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Pyramid Healthcare
Mills River, North Carolina

Clinical Director – Substance Use & Behavioral Health

Addiction Medicine 8.0 Work-LifeNo callNo weekendsFull-Time

Listed compensation

$75k-$90k

Listing transparency4 of 6 stated

Ask the employer about the work setting and nights and shift pattern.

Employment & setting
Full-Time
Call expectations
No call
Weekends
No weekends
Posted 41m 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 – Substance Use Treatment
  • Silver Ridge Recovery | Mills River, NC
  • Salary: $75,000–$90,000 per year
  • Schedule: Monday–Friday | Daytime Hours
  • Employment Type: Full-Time

Lead Clinical Care. Support Recovery. Make an Impact.

Silver Ridge Recovery, part of Pyramid Healthcare, is seeking an experienced Clinical Director to lead clinical services at our Mills River, NC location.

Silver Ridge is an adult substance use treatment program serving men and women age 35+. This is an opportunity for an experienced clinical leader to oversee a dedicated clinical team while helping ensure high-quality, compassionate, and compliant care for individuals working toward long-term recovery.

What You'll Do

As Clinical Director, you will provide clinical leadership and oversight for the program while partnering with facility and corporate leadership to maintain strong clinical standards, regulatory compliance, and quality outcomes.

Clinical Leadership

Oversee all clinical services, including assessments and intakes, individual and group therapy, family services, treatment planning, aftercare planning, crisis intervention, and utilization review.

  • Provide clinical supervision, training, and ongoing development for clinical staff.
  • Facilitate treatment team meetings and provide guidance regarding clinical decision-making and client care.
  • Support structured onboarding and ongoing training for clinical team members.

Develop and maintain clinical programming and curriculum in collaboration with regional and corporate clinical leadership.

Monitor client engagement and outcome measures and implement initiatives to improve clinical effectiveness.

Program & Compliance Oversight

Partner with program and corporate leadership on clinical strategy and continuous quality improvement.

Participate in operational and clinical reviews involving documentation, EMR processes, billing, marketing, and other program needs.

  • Ensure compliance with federal and state regulations, accreditation standards, and organizational policies.
  • Represent the program during internal and external audits.
  • Provide clinical support during crisis situations and assist with on-call clinical needs as required.

Team Leadership

  • Supervise clinical staff and ensure appropriate training, support, and professional development.
  • Promote a collaborative clinical environment focused on quality care and positive client outcomes.

Work closely with leadership to identify barriers to engagement and develop solutions that strengthen program effectiveness.

What We're Looking For

  • Master's degree in Counseling, Social Work, or a related clinical field.
  • Current professional clinical license, such as LCSW, LCMHC, or LCAS.
  • 3–5 years of experience in a clinical leadership or related healthcare role.
  • Experience working in substance use treatment or a similar behavioral healthcare setting.
  • Strong clinical judgment and leadership skills.
  • Excellent verbal, written, and interpersonal communication skills.
  • Ability to manage crisis situations and make sound clinical decisions.
  • Knowledge of applicable federal and state regulations and accreditation standards.
  • Ability to effectively navigate and utilize an EMR.
  • Utilization Review experience, particularly with PPO and out-of-network policies, is preferred.

Why Join Pyramid Healthcare?

At Pyramid Healthcare, you'll have the opportunity to make a meaningful impact in the lives of individuals and families affected by substance use and behavioral health challenges.

You'll join a team committed to quality clinical care, professional development, collaboration, and long-term recovery outcomes.

If you're an experienced behavioral health leader ready to make an impact at Silver Ridge Recovery in Mills River, NC, we'd love to hear from you.

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: https://bit.ly/Pyramid-Careers.

Pyramid Healthcare, Inc. is proud of its diverse workforce, and is an Equal Opportunity Employer.

Key Responsibilities

The Clinical Director will provide leadership and oversight for clinical services, including therapy, treatment planning, and crisis intervention. They will also ensure regulatory compliance, supervise clinical staff, and collaborate with leadership to improve clinical outcomes.

Requirements

Candidates must hold a Master's degree in Counseling, Social Work, or a related field and possess a current professional clinical license such as LCSW, LCMHC, or LCAS. Additionally, 3–5 years of experience in a clinical leadership or healthcare role is required.

Qualifications

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

Key Skills

Staff developmentAssessment and intake

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Clinical Director – Substance Use & Behavioral Health at Pyramid Healthcare a 8.0 out of 10 for work-life balance — classified as excellent. This places the position in the top 5% of all Addiction Medicine healthcare professional listings evaluated on our platform. Contributing factors include no on-call duties, no weekend requirements.

Addiction Medicine Career Context

Addiction Medicine pay on WeekdayDoc is up 13.0% 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 ~$83k midpoint carries the purchasing power of roughly $87k in an average-cost state. 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Work-life snapshot

8.0/ 10
Listing-based score
  • No call
  • No weekends

Living in Mills River

Typical 3-bedroom home value
$503k
Median resident rent
$1,551/mo
Residents’ average commute
21 min
Metro price indexU.S. average = 100
96.5
State income tax
Up to 4.8%
Sources & methodology

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

BEA 2024 · Asheville, NC metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.

Pyramid Healthcare logo

About Pyramid Healthcare

Hospitals and Health Care
Duncansville, Pennsylvania
1,001-5,000 employees

Benefits & Perks

Medical Insurance
Dental Insurance
Vision Insurance
Flexible Spending Accounts
Life Insurance
Paid Time Off
401(k) with Company Match
Tuition Reimbursement