Steadfast Health logo
Steadfast Health
Winston-Salem, North Carolina

Licensed Therapist – Addiction and Mental Health

Counselor 8.0 Work-LifeNo callNo weekendsNo nightsFull-Time

Listed compensation

$70k-$80k

The week · per this posting · Monday – FridayWeekdays only

Ask the employer about the work setting.

Posted 57m ago · Verified live

Job Description

At Steadfast Health we’re a on a mission to deliver hope, healing, and long-term health to those experiencing substance use disorder, through best-in-class addiction treatment and an unwavering belief that lasting recovery comes from partnering with our patients as respected equals in their care journey.

We’re a passionate team striving to raise the standard of compassionate care for our patients, and we know that to do that, we must care for our people first. We’d love to meet you and tell you about what we’re building!

We are funded by Google Ventures (GV) and launched out of Triple Aim Partners, who back the clinic infrastructure and front-line support that make this model last.

Steadfast has successfully launched three clinics in Cleveland and Nashville, and we’re excited to bring the same model to North Carolina.

Schedule

Monday-Friday, 8:30-5:00. No nights, weekends, or on-call. One protected hour built into every day.

Compensation: $70,000-$80,000 W2 annual salary, based on experience and licensure with a 5% monthly performance bonus structure. This is a true salary: your pay is the same every pay period regardless of patient no-shows, cancellations, and a growing caseload never affects your paycheck.

Location: 1493 New Walkertown Rd, Winston-Salem, NC 27101

Why Steadfast

  • Healthcare Coverage: medical, dental & vision insurance, plus 100% employer-paid short- and long-term disability and life insurance.
  • 401(k) Match: up to 5% company match.
  • Time Off: 29 days off a year to start (PTO, floating holidays, paid volunteer days), increasing on your anniversary — plus 4 Re-Fuel Days annually for mental health, rest, or CEU activities.
  • Continuing Education: annual CEU stipend and ongoing paid training.

Employee Assistance Program (EAP): free, confidential access to therapy, legal, financial, and wellness resources.

Protected Time: built into your day for recharging, clinical supervision, huddles, care planning, and admin work.

Clinical Support: MA/LPN and Peer Recovery Specialist support, a collaborative care model with physician backup, and manageable panel sizes.

Additional Perks

SoFi student loan interest rate discount, Rightway Health Concierge, a year of free pet telehealth through Pawp, and Perkspot discount marketplace.

Soulside AI documentation support: because your energy belongs with patients, not paperwork.

We believe lived experience with recovery is a strength, not a barrier — many of our team bring personal or family experience with addiction and recovery, and we welcome candidates in recovery to apply.

Key Responsibilities (Include But Are Not Limited To)

Provide individual and group therapy sessions for patients with substance use disorders, both in-person and via telehealth, embodying the Steadfast patient-first ethos.

Conduct comprehensive biopsychosocial assessments and develop individualized treatment plans, modeling a non-paternalistic and destigmatizing approach to patient care.

Utilize evidence-based therapeutic modalities, such as Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and Dialectical Behavior Therapy (DBT), to support patient recovery.

Collaborate with all clinic-level team members to formulate and execute patient care plans, including Advanced Practice Providers, Medical Assistants, and Peer Recovery Specialists, ensuring integrated treatment approaches.

  • Support patients in crisis intervention situations and coordinate higher levels of care when necessary.
  • Maintain thorough and timely documentation in compliance with state, federal, and organizational guidelines.
  • Pioneer innovative ways of improving access and overall care for disadvantaged, marginalized populations.

Champion the company’s mission by modeling compassion and fostering trust and strong relationships with patients and communities.

Educate patients and families on SUD, co-occurring disorders, and available resources to support sustained recovery and overall health.

Participate in regular case consultations, team meetings, and continuing education to stay current with best practices in SUD treatment.

Qualifications

  • North Carolina licensure in one of the following combinations:
  • Option 1: An independent mental health license (LCMHC, LMFT, or LCSW) and one of the following: a CADC, an LCAS Associate, or an LCAS
  • Option 2: An associate-level mental health license (LCMHCA, LMFTA, or LCSWA) and an independent LCAS

At least one of your licenses must be independent. A CADC is a certification rather than a license, so it must be paired with an independent mental health license (Option 1).

