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ncg CARE
Hayesville, North Carolina

Assertive Community Treatment (ACT) Therapist (4199)

CounselorIncludes callFull-Time

Listed compensation

$54k-$73k

The week · per this posting · weekdays assumed

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

Posted 1mo ago · Verified live

Job Description

Job DetailsJob Location: Hayesville, NC 28904Position Type: Full TimeEducation Level: Master's DegreeSalary Range: $54,372.00 - $73,494.00 Salary/yearTravel Percentage: Local TravelAbout Us Appalachian Community Services provides Mental Health, Behavioral Health, Substance Use, and Developmental Disability services to individuals, families, and communities within the seven western counties of North Carolina. We provide a wide range of walk-in, psychiatric, substance abuse, and crisis services to adults and children.

About the Role As an ACT Therapist, you will have the opportunity to make a meaningful difference in the lives of individuals living with severe and persistent mental illness.

Working as part of a multidisciplinary Assertive Community Treatment (ACT) team, you will build strong therapeutic relationships while helping individuals navigate challenges, develop coping skills, and work toward their personal goals.

Through counseling, crisis intervention, clinical assessment, and collaborative treatment planning, you will provide support where it is needed most and help individuals achieve greater stability, independence, and connection within their communities.

Facilitating relationships and serving as a link between the company, parents, guardians, local agencies and the community Minimizing the negative effects of psychiatric symptoms or substance dependence that interfere with the recipient’s daily living and personal development, providing supportive counseling Supporting the client in the development of various skill-building activities, including daily and community living skills, socialization skills, adaptation skills, and behavior and anger management Participating in a first responder on-call system available to consumers and/or his/her natural support network on a 24/7/365 basis; coordinates “first response" resources according to consumer need and the PCP Performing Case Management functions of linking and arranging for services and referrals Working closely with other clinical/professional staff to maintain communication and providing feedback, standardizing procedures and expediting PCP implementation Ensuring that all initial and reauthorizations for services occur in a timely fashion Monitoring utilization of service to ensure that it is effective, appropriate, and within the limits set forth in both rule, PCP, and the service authorization Coordinating transition to another level/type of care for the client Leadership responsibilities including coaching, performance management, hiring and other related duties.

Compensation This role is compensated on a salaried basis, providing consistent earnings aligned with the responsibilities and expectations of the position.

Compensation

$54,372 - $73,494 Placement within the range is based on licensure level, education, and experience. What You Can Expect Consistent referral volume and established patient base Administrative and scheduling support Flexible scheduling options Supportive clinical and operational leadership Opportunities to build your preferred clinical focus areas Streamlined onboarding and credentialing support

Responsibilities

Provide individual, family, and/or group therapy sessions Maintain accurate and timely clinical documentation Collaborate with care teams as needed Maintain compliance with all clinical and regulatory standards Participate in supervision (if applicable based on licensure level) Qualifications

Qualifications At Minimum must have a Master's Degree in counseling, social work or related field. Valid licensure to provide mental/behavioral healthcare in the state of North Carolina; Licenses include LCSW, LCSWA, LCMHC, LCMHCA, LMFT or Licensed Psychologist A minimum of two years of experience working with individuals with mental and/or behavioral health issues that include writing person-centered plans, conducting effective group therapy and providing mental health diagnoses Valid driver’s license, auto insurance and reliable transportation Experience with Electronic Medical Records (EMR) preferred.

Why Join Us We are focused on creating a model where clinicians are supported, not overloaded. You’ll have the flexibility to shape your schedule, the support to maintain a steady caseload, and the opportunity to grow within a stable, mission-driven organization.

Beyond the engaging work, you'll also benefit from our competitive benefits package to support you and your loved ones, provide work/life balance, and invest in your future. The list below is for informational purposes only.

Consumer-driven health plan coverage provided by Anthem Wellness: When you enroll in a medical plan, you get complete care support on your time through Sydney app (Anthem), with exclusive access to 24/7 access to licensed doctors, therapists, and psychiatrists.

Health Savings Account (HSA) or Flex Spending Account (FSA) Two dental plan options available through Delta Dental, so you can choose the level of coverage that fits your needs and budget. Affordable vision plan available through EyeMed to keep your eyes healthy and your vision sharp.

An optional Dependent Care Flexible Spending Account to reimburse yourself on a pre-tax basis for childcare.

Generous paid time off 401k or Roth IRA Retirement Programs administered by Empower Financial planning and education services at no cost to you Voluntary supplemental benefits (Accident, Critical Illness, Short-Term Disability) Educational Assistance (your position, date of hire and years of service determine your eligibility) Licensure Residency Program for Full-time Clinical Staff Advancement and Career Development Opportunities Legal Notice: We are an equal opportunity employer.

Employment is at-will and contingent upon successful completion of background checks and credential verification. We participate in E-Verify to confirm employment eligibility in the United States. Reasonable accommodations are available upon request in accordance with the Americans with Disabilities Act (ADA). Must be authorized to work in the United States.

Compensation varies based on licensure, experience, and caseload. ncgCARE and all partner affiliates maintain a drug-free workplace. #AC1

Key Responsibilities

The ACT Therapist provides individual, family, and group therapy while coordinating care within a multidisciplinary team to support individuals with severe mental illness. Responsibilities include clinical assessment, crisis intervention, case management, and maintaining accurate documentation to ensure effective treatment.

Requirements

Candidates must hold a Master's degree in counseling, social work, or a related field and possess a valid North Carolina clinical license. A minimum of two years of experience in mental health, including person-centered planning and group therapy, is required.

Qualifications

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

Key Skills

Mental Health CounselingSubstance Abuse CounselingBehavior ManagementPsychiatric Symptom Management

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Assertive Community Treatment (ACT) Therapist (4199) at ncg CARE 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.

Counselor Career Context

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 52% are remote, 34% have no call, 72% require no weekends.

Mental Health Therapy pay on WeekdayDoc is down 1.2% vs. the prior quarter (through Sep 2026).

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$64k midpoint carries the purchasing power of roughly $68k in an average-cost state. 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

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Salary Distribution29 jobs · 23 employers

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Annual compensation range

Benefits & Perks25 jobs · 23 employers

401k / retirement match
96% this job
CME allowance
36%
Sign-on bonus
20%
Loan repayment
12%

Share of similar jobs offering each benefit

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Work-life snapshot

median 6.2this job 6.0
Better work-life than 50% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 8,029 comparable listings. Shaded area = the share scoring below this one.

  • Includes call

Living in Hayesville

Typical 3-bedroom home value
$366k≈ 6.7× annual pay
Median resident rent
$499/mo≈ 11% of gross pay
Residents’ average commute
22 min
State income tax
Up to 4.8%
Sources & methodology

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

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.

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About ncg CARE

Hospitals and Health Care
Richmond, VA
51-200 employees

Benefits & Perks

Health insurance (Anthem)
Dental insurance (Delta Dental)
Vision insurance (EyeMed)
Health Savings Account (HSA) or Flexible Spending Account (FSA)
Dependent Care FSA
Generous paid time off
401k or Roth IRA retirement programs
Financial planning services