Substance Abuse Counselor (ACTT)

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.

• Substance Abuse Counselor / Co-Occurring Specialist – ACT Team
• Winston-Salem, NC
• Full-Time Opportunity

CADC or LCAS Required

Help Individuals Recover. Support Lasting Change. Make a Community Impact.

Pyramid Healthcare is seeking a compassionate and motivated Substance Abuse Counselor / Co-Occurring Specialist to join our Assertive Community Treatment Team (ACTT) in Winston-Salem, NC.

This community-based role focuses on providing direct outpatient Substance Use Disorder (SUD) services to individuals living with serious mental illness and co-occurring substance use disorders. As part of our ACT Team, you’ll deliver recovery-focused care directly in the community — helping individuals access the support and stability they need to thrive.

Pyramid Healthcare is a recognized leader in behavioral healthcare across North Carolina, offering individualized, evidence-based treatment services that support long-term recovery and wellness.

Position Summary

The Substance Abuse Counselor / Co-Occurring Specialist provides counseling, crisis intervention, treatment planning, and community-based support services to individuals receiving ACTT services. This role works collaboratively with a multidisciplinary treatment team to improve client outcomes and reduce barriers to recovery.

Key Responsibilities

• Provide community-based substance use treatment services in homes and community settings
• Conduct individual, group, and family therapy sessions
• Complete LOCAs, pre-authorizations, and clinical reviews in a timely manner
• Develop and maintain treatment plans, NCTOPPS, discharge plans, and aftercare plans
• Maintain ongoing communication with families, referral sources, and support systems
• Deliver interventions for individuals with severe and persistent mental illness and substance use disorders
• Participate in on-call and emergency service rotation, including crisis response and hospital diversion support
• Attend treatment team meetings, supervision, and required trainings
• Complete documentation accurately and within required timelines
• Perform additional duties as assigned

Required Qualifications

• CADC or LCAS required
• Ability to obtain required certification/licensure within 90 days of hire (if applicable)
• Qualified Professional (QP) status per 10A NCAC 27G.0104
• Valid North Carolina driver’s license
• Ability and willingness to travel locally throughout the Winston-Salem area

Preferred Experience

• ACTT, community mental health, or outpatient behavioral health experience
• Experience working with co-occurring disorders and crisis intervention
• Strong knowledge of recovery-oriented and person-centered treatment approaches

Why Join Pyramid Healthcare?

• Competitive compensation and full benefits package
• Mileage reimbursement for community travel
• Mission-driven work with meaningful community impact
• Supportive multidisciplinary team environment
• Career growth opportunities within a leading behavioral healthcare organization

If you’re passionate about helping individuals achieve recovery and stability while working in a collaborative, community-focused environment, apply today to join Pyramid Healthcare’s ACT Team in Winston-Salem, NC.

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: bit. ly.

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