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Pyramid Healthcare
York, Pennsylvania

Therapist - Substance Use Treatment

CounselorIncludes callIncludes weekendsFull-Time

Compensation

Pay not listed

The week · per this posting

Ask the employer about the pay range, the work setting, nights and shift pattern and time off.

Posted 1mo 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 Use Disorder Counselor – Inpatient Location: York, PA Schedule: Full-Time | 8:00 AM – 4:00 PM | Weekend availability required Make an Impact. Build Your Career. Help People Recover. Are you passionate about helping individuals overcome substance use and build a healthier future?

Join our team as a Substance Use Disorder Counselor and make a meaningful difference every day in the lives of individuals working toward recovery.

In this role, you’ll provide compassionate, client-centered care in a structured inpatient environment while working alongside a multidisciplinary team of behavioral health professionals.

You’ll have the opportunity to facilitate individual, group, and family sessions, support treatment planning, and help clients take meaningful steps toward long-term recovery. We’re also committed to your professional growth.

Clinical supervision is available, and we provide support toward eligible CADC, CAADC, LPC, and LCSW credentials, making this an excellent opportunity for professionals looking to build a long-term career in behavioral health.

What You’ll Do Conduct comprehensive assessments of clients’ behavioral, emotional, cognitive, social, and spiritual needs. Provide individual, group, and family counseling in a supportive inpatient setting. Develop and implement treatment plans in collaboration with clients and the multidisciplinary treatment team.

Monitor client progress and adjust treatment approaches based on individual needs. Complete timely and accurate documentation within the Electronic Clinical Record (ECR). Participate in Level of Care Assessments and support appropriate treatment recommendations.

Assist with utilization review, discharge planning, and coordination of aftercare services. Collaborate with clinical, medical, and support staff to promote positive client outcomes. Help maintain a safe, supportive, and therapeutic environment for clients and staff.

Respond appropriately to behavioral or clinical crises and follow established safety protocols. Contribute to curriculum development, clinical training, and continuous quality improvement initiatives. Participate in an on-call rotation as needed. Complete required training and other duties as assigned.

What We’re Looking For We welcome candidates at different stages of their behavioral health careers.

Depending on education, experience, and credentials, candidates may qualify through one of the following pathways: Master’s Degree in counseling, social work, psychology, or a related field, with an applicable license or certification such as LPC, LCSW, LMFT, or CAADC, or eligibility to obtain.

Bachelor’s Degree in a related field with CADC, or eligibility to obtain. Associate’s Degree in a related field with CAAC, or eligibility to obtain. High School Diploma with CAAC, or eligibility to obtain.

Why Join Us? Clinical supervision to support your professional development. Financial assistance toward eligible credentials, including CADC, CAADC, LPC, and LCSW. Meaningful, mission-driven work where you can make a difference every day. Collaborative, multidisciplinary team environment. Opportunities to grow your skills and advance your behavioral health career.

The opportunity to work directly with individuals at an important stage in their recovery journey.

If you’re looking for a role where your work has a direct impact on people’s lives—and where you can continue growing as a behavioral health professional—we’d love to hear from you.   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 will conduct comprehensive assessments and provide individual, group, and family therapy within an inpatient setting. They are responsible for developing treatment plans, monitoring client progress, and collaborating with a multidisciplinary team to ensure positive outcomes.

Requirements

Candidates must hold at least a high school diploma with relevant certification, or a degree in a related field such as counseling, social work, or psychology. Eligibility for professional credentials like CADC, CAADC, LPC, or LCSW is required.

Qualifications

Education
Professional certificate or licensure

Key Skills

Substance use counselingBehavioral health assessmentIndividual counselingGroup counselingCrisis interventionClinical documentationMultidisciplinary collaboration

Addiction Medicine — Counselor Career Context

Pyramid Healthcare ranks #24 of 31 employers hiring Counselor on WeekdayDoc by average advertised pay.

Of the 50 active Substance Use / Addiction Counselor listings this role was benchmarked against, 34% are remote, 24% have no call, 74% require no weekends.

The cost-of-living index for Pennsylvania is 97.6 (US average = 100; BEA Regional Price Parities (2024)). 61.7% of Pennsylvania clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Counselor Jobs

48 matches · ranked by pay

Salary Distribution48 jobs · 39 employers

18
<$65k
12
$65k-85k
8
$85k-105k
9
$105k-125k
1
$125k

Annual compensation range

Benefits & Perks42 jobs · 39 employers

401k / retirement match
98% this job
CME allowance
52%
Sign-on bonus
31%
Loan repayment
24%
PSLF eligible
10%

Share of similar jobs offering each benefit

#1

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

LifeStance Health · Madison, Wisconsin

$92k-$125k
#2

Licensed Telehealth Therapist / Mental Health Counselor (South Carolina)

Prosper Health · South Carolina

$55-$60/hr
#3

Licensed Mental Health Counselor (LMHC)

$60/hr
#4

Remote Licensed Talk Therapist - Fee For Service

$124k
+ 46 more · ranked by pay

Work-life snapshot

median 6.1this job 5.1
Better work-life than 40% of Addiction Medicine (Counseling) listings

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

  • Includes call
  • Includes weekends

Living in York

Typical 3-bedroom home value
$274k
Typical market rent
$1,381/mo
Residents’ average commute
23 min
Metro price indexU.S. average = 100
96.0
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 · York-Hanover, PA 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