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Pyramid Healthcare
Asheville, North Carolina

ACTT Clinical Team Lead – LCSW / LCMHC | Asheville & Mars Hill, NC

Social WorkerNo weekendsFull-Time

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.

Posted 19m 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.

  • 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

Risk AssessmentCase ManagementMultidisciplinary Team Coordination

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).

Licensed Clinical Social Worker (LCSW) by the numbers
MeasureThis jobMarket
Work-life score6.4 / 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–$70kLicensed Clinical Social Worker (LCSW) median $79k (middle half $63k–$86k)315 comparable listings, Nov 2026
Cost-of-living adjusted pay~$69k in purchasing powerNorth Carolina index 94.3 (US = 100)BEA Regional Price Parities (2024)
Social Work listings in North Carolina207 active—live on WeekdayDoc, Nov 2026
All licensed clinical social worker (lcsw) listings in North Carolina231 active7,157 nationallylive on WeekdayDoc, Nov 2026
Sign-on & loan repaymentnot statedNorth 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 listings2,537 in the last 30 days1,436 the 30 days before (+77%)U.S., first seen on WeekdayDoc, Nov 2026
Sources: WeekdayDoc live listing index (2,010 Licensed Clinical Social Worker (LCSW) listings), BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page. North Carolina figures use all licensed clinical social worker (lcsw)s: too few North Carolina Social Work postings state pay.

Top Licensed Clinical Social Worker (LCSW) Jobs

17 matches · ranked by pay

Salary Distribution

17 jobs · 10 employers
4
<$90k
4
$90k-110k
4
$110k-130k
5
$130k-150k

Annual compensation range

Benefits & Perks

12 jobs · 10 employers
401k / retirement match
100% this job
Sign-on bonus
50%
CME allowance
33%

Share of similar jobs offering each benefit

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$62-$70/hr
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Work-life snapshot

median 6.1this job 6.4
Better work-life than 60% of Licensed Clinical Social Worker (LCSW) listings

Listing-based score, 0–10, across 2,010 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 Asheville

Typical 3-bedroom home value
$451k≈ 7.5× annual pay
Typical market rent
$1,726/mo≈ 35% of gross pay
Residents’ average commute
18 min
Metro price indexU.S. average = 100
96.5
State income tax
Up to 4.8%
Sources & methodology

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

BEA 2024 · Asheville, NC metro prices. Housing figures are city-level.

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