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ncg CARE
Durham, North Carolina

Assertive Community Treatment (ACT) Therapist

CounselorFull-Time

Listed compensation

$54k-$73k

The week · per this posting

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

Posted 2h ago · Verified live

Job Description

Job Details: Job Location: Durham NC - Durham, NC, Position Type: Full Time, Education Level: Master's Degree, Salary Range: $54373.00 - $73494.00Salary/year, Travel Percentage: Business Travel,

About Us

Since 2003, we've been assisting children, families and adults across North Carolina with their behavioral health needs. Carolina Outreach is a group of highly trained behavioral health professionals dedicated to promoting the emotional and physical well-being of our community in a safe and respectful environment.

We provide a comprehensive and integrative array of behavioral health services and supports for people of all ages with varying levels of need utilizing an equitable and inclusive approach.

We focus on helping our clients tap into and develop their inherent strengths with the goal of supporting the highest quality of life possible for all we serve.

About the Role We are seeking a full-time Mental Health Therapist to provide community-based, in-home individual and family interventions to Mental Health and Substance Use Disorder clients receiving ACT team services. The person in this position will work with clients, families, and natural supports to provide service coordination, crisis assessment and intervention with ACT consumers.

Qualifications

This position requires a associate or full mental health license (i. e LCSW/A or LCMHC/A).

The person in this position will work with clients, families, and natural supports to provide the following: service coordination; crisis assessment and intervention; symptom assessment and management; individual counseling and psychotherapy; substance abuse treatment; work-related services; activities of daily living services; social, interpersonal relationship, and leisure-time activity services; support services or direct assistance to ensure that individuals obtain the basic necessities of daily life; and education, support, and consultation.

Provide mental health assessments and recommend/implement treatment options based on these assessments. Provide clinical guidance to the team about clients’ mental health issues and develop and implement (or assist in the development and implementation of) clients’ person-centered plans.

Provide clinical guidance and/or oversight in the development of crisis plans and transition plans when clients move in and out of services. Provide individual, family, or group therapy to clients, families, and natural supports, based on their needs, diagnoses, and best evidence-based practices.

Implement therapeutic interventions, crisis interventions, behavioral interventions, psycho-educational activities, and other best evidence-based practice therapies. Work with clients, families, natural supports, and collateral agencies in reviewing, applying, and achieving goals outlined in the person-centered plan.

This description outlines the general scope and level of work for this role. It is not intended to include every duty or responsibility that may be required of employees in this position.

Compensation This role is compensated on a salaried basis, providing consistent earnings aligned with the responsibilities and expectations of the position.

Compensation

$54,372 - $73,494 Placement within the range is based on licensure level, education, and experience. What You Can Expect Consistent referral volume and established patient base Administrative and scheduling support Flexible scheduling options Supportive clinical and operational leadership Opportunities to build your preferred clinical focus areas Streamlined onboarding and credentialing support

Responsibilities

Provide individual, family, and/or group therapy sessions Maintain accurate and timely clinical documentation Collaborate with care teams as needed Maintain compliance with all clinical and regulatory standards Participate in supervision (if applicable based on licensure level) Qualifications: Qualifications At Minimum must have a Master's Degree in counseling, social work or related field.

Must be licensed in NC as a LCSW/A or LCMHC/A Why Join Us We are focused on creating a model where clinicians are supported, not overloaded. You’ll have the flexibility to shape your schedule, the support to maintain a steady caseload, and the opportunity to grow within a stable, mission-driven organization.

Beyond the engaging work, you'll also benefit from our 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 childcare.

Generous paid time off 401k or Roth IRA Retirement Programs administered by Empower Financial planning and education services at no cost to you Voluntary supplemental benefits (Accident, Critical Illness, Short-Term Disability) Educational Assistance (your position, date of hire and years of service determine your eligibility) Licensure Residency Program for Full-time Clinical Staff Advancement and Career Development Opportunities Legal Notice: We are an equal opportunity employer.

Employment is at-will and contingent upon successful completion of background checks and credential verification. We participate in E-Verify to confirm employment eligibility in the United States. Reasonable accommodations are available upon request in accordance with the Americans with Disabilities Act (ADA). Must be authorized to work in the United States.

Compensation varies based on licensure, experience, and caseload. ncgCARE and all partner affiliates maintain a drug-free workplace. #CO1

Key Responsibilities

Provide community-based, in-home individual and family interventions for mental health and substance use disorder clients. Develop and implement person-centered plans while maintaining accurate clinical documentation and regulatory compliance.

Requirements

Requires a Master's degree in counseling, social work, or a related field. Must hold an active North Carolina license as an LCSW/A or LCMHC/A.

Qualifications

Education
Master's degree (postgraduate degree)

Key Skills

Mental health therapyCrisis interventionPerson-centered planningCase management

Counselor Career Context

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 50% are remote, 28% have no call, 64% require no weekends.

Mental Health Therapy pay on WeekdayDoc is down 2.7% vs. the prior quarter (through Aug 2026).

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$64k midpoint carries the purchasing power of roughly $68k 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

32 matches · ranked by pay

Salary Distribution32 jobs · 25 employers

15
<$75k
5
$75k-95k
6
$95k-115k
5
$115k-135k
1
$140k

Annual compensation range

Benefits & Perks29 jobs · 25 employers

401k / retirement match
93% this job
CME allowance
31%
Loan repayment
21%
Sign-on bonus
17%
PSLF eligible
10%

Share of similar jobs offering each benefit

#1

Outpatient Therapist (Licensed Psychologist or LICSW)

Allina Health · Edina, Minnesota

$125k-$140k
#2

Licensed Marriage and Family Therapist (LMFT, LPC, LCSW)

LifeStance Health · Madison, Wisconsin

$92k-$125k
#3

Licensed Mental Health Therapist (LMFT, LPC, LCSW)

$115k-$120k
#4

Licensed Marriage & Family Therapist (LMFT)

$115k-$120k
+ 30 more · ranked by pay

Work-life snapshot

median 6.3this job 2.8
Better work-life than 20% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 7,853 comparable listings. Shaded area = the share scoring below this one.

Living in Durham

Typical 3-bedroom home value
$363k≈ 6.7× annual pay
Typical market rent
$1,659/mo≈ 37% 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.

ncg CARE logo

About ncg CARE

Hospitals and Health Care
Richmond, VA
51-200 employees

Benefits & Perks

Consumer-driven health plan (Anthem)
Wellness support (Sydney app)
Health Savings Account (HSA)
Flex Spending Account (FSA)
Dental (Delta Dental)
Vision (EyeMed)
Dependent Care FSA
Generous paid time off