CO
Carolina Outreach
Durham, North Carolina

Assertive Community Treatment (ACT) Co-Occurring Disorder Therapist (3071)

Counselor 8.0 Work-LifeNo nightsFull-Time

Listed compensation

$52K - $61K

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 6mo ago

Job Description

Job DetailsLevel: ExperiencedJob Location: Durham, NC 27707Position Type: Full TimeEducation Level: Master's DegreeSalary Range: $52,083.46 - $61,434.41 Salary/yearTravel Percentage: Client TransportJob Shift: Day ShiftBring Your Passion.

We are actively seeking a compassionate and skilled Co-Occurring Disorder Therapist to join our team. This role is essential to our mission, providing therapy, crisis support, and service coordination for mental health clients in a variety of settings.

As a Co-Occurring Disorder Therapist with Carolina Outreach, you will provide community-based, in-home therapy to individuals with mental health and substance use needs as part of our Assertive Community Treatment (ACT) team.

Services include individual and family therapy, crisis intervention, substance use treatment, and support with daily living, employment, and community functioning.

This role involves collaboration with clients, families, and support systems to promote symptom stability, recovery, and independence, while also supporting the ACT team through clinical consultation and care coordination. Build Your Purpose.

Carolina Outreach, an ncgCARE partner, is a leading provider of community-based behavioral health services in North Carolina. As part of the ncgCARE network, we are dedicated to improving lives by delivering evidence-based mental health care for children, adolescents, and adults.

Our comprehensive range of services include school-based therapy, outpatient treatment, psychiatric evaluations, community support, and substance use services.

Key Responsibilities

Conduct substance use assessments and implement treatment plans using evidence-based practices. Provide individual, family, and group therapy, including crisis and behavioral interventions. Collaborate with clients, families, and support systems to achieve goals outlined in the person-centered plan.

Offer clinical guidance on substance use, crisis planning, and transition planning within a multidisciplinary ACT team. Maintain accurate and timely clinical documentation and be available to support the team and clients as needed, including after hours.

The above statements describe the general nature of work being performed and are not an exhaustive list of all responsibilities. Location: Durham, NC Compensation: $52,083.46 to $61,434.41 *Final compensation is determined by factors such as education, licensure level, experience and other qualifications.

Qualifications Education

Master's degree in human service field Licensure: CCS, CCAS or LCAS (or provisionally licensed and receiving the appropriate supervision), required. Other Requirements: Valid driver's license and current automobile insurance, required. Grow with Us.

Come be part of an inclusive culture that values excellence, innovation, and discovery. As an organization, we have exciting opportunities to be forward-thinking leaders in our field.

We want talented individuals to join us, examine our current operations, and create innovative solutions that will revolutionize and enhance the way we approach our work.

Beyond the engaging work, you'll also benefit from ncgCARE's competitive benefits package to support you and your loved ones, provide work/life balance, and invest in your future. The list below is for informational purposes only.

Consumer-driven health plan coverage provided by Anthem Wellness: When you enroll in a medical plan, you get complete care support on your time through Sydney app (Anthem), with exclusive access to 24/7 access to licensed doctors, therapists, and psychiatrists.

Health Savings Account (HSA) or Flex Spending Account (FSA) Two dental plan options available through Delta Dental, so you can choose the level of coverage that fits your needs and budget. Affordable vision plan available through EyeMed to keep your eyes healthy and your vision sharp.

An optional Dependent Care Flexible Spending Account to reimburse yourself on a pre-tax basis for child care.

Generous paid time off 401k or Roth IRA Retirement Programs administered by Empower Financial planning and education services at no cost to you Educational Assistance (your position, date of hire and years of service determine your eligibility) ncgCARE offers excellent compensation packages including a salary commensurate with experience and benefits to meet your needs for today and the future.

Equal Opportunity Employer

ncgCARE and each of its affiliated partners are equal opportunity employers. We consider all qualified candidates without regard to race, religion, color, national origin, citizenship, sex, sexual orientation, gender identity, age, veteran status, disability, genetic information, or other protected characteristic.

We believe it’s important to create an inclusive workplace for everyone, so please reach out if you need an accommodation in the application or interview process as our goal is to create an environment where you are able to fully participate.

You can contact us at hrteam@ncgcare.com. ncgCARE participates in the E-Verify program. Therefore, any employment with ncgCARE will also be contingent upon confirmation from the Social Security Administration (“SSA”) and/or the Department of Homeland Security (“DHS”) of your authorization to work in the United States.

EEO is the Law EEO Supplement E-Verify Family Medical Leave Pay Transparency ncgCARE and all partner affiliates maintain a drug-free workplace.

Key Responsibilities

The therapist will provide community-based, in-home therapy for individuals with mental health and substance use needs, offering individual, family, and group sessions along with crisis intervention. This role involves collaborating with clients and support systems to promote recovery and independence while offering clinical guidance to the Assertive Community Treatment team.

Requirements

Candidates must possess a Master's degree in a human service field and hold required licensure such as CCS, CCAS, or LCAS, or be provisionally licensed with appropriate supervision. A valid driver's license and current automobile insurance are also mandatory requirements for this position.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Individual Therapy

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Assertive Community Treatment (ACT) Co-Occurring Disorder Therapist (3071) at Carolina Outreach a 8.0 out of 10 for work-life balance — classified as excellent. This places the position in the top 10% in Mental Health Therapy (Counseling) — ranked against 8,026 active Mental Health Therapy (Counseling) listings on WeekdayDoc. Contributing factors include no night shifts.

Counselor Career Context

Carolina Outreach holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 73/100, 18 active listings.

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 56% are remote, 36% have no call, 72% require no weekends.

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$57k midpoint carries the purchasing power of roughly $60k in an average-cost state. 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Counselor Jobs

22 matches · ranked by pay

Salary Distribution22 jobs · 15 employers

11
<$80k
2
$80k-95k
2
$95k-110k
4
$110k-125k
3
$125k+

Annual compensation range

Benefits & Perks20 jobs · 15 employers

401k / retirement match
100% this job
Sign-on bonus
45%
CME allowance
20%
PSLF eligible
15%
Loan repayment
5%

Share of similar jobs offering each benefit

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$103k-$128k
#2

Licensed Clinical Mental Health Therapist - LICSW/LPCC/LMFT

LifeStance Health · Saint Louis Park, Minnesota

$74k-$126k
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Licensed Marriage and Family Therapist (LMFT, LPC, LCSW)

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#4

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+ 20 more · ranked by pay

Work-life snapshot

median 6.1this job 8.0
Among the best 10% of Mental Health Therapy (Counseling) listings for work-life

Listing-based score, 0–10, across 8,026 comparable listings. Shaded area = the share scoring below this one.

  • No nights

Living in Durham

Typical 3-bedroom home value
$363k≈ 7.0× annual pay
Typical market rent
$1,659/mo≈ 38% of gross pay
Residents’ average commute
22 min
Metro price indexU.S. average = 100
97.6
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 · Durham-Chapel Hill, NC metro prices. Housing figures are city-level.

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

CO

About Carolina Outreach

Mental Health Care
Durham, North Carolina
201-500 employees

Benefits & Perks

Health Insurance
HSA/FSA
Dental
Vision
Paid Time Off
401k
Educational Assistance