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Pyramid Healthcare
Jacksonville, North Carolina

Substance Abuse Counselor (LCAS) – Full-Time

CounselorIncludes callFull-Time

Listed compensation

$53K - $57K

The week · per this posting · weekdays assumed

Ask the employer about weekend coverage, nights and shift pattern and time off.

Posted 4mo 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.

  • Substance Abuse Counselor (LCAS) – Full-Time
  • Jacksonville, NC
  • $53,000 – $57,000 annually
  • Full-Time | Clinical Treatment Setting | Substance Use & Co-Occurring Disorders
  • Make a Real Impact in Recovery-Driven Clinical Care

Pyramid Healthcare is actively seeking a Licensed Clinical Addiction Specialist (LCAS) to join our dedicated behavioral health team in Jacksonville, NC. This is a meaningful opportunity for a motivated clinician who is passionate about substance use disorder (SUD) treatment, mental health recovery, and evidence-based care.

You’ll work in a structured, supportive clinical environment focused on helping individuals achieve long-term recovery from substance use and co-occurring mental health disorders.

If you're a clinician who thrives in collaborative care teams, enjoys group facilitation, and values measurable client outcomes, this role is for you.

  • What You’ll Do
  • Conduct comprehensive clinical assessments and biopsychosocial evaluations
  • Provide individual therapy, group therapy, and family counseling
  • Develop, implement, and update individualized treatment plans
  • Maintain accurate and timely clinical documentation in the Electronic Health Record (EHR/ECR)
  • Participate in utilization review (UR) and treatment planning meetings
  • Support aftercare planning, discharge planning, and continuity of care
  • Deliver crisis intervention and de-escalation support when needed
  • Contribute to program development, curriculum enhancement, and staff training
  • Participate in on-call rotation as assigned
  • Maintain compliance with all state regulations, licensing standards, and company policies

Required Qualifications

Active LCAS licensure in North Carolina (required)

Master’s Degree In

  • Counseling
  • Social Work
  • Psychology

Or Related Behavioral Health Field

  • Experience in substance use disorder (SUD), mental health, trauma-informed care, or co-occurring treatment settings (preferred)
  • Valid driver’s license required
  • Preferred Experience (Not Required but Valued)
  • Group therapy facilitation in residential or outpatient settings
  • Experience with evidence-based modalities (CBT, DBT, MI)
  • Familiarity with ASAM criteria or utilization review processes
  • Experience working in structured clinical treatment programs

Why Join Pyramid Healthcare?

At Pyramid Healthcare, you’re not just filling a role—you’re joining a mission-driven organization committed to recovery, dignity, and long-term client success.

You’ll Benefit From

  • A supportive multidisciplinary clinical team
  • Structured environment with clear clinical workflows
  • Opportunity to make a direct impact on client recovery outcomes
  • Ongoing training and professional development
  • Stable full-time schedule in a high-demand clinical field
  • Who Thrives in This Role

This Position Is Ideal for Clinicians Who Are

  • Passionate about substance use recovery and behavioral health treatment
  • Comfortable working in a structured, team-based clinical setting
  • Skilled in building therapeutic rapport and facilitating group sessions
  • Motivated by measurable client progress and long-term recovery outcomes
  • Join Pyramid Healthcare and help transform lives in the Jacksonville, NC community through compassionate, evidence-based clinical care.
  • Apply now to become a Substance Abuse Counselor (LCAS)

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

Conduct comprehensive clinical assessments and provide individual, group, and family therapy for individuals with substance use and co-occurring disorders. Manage individualized treatment plans and maintain accurate clinical documentation within the Electronic Health Record system.

Requirements

Requires an active LCAS licensure in North Carolina and a Master's degree in Counseling, Social Work, Psychology, or a related behavioral health field. A valid driver's license is required, with preferred experience in trauma-informed care and evidence-based modalities.

Qualifications

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

Key Skills

Clinical AssessmentBiopsychosocial EvaluationMotivational Interviewing

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).

Top Substance Use / Addiction Counselor Jobs

8 matches · ranked by pay

Salary Distribution8 jobs · 7 employers

3
<$55k
2
$55k-70k
1
$71k
2
$85k-100k

Annual compensation range

Work-Life Balance Distribution8 jobs · 7 employers

0
1-2
0
3-4
2
5-6
6
7-8
0
9-10

Higher = better work-life balance

#1

Substance Use Counselor

St. Anthony Foundation · San Francisco, California

$60k-$90k
#2

SUD Counselor - COAT

DESC · Seattle, Washington

$39.08-$43.15/hr
#3

Certified Addictions Counselor (CADC / LCAS) – Camp Lejeune, NC

$70k-$71k
#4

Substance Use Counselor

$29-$32.5/hr
+ 6 more · ranked by pay

Work-life snapshot

median 6.1this job 3.9
Better work-life than 30% of Substance Use / Addiction Counselor listings

Listing-based score, 0–10, across 1,008 comparable listings. Shaded area = the share scoring below this one.

  • On-site
  • Includes call

Living in Jacksonville

Typical 3-bedroom home value
$254k≈ 4.8× annual pay
Typical market rent
$1,417/mo≈ 32% of gross pay
Residents’ average commute
15 min
Metro price indexU.S. average = 100
92.1
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 · Jacksonville, NC metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. 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 Insurance
Dental Insurance
Vision Insurance
Flexible Spending Accounts
Life Insurance
Paid Time Off
401(k) with Company Match
Tuition Reimbursement