Mental Health Therapist (SUD) - LCAS + LCMHC/LCSW/ or LMFT

You came to this work to help people. We built the structure to let you.

You went into this work to help people through recovery, not to chase billable hours or finish notes at 9 p. m. Too often, the structure around the work gets in the way.

Steadfast Health is built differently. You will have a fixed salary, 10.5 hours of protected paid time every week, a capped caseload, and a team that includes MA/LPN and Peer Recovery Specialist support. We are funded by Google Ventures (GV) and launched out of Triple Aim Partners, who back the clinic infrastructure and front-line support that make this model last.

Steadfast has successfully launched three clinics in Cleveland and Nashville, and we’re excited to bring the same model to North Carolina. You’d be joining an organization that has already proven it can open clinics, staff them well, and support the people who work in them.”

Who We Are

Steadfast was founded to set a new standard for addiction treatment. Traditional treatment often fails to reach patients when they need it most, so we focus on making low-barrier, high-quality care available to everyone. Recovery looks different for every person. You will meet patients where they are, using evidence-based therapies in a compassionate environment that supports healing and growth.

• What you can count on
• A place you can build a career.

We are a well-resourced organization with clinics across 3 states. Moving to a new employer is a big decision, and we want you to be able to make it with confidence.

• Time to do the work properly.
• Your schedule includes 10.5 hours per week of paid, protected time for documentation, supervision, case consultation, and lunch.
• A caseload that stays manageable.
• We cap caseloads to protect quality of care and your wellbeing.
• You won’t be doing this alone.
• You will work in a collaborative care model with MA/LPN and Peer Recovery Specialist support.
• Paperwork handled for you.
• In-house billing and Soulside AI documentation support keep your time with patients and away from reimbursement and charting backlogs.
• Values you will recognize in daily work.

Our care is low-barrier, non-punitive, and harm-reductionist. Lived experience with recovery is a strength here, not a barrier. Many of our team members bring personal or family experience with addiction and recovery, and we welcome candidates in recovery to apply.

Compensation and Benefits

Health coverage: Medical, dental, and vision insurance, plus 100% employer-paid short- and long-term disability and life insurance

• Retirement: 401(k) with up to 5% company match
• Time off: 29 days to start (PTO, floating holidays, paid volunteer days), increasing on your anniversary, plus 4 Re-Fuel Days each year for mental health, rest, or CEU activities
• Professional growth: Annual CEU stipend and ongoing paid training
• Employee Assistance Program: Free, confidential access to therapy, legal, financial, and wellness resources

Additional Perks

SoFi student loan interest rate discount, Rightway Health Concierge, one year of free pet telehealth through Pawp, and Perkspot discount marketplace

Pay range: $70,000 to $80,000 with a monthly performance based bonus of 5%

What You Will Do

Provide individual and group therapy for patients with substance use disorders, in person and by telehealth

Complete comprehensive biopsychosocial assessments and develop individualized treatment plans using a non-paternalistic, destigmatizing approach

Use evidence-based modalities, including Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and Dialectical Behavior Therapy (DBT)

Work alongside Advanced Practice Providers, Medical Assistants, and Peer Recovery Specialists to build and carry out integrated care plans

• Support patients in crisis and coordinate higher levels of care when needed
• Keep thorough, timely documentation that meets state, federal, and organizational requirements
• Improve access to care for disadvantaged and marginalized populations
• Build trust with patients and communities through compassion and consistency
• Educate patients and families about SUD, co-occurring disorders, and resources that support lasting recovery
• Take part in case consultations, team meetings, and continuing education to stay current in SUD treatment

What You Bring

• Required
• Active LCAS and independent licensure as an LCMHC, LMFT, or LCSW in North Carolina
• At least 1 year of experience providing therapy to individuals with substance use disorders
• Strong knowledge of SUD diagnoses, medications, and treatment modalities
• Strong interpersonal skills and the ability to work well with diverse staff, patients, and community members
• A collaborative approach and a commitment to continuous learning
• Alignment with our mission of low-barrier, non-punitive, harm-reductionist SUD care
• Preferred
• Experience with telehealth platforms and virtual care delivery
• Where and when you will work
• Location: 1493 New Walkertown Rd, Winston-Salem, NC 27101

Schedule: Monday through Friday, 8:30 a. m. to 5:00 p. m.

Physical Requirements

The demands below are representative of those needed to perform the essential functions of this role. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

• Sit, stand, and walk for extended periods during sessions, meetings, and daily work
• Frequent use of hands and fingers for typing, writing, and handling clinical documentation
• Occasionally lift and carry materials up to 25 pounds
• Respond promptly to emergencies, including assisting patients in distress or crisis
• Sufficient visual and auditory ability to assess patient needs, read documentation, and communicate with patients, families, and team members
• Navigate clinic spaces, including patient rooms, offices, and common areas

Work in high-stress situations that call for emotional resilience, professionalism, and effective de-escalation skills

About Our Investors

Steadfast Health is proudly funded by Google Ventures (GV) and launched out of Triple Aim Partners (TAP). Since 2019, TAP has partnered with entrepreneurs across the healthcare ecosystem to build organizations dedicated to the Triple Aim: better patient experience, better population health, and lower healthcare costs for all. TAP emphasizes strong, front-line-focused company cultures that enable high-quality patient care.