Substance Abuse Counselor
US$60,000 – US$67,000 / yr base salary
Posted 15 Jul 2026
Advertised as “Substance Abuse Counselor – LCAS”
BranchFactor Summary
The original posting with the fluff stripped out
- Management level
- Individual contributor
- Contract
- Full-time
| Base salary | US$60,000 – US$67,000 / yr |
|---|
Field of studyCounseling, Psychology, Social Work (or related)
Study levelMaster's
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 – LCAS / LCSW / LCMHC
Location: Silver Ridge – Mills River, NC
Pay: $60,000–$67,000 per year, based on licensure and experience
Schedule: Full-Time | Monday–Friday, 8:30 AM–5:00 PM, with 1 rotating weekend per month
Benefits: Comprehensive Benefits Package
Make a Difference in Addiction Recovery
Silver Ridge, part of Pyramid Healthcare, is seeking a dedicated Substance Abuse Counselor to join our clinical team in Mills River, NC. This position provides counseling and clinical support to adults ages 35 and older receiving treatment for substance use disorders.
If you are passionate about helping individuals achieve lasting recovery, this is an opportunity to use your clinical skills in an established treatment program that emphasizes evidence-based care, individualized treatment planning, and a supportive therapeutic environment.
Position Highlights
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Competitive salary of $60,000–$67,000 annually
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Consistent weekday schedule: Monday–Friday, 8:30 AM–5:00 PM
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Rotating weekend coverage required approximately once per month
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Full-time employment with comprehensive benefits
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Opportunity to work with a multidisciplinary team serving adults in addiction recovery
Responsibilities
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Provide individual, group, and family counseling to adults receiving substance use disorder treatment.
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Conduct clinical assessments and develop individualized treatment plans.
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Facilitate therapeutic, psychoeducational, and process groups.
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Apply evidence-based counseling approaches, including Motivational Interviewing and Acceptance and Commitment Therapy (ACT).
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Monitor client progress and adjust treatment goals based on clinical needs.
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Complete accurate and timely clinical documentation in the electronic health record.
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Participate in treatment team meetings, utilization reviews, discharge planning, and aftercare coordination.
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Collaborate with medical, clinical, and behavioral health professionals to coordinate client care.
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Promote a safe, structured, and supportive treatment environment.
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Contribute to program development and quality improvement initiatives.
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Participate in the on-call rotation as assigned.
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Maintain the required schedule, including one rotating weekend per month.
Qualifications
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Master's degree in Social Work, Counseling, Psychology, or a related behavioral health field.
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Appropriate North Carolina licensure or associate-level licensure, such as LCAS, LCASA, LCSW, LCSWA, LCMHC, or LCMHCA, consistent with applicable role requirements.
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Experience in substance use disorder treatment preferred.
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Experience treating co-occurring mental health and substance use disorders preferred.
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Strong clinical assessment, counseling, communication, and documentation skills.
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Current CPR, AED, and First Aid certification, or ability to obtain as required.
Why Join Silver Ridge?
At Silver Ridge, you will be part of a clinical team committed to helping adults overcome substance use challenges and build healthier futures. Pyramid Healthcare offers an opportunity to grow your clinical experience while contributing to individualized, recovery-focused care.
Apply today to join Silver Ridge in Mills River, NC, and help individuals take meaningful steps toward lasting recovery.
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.