Provide community-based substance use treatment and counseling to individuals with serious mental illness and co-occurring disorders. Responsibilities include conducting therapy sessions, developing treatment plans, and participating in crisis response and emergency rotations.
Requirements summary
Requires CADC or LCAS certification and Qualified Professional (QP) status per NC regulations. A valid North Carolina driver's license and the ability to travel locally in Winston-Salem are mandatory.
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
Benefits
Dental Insurance
Life Insurance
Paid Time Off
Vision Insurance
Medical Insurance
Tuition Reimbursement
Flexible Spending Accounts
Mileage Reimbursement
401(k) With Company Match
Employee Recognition Programs
Referral Bonus Opportunities
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: https://bit.ly/Pyramid-Careers. Pyramid Healthcare, Inc. is proud of its diverse workforce, and is an Equal Opportunity Employer.
