Substance Abuse Counselor (ACTT)

Pyramid Healthcare

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Charlotte, NC Until 10/4/2026 First posted August 5, 2026 Last posted August 5, 2026
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.

ACTT Substance Abuse Counselor

📍 Charlotte, NC
💲 $24.50–$28.00 per hour (based on licensure, certification, and experience)
🕒 Full-Time | Community-Based | Company Vehicle & Phone Provided

Make a Difference in Recovery—Where Clients Need You Most

Pyramid Healthcare is seeking a compassionate and dedicated Substance Abuse Counselor to join our Assertive Community Treatment Team (ACTT) in Charlotte, NC. Our ACTT program delivers intensive, community-based behavioral health services to individuals living with serious and persistent mental illness (SPMI) and co-occurring substance use disorders.

Rather than waiting for clients to come to us, our multidisciplinary team meets individuals where they are—in their homes, shelters, workplaces, and throughout the community—to provide personalized, recovery-focused care that promotes stability, independence, and long-term success.

If you're passionate about helping individuals overcome substance use challenges while working alongside a collaborative team of behavioral health professionals, we'd love to hear from you.

Why Join Pyramid Healthcare's Charlotte ACTT Team?

  • Competitive pay: $24.50–$28.00 per hour

  • In-house licensure supervision

  • Company vehicle and company cell phone provided

  • Mileage reimbursement

  • Comprehensive onboarding and ACTT training

  • Flexible scheduling

  • Supportive multidisciplinary team environment

  • Full benefits package, including medical, dental, vision, PTO, and 401(k)

What You'll Do

As the ACTT Substance Abuse Counselor, you will:

  • Provide substance use assessments, counseling, and recovery support in community settings

  • Deliver individual, family, and group counseling focused on co-occurring mental health and substance use disorders

  • Develop individualized treatment plans and recovery goals

  • Complete clinical documentation, treatment plans, NCTOPPS, LOCAs, discharge planning, and required authorizations within established timeframes

  • Coordinate care with psychiatrists, nurses, therapists, peer support specialists, families, and community providers

  • Assist clients with relapse prevention, harm reduction, and recovery planning

  • Provide crisis intervention and participate in the ACTT on-call rotation (weekday and rotating weekends)

  • Participate in interdisciplinary treatment team meetings and case consultations

  • Travel throughout the Charlotte area to meet clients in homes and community settings

Qualifications

Required:

  • LCAS, LCAS-A, or CADC certification (or ability to obtain required credential within 90 days of hire)

  • Qualified Professional (QP) status according to 10A NCAC 27G.0104

  • Valid North Carolina driver's license with an acceptable driving record

  • Ability to work independently in a community-based setting while collaborating with a multidisciplinary team

  • Strong documentation, communication, and organizational skills

Join Our Mission

At Pyramid Healthcare, we believe recovery is possible for everyone. Our ACTT teams provide a "hospital without walls," bringing comprehensive behavioral healthcare directly into the community and helping individuals build healthier, more independent lives.

If you're ready to make a lasting impact while growing your behavioral health career, apply today and become part of our Charlotte ACTT team.

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.

About this role

Summary

Provide community-based substance use assessments, counseling, and recovery support for individuals with co-occurring disorders.

Job title

Substance Abuse Counselor (ACTT)

Experience level

none

Industry

behavioral health

Location requirements

Charlotte, NC; remote work not allowed

Salary

$24.50–$28.00 per hour

Management role

No

Skills & keywords

Required skills

certification (LCAS, LCAS-A, CADC)valid North Carolina driver's licenseclinical documentationcollaborationcommunication

Preferred skills

None specified

Specializations

substance usemental healthrecoverycommunity-based
Locations

Structured locations inferred from the posting.

Charlotte, NC, USA

On-site City