Assertive Community Treatment (ACT) Co-Occurring Disorder Therapist (3610)
Listed compensation
$52K - $71K
The week · per this posting · weekdays assumed
Ask the employer about the work setting, call expectations, weekend coverage and time off.
Job Description
- Job Location: Fayetteville, NC 28301
- Position Type: Full Time
- Education Level: Master's Degree
- Salary Range: $52,083.46 - $71,289.00 Salary/year
- Travel Percentage: Local TravelAbout 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 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. 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.
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: $52,083.46 to $71,289
Placement within the range is based on licensure level, education, and experience. What You Can Expect 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 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.
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.
Key Responsibilities
Provide community-based, in-home therapy and crisis support for individuals with co-occurring mental health and substance use disorders. Collaborate with a multidisciplinary ACT team to implement treatment plans and support clients' recovery and independence.
Requirements
Requires a Master's degree in a human service field and specific licensure such as CCS, CCAS, or LCAS. A valid driver's license and current automobile insurance are also mandatory.
Qualifications
- Education
- Master's degree (postgraduate degree)
- Experience
- 2+ years of experience
Key Skills
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Assertive Community Treatment (ACT) Co-Occurring Disorder Therapist (3610) at ncg CARE a 7.2 out of 10 for work-life balance — classified as very good. This places the position in the top 25% in Mental Health Therapy (Counseling) — ranked against 7,479 active Mental Health Therapy (Counseling) listings on WeekdayDoc.
Counselor Career Context
ncg CARE ranks #16 of 22 employers hiring Counselor on WeekdayDoc by average advertised pay.
Of the 50 active Mental Health Therapy listings this role was benchmarked against, 60% are remote, 20% have no call, 52% require no weekends.
| Measure | This job | Market |
|---|---|---|
| Work-life score | 7.2 / 10 · top 25% in mental health therapy (counseling) | ranked against 7,479 Mental Health Therapy (Counseling) listingslisting-based score, 0–10 |
| Listed pay | $52k–$71k | Mental Health Therapy median $59k (middle half $55k–$60k)12 comparable listings, Nov 2026 |
| Cost-of-living adjusted pay | ~$65k in purchasing power | North Carolina index 94.3 (US = 100)BEA Regional Price Parities (2024) |
| Mental Health Therapy listings in North Carolina | 269 active | 7,494 nationallylive on WeekdayDoc, Nov 2026 |
| Work setting | on-site | peers: 60% remote · 20% no call · 52% no weekends50 benchmarked listings |
| Sign-on & loan repayment | not stated | North Carolina counselor listings (all specialties): 14% state a sign-on bonus (median $5k) · 15% offer loan repayment470 active listings, Nov 2026 |
| New Mental Health Therapy listings | 2,561 in the last 30 days | 1,376 the 30 days before (+86%)U.S., first seen on WeekdayDoc, Nov 2026 |
| Mental Health Therapy pay trend | −1.9% vs prior quarter | —through Oct 2026 |
| ncg CARE | #16 of 22 for pay | Top Employers work-life index |
Top Counselor Jobs
39 matches · ranked by paySalary Distribution
39 jobs · 29 employersAnnual compensation range
Benefits & Perks
32 jobs · 29 employersShare of similar jobs offering each benefit
Licensed Mental Health Therapist
LifeStance Health · Lake Oswego, Oregon
Licensed Marriage and Family Therapist (LMFT)
LifeStance Health · West Linn, Oregon
Mental Health Therapist
$82k-$131kLicensed Marriage and Family Therapist (LMFT)
$115k-$120k