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Pyramid Healthcare
Jacksonville, North Carolina

Substance Abuse Counselor / Co-Occurring Specialist (ACTT Program)

CounselorIncludes callIncludes weekendsFull-Time

Listed compensation

$24.50–$28.00 /hr

The week · per this posting · weekdays assumed

Ask the employer about nights and shift pattern and time off.

Posted 5mo ago

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.

  • Substance Abuse Counselor / Co-Occurring Specialist (ACTT Program)
  • Jacksonville, NC
  • $24.50 – $28.00 per hour (based on certification, licensure, and experience)
  • Full-Time

Join Pyramid Healthcare’s ACTT Team

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

This position provides direct outpatient Substance Use Disorder (SUD) services to individuals living with serious mental illness and co-occurring substance use disorders in community-based settings.

Through programs including PHP, IOP, MAT, Cross-Area Services, ACTT, and other specialty services, Pyramid Healthcare is a recognized leader in behavioral healthcare across North Carolina. We are committed to meeting clients where they are and creating individualized, recovery-focused treatment plans that support long-term success.

If you are passionate about community-based care and enjoy working within a collaborative multidisciplinary team, we encourage you to apply.

Why Join Pyramid Healthcare?

  • In-house licensure supervision
  • Company vehicle and phone provided
  • Mileage reimbursement included
  • Comprehensive paid training
  • Flexible scheduling
  • Supportive, mission-driven team environment
  • Crisis phone rotation: 1 weekday plus rotating weekends

Essential Duties & Responsibilities

  • Provide community-based substance use treatment services to ACTT clients 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
  • Collaborate 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 planning and hospital diversion
  • Attend treatment team meetings and required trainings
  • Perform additional duties as assigned

Required Qualifications

  • LCAS(A) or CADC 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 Jacksonville area

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.

Key Responsibilities

Provide community-based substance use treatment and therapy to individuals with serious mental illness and co-occurring disorders. Develop individualized treatment plans and collaborate with multidisciplinary teams and families to support long-term recovery.

Requirements

Requires LCAS(A) or CADC certification and Qualified Professional (QP) status per NC regulations. Must possess a valid North Carolina driver's license and the ability to travel locally within the Jacksonville area.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Substance Use Disorder TreatmentIndividual TherapyGroup TherapyTreatment PlanningCrisis InterventionCase ManagementOutpatient Services

Addiction Medicine — Counselor Career Context

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$55k midpoint carries the purchasing power of roughly $58k in an average-cost state. 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Substance Use / Addiction Counselor Jobs

8 matches · ranked by pay

Salary Distribution8 jobs · 7 employers

3
<$55k
2
$55k-70k
1
$71k
2
$85k-100k

Annual compensation range

Work-Life Balance Distribution8 jobs · 7 employers

0
1-2
0
3-4
2
5-6
6
7-8
0
9-10

Higher = better work-life balance

#1

Substance Use Counselor

St. Anthony Foundation · San Francisco, California

$60k-$90k
#2

SUD Counselor - COAT

DESC · Seattle, Washington

$39.08-$43.15/hr
#3

Certified Addictions Counselor (CADC / LCAS) – Camp Lejeune, NC

$70k-$71k
#4

Substance Use Counselor

$29-$32.5/hr
+ 6 more · ranked by pay

Work-life snapshot

median 6.1this job 1.5
Below most Substance Use / Addiction Counselor listings for work-life

Listing-based score, 0–10, across 1,008 comparable listings. Shaded area = the share scoring below this one.

  • On-site
  • Includes call
  • Includes weekends

Living in Jacksonville

Typical 3-bedroom home value
$254k
Typical market rent
$1,417/mo
Residents’ average commute
15 min
Metro price indexU.S. average = 100
92.1
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 · Jacksonville, 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, 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