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ncg CARE
Hayesville, North Carolina

Assertive Community Treatment (ACT) Therapist

Counselor / TherapistIncludes callFull-Time

Listed compensation

$54k-$73k

The week · per this posting · weekdays assumed

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

Posted 30m ago · Verified live

Job Description

  • Job Location: Hayesville NC - Hayesville, NC
  • Position Type: Full Time
  • Education Level: Master's Degree
  • Salary Range: $54372.00 - $73494.00Salary/year
  • Travel Percentage: Local Travel,

About Us

Appalachian Community Services provides Mental Health, Behavioral Health, Substance Use, and Developmental Disability services to individuals, families, and communities within the seven western counties of North Carolina. We provide a wide range of walk-in, psychiatric, substance abuse, and crisis services to adults and children.

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. Valid licensure to provide mental/behavioral healthcare in the state of North Carolina; Licenses include LCSW, LCSWA, LCMHC, LCMHCA, LMFT or Licensed Psychologist A minimum of two years of experience working with individuals with mental and/or behavioral health issues that include writing person-centered plans, conducting effective group therapy and providing mental health diagnoses Valid driver’s license, auto insurance and reliable transportation Experience with Electronic Medical Records (EMR) preferred.

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 therapy, clinical assessment, crisis intervention, and person-centered treatment planning for individuals with severe and persistent mental illness, while supporting daily living, socialization, and coping skills. Coordinate referrals and care transitions, maintain clinical documentation and regulatory compliance, participate in on-call response, and provide team leadership duties.

Requirements

A master's degree in counseling, social work, or a related field and a valid North Carolina license to provide mental or behavioral healthcare are required. Applicants must have at least two years of relevant experience, including person-centered planning, group therapy, and mental health diagnosis, as well as a valid driver's license, auto insurance, and reliable transportation.

Qualifications

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

Key Skills

Individual TherapyFamily TherapyCase ManagementSupportive CounselingSkill BuildingCare Coordination

Counselor Career Context

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 32% are remote, 42% have no call, 60% require no weekends.

Mental Health Therapy pay on WeekdayDoc is down 1.8% vs. the prior quarter (through Oct 2026).

Mental Health Therapy by the numbers
MeasureThis jobMarket
Cost-of-living adjusted pay~$68k in purchasing powerNorth Carolina index 94.3 (US = 100)BEA Regional Price Parities (2024)
Mental Health Therapy listings in North Carolina269 active7,533 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 32% remote · 42% no call · 60% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedNorth Carolina counselor listings (all specialties): 14% state a sign-on bonus (median $5k) · 16% offer loan repayment474 active listings, Nov 2026
New Mental Health Therapy listings2,473 in the last 30 days1,367 the 30 days before (+81%)U.S., first seen on WeekdayDoc, Nov 2026
Mental Health Therapy pay trend−1.8% 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.

Top Counselor Jobs

25 matches · ranked by pay

Salary Distribution

25 jobs · 19 employers
9
<$70k
7
$70k-85k
4
$85k-100k
1
$100k
4
$115k+

Annual compensation range

Benefits & Perks

20 jobs · 19 employers
401k / retirement match
90% this job
Sign-on bonus
20%
Loan repayment
20%
CME allowance
15%
PSLF eligible
15%

Share of similar jobs offering each benefit

#1

Licensed Marriage and Family Therapist (LMFT)

Gotham Enterprises · Bessemer City, North Carolina

$115k-$120k
#2

Licensed Mental Health Therapist (LMFT, LCMHC, LCSW)

Gotham Enterprises · Kernersville, North Carolina

$115k-$120k
#3

Licensed Clinical Mental Health Therapist - LICSW - LPCC - LMFT

$74k-$117k
#4

Licensed Clinical Therapist (LSCSW, LCPC, LCMFT) Sign-on Bonus $5,000

$81k-$117k
+ 23 more · ranked by pay

Work-life snapshot

median 6.0this job 3.9
Better work-life than 30% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 7,820 comparable listings. Shaded area = the share scoring below this one.

  • Includes call
ncg CARE logo

About ncg CARE

Hospitals and Health Care
Richmond, VA
51-200 employees

Benefits & Perks

Consumer-driven health plan (Anthem)
24/7 telehealth access (Sydney app)
Health Savings Account (HSA)
Flex Spending Account (FSA)
Dental (Delta Dental)
Vision (EyeMed)
Dependent Care FSA
Generous paid time off

Living in Hayesville

Typical 3-bedroom home value
$365k≈ 6.7× annual pay
Median resident rent
$499/mo≈ 11% of gross pay
Residents’ average commute
22 min
State income tax
Up to 4.8%
Sources & methodology

Sources: Zillow home values (Sep 2026), U.S. Census ACS 2024 five-year.

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