ACTT Clinical Team Lead – LCSW / LCMHC | Asheville & Mars Hill, NC
Listed compensation
$60k-$70k
The week · per this posting · Monday – Friday
Ask the employer about the work setting, call expectations, nights and shift pattern and time off.
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.
- ACTT Clinical Team Lead – LCSW / LCMHC | Asheville & Mars Hill, NC
- Locations: Asheville, NC & Mars Hill, NC
- Compensation: $60,000–$70,000 annually, based on experience and qualifications
- Schedule: Full-Time | Monday–Friday | Daytime Hours | 40 Hours per Week
Lead an ACTT Team. Make an Impact in Your Community.
Pyramid Healthcare is seeking experienced and compassionate ACTT Clinical Team Leads to provide clinical leadership, staff supervision, and program oversight across our Western North Carolina programs.
We Currently Have Three Leadership Opportunities Available
- ACTT 1 – Asheville, NC
- ACTT Dual Diagnosis – Asheville, NC
- ACTT 3 – Mars Hill, NC
Our Assertive Community Treatment (ACTT) programs operate as a "hospital without walls," bringing comprehensive behavioral health services directly to individuals in their communities. We serve individuals with serious mental illness and complex behavioral health needs, helping them achieve greater stability, independence, and long-term recovery.
As a Clinical Team Lead, you will guide a multidisciplinary team, oversee clinical services, support staff development, and ensure the delivery of high-quality, person-centered care.
- Available Positions & Service Areas
- ACTT 1 – Asheville, NC
- Service Area: Buncombe and Henderson counties.
- Licensure: LCSW or LCMHC required.
- Associate-level licensure (LCSWA or LCMHCA) accepted.
- ACTT Dual Diagnosis – Asheville, NC
- Service Area: Buncombe and Henderson counties.
- Licensure: LCSW or LCMHC required, with an additional LCAS(A) credential.
- Associate-level LCSW or LCMHC licensure accepted, provided the candidate also holds the required LCAS(A) credential.
- ACTT 3 – Mars Hill, NC
- Service Area: Madison, Mitchell, and Yancey counties.
- Licensure: LCSW or LCMHC required.
- Associate-level licensure (LCSWA or LCMHCA) accepted.
Position Responsibilities
- Provide clinical leadership, supervision, and direction to a multidisciplinary ACTT team.
- Oversee daily team operations, clinical services, and program activities.
- Provide guidance, support, and professional development to team members.
- Ensure timely completion and quality of assessments, treatment plans, progress notes, and clinical documentation.
- Monitor treatment outcomes and promote adherence to ACTT standards and TMACT fidelity requirements.
- Support crisis intervention, risk assessments, and coordination of care for individuals with complex behavioral health needs.
- Collaborate with psychiatrists, medical providers, community partners, and other treatment providers.
- Participate in treatment planning, case reviews, and discharge planning.
- Ensure compliance with applicable state regulations, licensing requirements, and organizational policies.
- Promote a collaborative, recovery-oriented environment focused on individualized care and community integration.
Qualifications & Requirements
- Master's degree in Social Work, Counseling, or a related behavioral health field.
- Current North Carolina LCSW or LCMHC license, or associate-level LCSWA or LCMHCA license.
Additional requirement for the Dual Diagnosis position: Current LCAS credential required in addition to the LCSW/LCMHC credential.
Previous experience working with individuals with serious mental illness (SMI) and/or co-occurring mental health and substance use disorders.
- Clinical leadership, supervisory, or team management experience preferred.
- Strong clinical assessment, documentation, communication, and organizational skills.
- Ability to work collaboratively with multidisciplinary teams and community partners.
- Valid driver's license and ability to provide community-based services throughout the assigned service area.
Why Join Pyramid Healthcare?
Pyramid Healthcare is committed to providing comprehensive behavioral health and substance use treatment services. Our ACTT programs offer an opportunity to make a meaningful difference by helping individuals access the care and support they need within their own communities.
Additional Benefits & Opportunities
- Competitive compensation based on experience and qualifications.
- Company vehicle, phone, and mileage support for community-based services, as applicable to the program.
- Professional development and ongoing training.
- Opportunities for clinical supervision and licensure development, where applicable.
- A collaborative team environment focused on recovery and community-based care.
- Join Pyramid Healthcare and help lead a team that makes a difference every day!
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 Clinical Team Lead provides clinical leadership, staff supervision, and program oversight for multidisciplinary Assertive Community Treatment teams. They ensure the delivery of high-quality, person-centered care while monitoring treatment outcomes and maintaining compliance with state regulations.
Requirements
Candidates must hold a Master's degree in Social Work, Counseling, or a related field and possess a current North Carolina LCSW or LCMHC license. Previous experience working with individuals with serious mental illness and co-occurring disorders is required, along with a valid driver's license.
Qualifications
- Education
- Master's degree (postgraduate degree)
- Experience
- 2+ years of experience
Key Skills
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates ACTT Clinical Team Lead – LCSW / LCMHC | Asheville & Mars Hill, NC at Pyramid Healthcare a 6.4 out of 10 for work-life balance — classified as good. This places the position in the Above average in Licensed Clinical Social Worker (LCSW) — ranked against 2,010 active Licensed Clinical Social Worker (LCSW) listings on WeekdayDoc. Contributing factors include no weekend requirements.
Social Worker Career Context
The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$65k midpoint carries the purchasing power of roughly $69k in an average-cost state. 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
| Measure | This job | Market |
|---|---|---|
| Work-life score | 6.4 / 10 · above average in licensed clinical social worker (lcsw) | ranked against 2,010 Licensed Clinical Social Worker (LCSW) listingslisting-based score, 0–10 |
| Listed pay | $60k–$70k | Licensed Clinical Social Worker (LCSW) median $79k (middle half $63k–$86k)315 comparable listings, Nov 2026 |
| Cost-of-living adjusted pay | ~$69k in purchasing power | North Carolina index 94.3 (US = 100)BEA Regional Price Parities (2024) |
| Social Work listings in North Carolina | 207 active | —live on WeekdayDoc, Nov 2026 |
| All licensed clinical social worker (lcsw) listings in North Carolina | 231 active | 7,157 nationallylive on WeekdayDoc, Nov 2026 |
| Sign-on & loan repayment | not stated | North Carolina social worker listings (all specialties): 14% state a sign-on bonus (median $4k) · 3% offer loan repayment231 active listings, Nov 2026 |
| New Social Work listings | 2,537 in the last 30 days | 1,436 the 30 days before (+77%)U.S., first seen on WeekdayDoc, Nov 2026 |
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