Pyramid Healthcare logo
Pyramid Healthcare
Gastonia, North Carolina

Clinical Director – Behavioral Health & Addiction Treatment

Addiction MedicineIncludes callIncludes weekendsFull-Time

Listed compensation

$65k-$85k

The week · per this posting · Monday – Friday

Weekend work is also flagged as required; confirm which days and how often.

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

Posted 54m 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.

  • Clinical Director – Behavioral Health & Addiction Treatment
  • Facility: Freedom Detox, a Pyramid Healthcare Program
  • Location: Gastonia, NC
  • Compensation: $65,000–$85,000 annually, based on experience and qualifications
  • Schedule: Full-Time | Monday–Friday | 8:00 AM–5:00 PM
  • Additional Availability: Occasional weekends and on-call clinical support as needed
  • Required Credential: Active North Carolina LCAS or other qualifying clinical license

Lead Clinical Excellence. Make a Lasting Impact.

Freedom Detox, part of Pyramid Healthcare, is seeking an experienced and dedicated Clinical Director to lead clinical operations at our Gastonia, NC facility.

The Clinical Director provides leadership and oversight for all clinical services, ensuring the delivery of high-quality, evidence-based care to individuals receiving substance use disorder treatment. This position plays a key role in clinical staff development, regulatory compliance, treatment quality, and overall program performance.

Working closely with facility leadership and corporate clinical teams, the Clinical Director will help foster a collaborative treatment environment, strengthen clinical programming, and ensure services align with Pyramid Healthcare's standards and commitment to quality patient care.

This is an excellent opportunity for an experienced clinical professional who is passionate about leadership, staff development, and improving outcomes for individuals navigating addiction and recovery.

Key Responsibilities

Clinical Leadership and Program Oversight

Provide leadership and oversight for all clinical services, including intake and assessment, individual and group therapy, family services, aftercare planning, crisis stabilization, and utilization review.

Ensure clinical programming aligns with Pyramid Healthcare standards, evidence-based practices, and applicable regulatory requirements.

Monitor client engagement, treatment outcomes, and completion of required outcome measures in accordance with facility and corporate standards.

Identify barriers to effective clinical engagement and implement strategies to improve treatment effectiveness and client outcomes.

Staff Supervision and Development

  • Directly supervise clinical staff to ensure appropriate training, professional development, licensure compliance, and adherence to ethical and clinical standards.
  • Provide ongoing clinical supervision, guidance, and support to clinical team members.
  • Coordinate structured onboarding, routine supervision meetings, and treatment team facilitation.

Maintain accurate documentation of supervisory activities and ensure staff receive appropriate clinical support.

Oversee clinical curriculum development and structured training initiatives in collaboration with Divisional Clinical Leadership.

Quality Assurance and Regulatory Compliance

Ensure compliance with all applicable federal and state regulations, accreditation standards, and Pyramid Healthcare policies.

Collaborate with program and corporate leadership to develop and implement annual clinical strategic plans and continuous quality improvement initiatives.

Participate in clinical and operational reviews involving documentation standards, electronic medical record (EMR) utilization, billing coordination, and utilization review.

Represent the program during internal and external audits and assist with implementing corrective action plans as needed.

Collaboration and Program Development

Work collaboratively with facility leadership, admissions, marketing, and corporate clinical teams to support program operations and growth.

Participate in marketing and outreach meetings as needed, providing clinical insight and representing the program's treatment philosophy.

Support coordination between clinical services and operational departments to promote effective treatment delivery and continuity of care.

  • Provide on-call clinical support and crisis intervention as required.
  • Perform additional responsibilities as assigned.

Qualifications

Education and Licensure

  • Master's degree in Counseling, Social Work, or a related behavioral health field.
  • Active, unrestricted North Carolina clinical license or credential, such as LCAS, LCSW, or LCMHC.

Experience

Minimum of 3–5 years of clinical leadership or supervisory experience within a behavioral health, substance use treatment, or healthcare setting.

  • Experience overseeing clinical programming and supervising multidisciplinary clinical teams.
  • Experience with utilization review is preferred.
  • Familiarity with PPO and out-of-network payer requirements is strongly preferred.

Leadership Skills and Competencies

  • Strong clinical leadership, staff development, and supervisory abilities.
  • Knowledge of evidence-based treatment practices and substance use disorder services.
  • Understanding of applicable state regulations, accreditation standards, and clinical documentation requirements.
  • Strong organizational, communication, and problem-solving skills.
  • Ability to balance clinical priorities, staff needs, regulatory compliance, and program operations.
  • Commitment to providing ethical, compassionate, and recovery-focused care.

Why Join Pyramid Healthcare?

At Pyramid Healthcare, we are dedicated to providing compassionate, evidence-based behavioral health and addiction treatment. Our leadership team plays an essential role in maintaining clinical excellence, developing talented professionals, and helping individuals build healthier futures.

Full-Time Benefits Include

  • Medical, Dental, and Vision Insurance
  • 401(k) with Company Match
  • Paid Time Off (PTO)
  • Paid Holidays
  • Tuition Reimbursement
  • Paid Training and Professional Development
  • Employee Recognition Programs
  • Career Growth Opportunities
  • Employee Referral Bonus Opportunities

Ready to Lead With Purpose?

If you are an experienced clinical leader with a passion for addiction treatment,

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.

Qualifications

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

Key Skills

Treatment planningProgram managementMultidisciplinary team coordination

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Clinical Director – Behavioral Health & Addiction Treatment at Pyramid Healthcare a 6.2 out of 10 for work-life balance — classified as good. This places the position in the top 35% of all Addiction Medicine healthcare professional listings evaluated on our platform.

Addiction Medicine Career Context

Addiction Medicine pay on WeekdayDoc is down 17.2% vs. the prior quarter (through Oct 2026).

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).

Addiction Medicine by the numbers
MeasureThis jobMarket
Cost-of-living adjusted pay~$80k in purchasing powerNorth Carolina index 94.3 (US = 100)BEA Regional Price Parities (2024)
Addiction Medicine listings in North Carolina78 active2,090 nationallylive on WeekdayDoc, Nov 2026
New Addiction Medicine listings470 in the last 30 days287 the 30 days before (+64%)U.S., first seen on WeekdayDoc, Nov 2026
Addiction Medicine pay trend−17.2% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Work-life snapshot

6.2/ 10
Listing-based score
  • Includes call
  • Includes 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
401(k) with Company Match
Paid Time Off
Paid Holidays
Tuition Reimbursement
Paid Training and Professional Development
Employee Recognition Programs
Career Growth Opportunities

Living in Gastonia

Typical 3-bedroom home value
$275k≈ 4.2× annual pay
Typical market rent
$1,483/mo≈ 27% of gross pay
Residents’ average commute
27 min
Metro price indexU.S. average = 100
97.3
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 · Charlotte-Concord-Gastonia, NC-SC metro prices. Housing figures are city-level.

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