  • Experience with telehealth platforms and virtual care delivery is a plus.
  • Strong knowledge of SUD diagnoses, medications, and treatment modalities.
  • Ability to effectively interact with diverse staff, patients, and community members.
  • Excellent interpersonal skills, a flexible, can-do mentality, and a commitment to continuous learning and professional development.
  • Passionate about Steadfast Health’s mission to provide low-barrier, non-punitive, harm-reductionist SUD care.

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Ability to sit, stand, and walk for extended periods during patient sessions, meetings, and daily work activities.

Frequent use of hands and fingers for typing, writing, and handling clinical documentation and materials.

Ability to occasionally lift and carry materials (e. g., patient files, training supplies) weighing up to 25 pounds.

Ability to respond promptly to emergency situations, including providing assistance to patients in distress or crisis situations.

Sufficient visual and auditory abilities to assess patient needs, read documentation, and communicate effectively with patients, families, and team members.

  • Ability to navigate clinic spaces, including patient rooms, offices, and common areas.
  • Work may involve exposure to high-stress situations requiring emotional resilience, professionalism, and effective de-escalation skills.

Investors & Partners

Steadfast Health is proudly funded by Google Ventures (GV) and launched out of Triple Aim Partners.

Since 2019, Triple Aim Partners (TAP) has partnered with entrepreneurs across the healthcare ecosystem to build transformative organizations, all with the mission of achieving the Triple Aim (better patient experience, better population health, and lower healthcare costs for all).

TAP emphasizes the importance of creating strong, front-line focused company cultures that enable high-quality patient care.

Key Responsibilities

Provide individual and group therapy sessions for patients with substance use disorders while conducting comprehensive assessments and developing individualized treatment plans. Collaborate with a multidisciplinary team to ensure integrated care and maintain accurate clinical documentation in compliance with regulations.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Individual therapySubstance use disorder treatmentTreatment planningHarm reductionCollaborationCase management

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 ~$75k midpoint carries the purchasing power of roughly $80k in an average-cost state. 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Steadfast Health holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 74/100, 9 active listings.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Licensed Therapist – Addiction and Mental Health at Steadfast Health a 8.0 out of 10 for work-life balance — classified as excellent. This places the position in the top 5% in Substance Use / Addiction Counselor — ranked against 1,008 active Substance Use / Addiction Counselor listings on WeekdayDoc. Contributing factors include no on-call duties, no weekend requirements, no night shifts.

Top Substance Use / Addiction Counselor Jobs

12 matches · ranked by pay

Salary Distribution11 jobs · 6 employers

5
<$50k
1
$52k
2
$55k-60k
2
$60k-65k
1
$71k

Annual compensation range

Benefits & Perks11 jobs · 6 employers

401k / retirement match
100% this job
Loan repayment
73% this job
PSLF eligible
73%
CME allowance
64% this job
Sign-on bonus
18% this job

Share of similar jobs offering each benefit

#1

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

MDPerm · Camp Lejeune, North Carolina

$70k-$71k
#2

Substance Use Counselor

Alpharus Health · Newberry, Michigan

$22-$30/hr
#3

Substance Abuse Counselor, QMHP and LCASA / LCAS - Be a Lifeline for Individuals in Need. $1K Sign-on Bonus

From $60k
#4

Substance Use Disorder Counselor

$22.75-$28/hr
+ 10 more · ranked by pay

Work-life snapshot

median 6.1this job 8.0
Among the best 10% of Substance Use / Addiction Counselor listings for work-life

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

  • No call
  • No weekends
  • No nights

Living in Winston-Salem

Typical 3-bedroom home value
$263k≈ 3.8× annual pay
Typical market rent
$1,507/mo≈ 26% of gross pay
Residents’ average commute
22 min
Metro price indexU.S. average = 100
92.0
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 · Winston-Salem, NC metro prices. Housing figures are city-level.

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

Steadfast Health logo

About Steadfast Health

Hospitals and Health Care
11-50 employees

Benefits & Perks

Medical, dental, and vision insurance
100% employer-paid short- and long-term disability and life insurance
401(k) with up to 5% match
29 days off a year to start (PTO, floating holidays, paid volunteer days)
4 Re-Fuel Days annually
Annual CEU stipend and ongoing paid training
Employee Assistance Program
Protected time built into each day