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Pyramid Healthcare

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

$51k to $58k

Jacksonville, NCPosted Sep 16, 2026

Against the United States typical range

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 Specialistto join ourAssertive 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: INTEGRITYis striving to be honest, transparent, and ethical when dealing with clients, staff, and the community.DEDICATIONis demonstrating an unwavering commitment to always provide exceptional care and support to those we serve is needed daily.COLLABORATIONis a steadfast, team-focused approach; working together to achieve excellence.PASSIONis 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.

Description copied from Pyramid Healthcare's careers page. Read the full posting before you apply.

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