Pyramid Healthcare logo
Pyramid Healthcare
Altoona, Pennsylvania

Counselor / Therapist

CounselorNo 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 27m 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.

Make a Difference in Recovery

At Pyramid Healthcare, we believe recovery is possible for everyone. Our Altoona Outpatient program provides a supportive, therapeutic environment where individuals can build resilience, develop healthy coping skills, and reclaim their lives. We are seeking a compassionate and dedicated Outpatient Counselor to join our clinical team and help individuals achieve lasting recovery.

If you are passionate about behavioral healthcare, substance use disorder treatment, and making a meaningful impact in the lives of others, we encourage you to apply.

Schedule: Monday - Friday 8am - 4pm

Position Summary

The Outpatient Counselor is responsible for facilitating clinical services in accordance with program standards, ASAM criteria, and Pyramid Healthcare's clinical philosophy. This role provides individual counseling, group therapy, family therapy, assessments, treatment planning, utilization review support, and ongoing case management services while maintaining accurate and timely clinical documentation.

Essential Responsibilities

Clinical Services

Conduct biopsychosocial assessments and evaluate clients' behavioral, emotional, cognitive, social, and recovery needs.

Facilitate individual counseling sessions, group therapy, psychoeducational groups, and family counseling sessions.

  • Develop, implement, and update individualized treatment plans.
  • Monitor client progress and collaborate with the multidisciplinary treatment team.
  • Conduct Level of Care Assessments as required.
  • Assist clients in developing aftercare and discharge plans that support long-term recovery success.
  • Support crisis intervention and de-escalation efforts when necessary.

Documentation & Compliance

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

Team Collaboration

  • Attend shift-change meetings, supervision sessions, and interdisciplinary treatment team meetings.
  • Collaborate with physicians, nurses, case managers, and other clinical staff to ensure high-quality client care.
  • Participate in program development, curriculum enhancement, and ongoing training initiatives.
  • Provide program coverage and support operational needs 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."

– 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 field with a master's-level license (LPC, LSW, LCSW, LMFT, or equivalent) or CAADC certification.

Master's Degree in chemical dependency, psychology, social work, counseling, or a related behavioral health field and actively working toward master's-level licensure or CAADC certification.

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
  • Co-occurring mental health treatment
  • Inpatient behavioral health services
  • Individual, group, and family counseling
  • Motivational Interviewing (MI)
  • 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 written and verbal 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 both independently and collaboratively within a multidisciplinary team

Why Join Pyramid?

  • Join a nationally recognized behavioral healthcare organization.
  • Make a meaningful impact in the lives of individuals in recovery.
  • Be part of a supportive, mission-driven team.
  • Help advance access to addiction treatment and recovery services in the Pittsburgh community.
  • Work alongside dedicated professionals committed to client success.
  • Employees and families all have free virtual health care.
  • Take up to 50% of your earned pay in advance of payday to help cover surprise expenses.

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 facilitates clinical services including individual, group, and family therapy while developing and updating individualized treatment plans. They are also responsible for maintaining accurate clinical documentation, conducting assessments, and collaborating with the multidisciplinary team to ensure quality care.

Qualifications

Education
Professional certificate or licensure

Key Skills

HIPAA compliance

Counselor Career Context

Pyramid Healthcare ranks #24 of 27 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, 72% 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 Pennsylvania449 active7,868 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 34% remote · 34% no call · 72% no weekends50 benchmarked listings
Pyramid Healthcare#24 of 27 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

48 matches · ranked by pay

Salary Distribution

48 jobs · 39 employers
14
<$65k
15
$65k-80k
8
$80k-95k
6
$95k-110k
5
$110k+

Annual compensation range

Benefits & Perks

37 jobs
401k / retirement match
95% this job
Sign-on bonus
24%
CME allowance
22%
Loan repayment
11%
PSLF eligible
5%

Share of similar jobs offering each benefit

#1

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

LifeStance Health · Milwaukee, Wisconsin

$92k-$125k
#2

Licensed Clinical Mental Health Counselor (LCMHC)

Gotham Enterprises · Pinehurst, North Carolina

$115k-$120k
#3

Licensed Mental Health Counselor (LMFT, LCSW, LPC)

$115k-$120k
#4

Licensed Clinical Therapist (LCSW, LPC, LMFT)

$84k-$113k
+ 46 more · ranked by pay

Work-life snapshot

median 6.0this job 3.9
Better work-life than 30% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 7,863 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 Altoona

Typical 3-bedroom home value
$151k
Typical market rent
$1,090/mo
Residents’ average commute
18 min
Metro price indexU.S. average = 100
89.5
State income tax
Up to 3.1%
Sources & methodology

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

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

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