Carolina Outreach logo
Carolina Outreach
Fayetteville, North Carolina

Assertive Community Treatment (ACT) Co-Occurring Disorder Therapist (3610)

Counselor Top 25% in Mental Health Therapy (Counseling)Full-Time

Listed compensation

$52K - $71K

  • 80%better work-life than Mental Health Therapy (Counseling) peers
  • +15%Mental Health Therapy listings, last 30 days

The week · per this posting

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

Posted 3mo ago

Job Description

Job DetailsJob Location: Fayetteville, NC 28301Position Type: Full TimeEducation Level: Master's DegreeSalary Range: $52,083.46 - $71,289.00 Salary/yearTravel 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.

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

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

Individual TherapyCase ManagementTreatment Planning

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Assertive Community Treatment (ACT) Co-Occurring Disorder Therapist (3610) at Carolina Outreach 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 7,933 active Mental Health Therapy (Counseling) listings on WeekdayDoc.

Counselor Career Context

Carolina Outreach holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 74/100, 17 active listings.

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 44% are remote, 32% have no call, 70% require no weekends.

Mental Health Therapy pay on WeekdayDoc is up 2.2% 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 ~$62k midpoint carries the purchasing power of roughly $65k in an average-cost state. 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

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Salary Distribution29 jobs · 19 employers

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Annual compensation range

Benefits & Perks23 jobs · 19 employers

401k / retirement match
91% this job
CME allowance
30%
Sign-on bonus
22%
Loan repayment
9%

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Work-life snapshot

median 6.4this job 7.2
Better work-life than 80% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 7,933 comparable listings. Shaded area = the share scoring below this one.

Living in Fayetteville

Typical 3-bedroom home value
$207k≈ 4.0× annual pay
Typical market rent
$1,367/mo≈ 31% of gross pay
Residents’ average commute
19 min
Metro price indexU.S. average = 100
92.0
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 · Fayetteville, NC metro prices. Housing figures are city-level.

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

Carolina Outreach logo

About Carolina Outreach

Mental Health Care
Durham, North Carolina
201-500 employees

Benefits & Perks

Flexible scheduling
Health insurance (Anthem)
HSA/FSA
Dental (Delta Dental)
Vision (EyeMed)
Dependent Care FSA
Generous PTO
401k or Roth IRA