Listed compensation

$24.5-$28/hr

The week · per this posting

Ask the employer about nights and shift pattern and time off.

Posted 1mo ago

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.

  • ACTT Substance Abuse Counselor
  • Charlotte, NC
  • $24.50–$28.00 per hour (based on licensure, certification, and experience)
  • Full-Time | Community-Based | Company Vehicle & Phone Provided
  • Make a Difference in Recovery—Where Clients Need You Most

Pyramid Healthcare is seeking a compassionate and dedicated Substance Abuse Counselor to join our Assertive Community Treatment Team (ACTT) in Charlotte, NC. Our ACTT program delivers intensive, community-based behavioral health services to individuals living with serious and persistent mental illness (SPMI) and co-occurring substance use disorders.

Rather than waiting for clients to come to us, our multidisciplinary team meets individuals where they are—in their homes, shelters, workplaces, and throughout the community—to provide personalized, recovery-focused care that promotes stability, independence, and long-term success.

If you're passionate about helping individuals overcome substance use challenges while working alongside a collaborative team of behavioral health professionals, we'd love to hear from you.

Why Join Pyramid Healthcare's Charlotte ACTT Team?

  • Competitive pay: $24.50–$28.00 per hour
  • In-house licensure supervision
  • Company vehicle and company cell phone provided
  • Mileage reimbursement
  • Comprehensive onboarding and ACTT training
  • Flexible scheduling
  • Supportive multidisciplinary team environment
  • Full benefits package, including medical, dental, vision, PTO, and 401(k)

What You'll Do

  • As the ACTT Substance Abuse Counselor, you will:
  • Provide substance use assessments, counseling, and recovery support in community settings
  • Deliver individual, family, and group counseling focused on co-occurring mental health and substance use disorders

Develop Individualized Treatment Plans and Recovery Goals

Complete clinical documentation, treatment plans, NCTOPPS, LOCAs, discharge planning, and required authorizations within established timeframes

Coordinate care with psychiatrists, nurses, therapists, peer support specialists, families, and community providers

  • Assist clients with relapse prevention, harm reduction, and recovery planning
  • Provide crisis intervention and participate in the ACTT on-call rotation (weekday and rotating weekends)
  • Participate in interdisciplinary treatment team meetings and case consultations
  • Travel throughout the Charlotte area to meet clients in homes and community settings

Qualifications

  • Required:
  • LCAS, LCAS-A, or CADC certification (or ability to obtain required credential within 90 days of hire)
  • Qualified Professional (QP) status according to 10A NCAC 27G.0104
  • Valid North Carolina driver's license with an acceptable driving record
  • Ability to work independently in a community-based setting while collaborating with a multidisciplinary team
  • Strong documentation, communication, and organizational skills

Join Our Mission

At Pyramid Healthcare, we believe recovery is possible for everyone. Our ACTT teams provide a "hospital without walls," bringing comprehensive behavioral healthcare directly into the community and helping individuals build healthier, more independent lives.

If you're ready to make a lasting impact while growing your behavioral health career, apply today and become part of our Charlotte ACTT team.

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: https://bit.ly/Pyramid-Careers.

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

Key Responsibilities

The counselor provides intensive, community-based substance use assessments, counseling, and recovery support to individuals with serious mental illness. They are responsible for developing individualized treatment plans, coordinating care with a multidisciplinary team, and performing crisis intervention.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Substance abuse counselingTreatment planningCase managementMental health assessmentInterdisciplinary collaborationCommunity outreach

Addiction Medicine — Counselor Career Context

Of the 50 active Substance Use / Addiction Counselor listings this role was benchmarked against, 40% are remote, 42% have no call, 74% require no weekends.

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).

Top Counselor Jobs

27 matches · ranked by pay

Salary Distribution27 jobs · 20 employers

11
<$75k
5
$75k-95k
5
$95k-115k
6
$115k-135k

Annual compensation range

Benefits & Perks26 jobs · 20 employers

401k / retirement match
96% this job
CME allowance
38%
Sign-on bonus
31%
Loan repayment
15%
Relocation assistance
4%

Share of similar jobs offering each benefit

#1

Licensed Marriage and Family Therapist (LMFT, LPC, LCSW)

LifeStance Health · Madison, Wisconsin

$92k-$125k
#2

Remote Licensed Talk Therapist - Fee For Service

Thriveworks · Massachusetts

$124k
#3

Licensed Talk Therapist - Fee For Service

$124k
#4

Licensed Professional Counselor (LPC)

$115k-$120k
+ 25 more · ranked by pay

Work-life snapshot

median 6.1this job 1.5
Below most Addiction Medicine (Counseling) listings for work-life

Listing-based score, 0–10, across 1,285 comparable listings. Shaded area = the share scoring below this one.

  • On-site
  • Includes call
  • Includes weekends

Living in Charlotte

Typical 3-bedroom home value
$355k
Typical market rent
$1,744/mo
Residents’ average commute
25 min
Metro price indexU.S. average = 100
97.3
State income tax
Up to 4.8%
Sources & methodology

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

BEA 2024 · Charlotte-Concord-Gastonia, NC-SC metro prices. Housing figures are city-level.

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

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