Substance Abuse Counselor (CADC-I / CADC) 

Pyramid Healthcare – Asheville Methadone Clinic
📍 Asheville, NC
💰 CADC-I: $21.00/hour | CADC: $24.00/hour
🕒 Full-Time | Monday–Friday | 5:00 AM – 1:00 PM

Help Individuals Begin Their Recovery Journey Every Day

Pyramid Healthcare is seeking a compassionate and dedicated Substance Abuse Counselor to join our Methadone Clinic in Asheville, NC.

In this role, you'll provide counseling, case management, and recovery support to individuals receiving methadone treatment for opioid use disorder. Working alongside a multidisciplinary team, you'll help clients build the skills and support systems needed to achieve lasting recovery while delivering compassionate, evidence-based care in a fast-paced outpatient setting.

If you're passionate about helping individuals overcome substance use disorders and want to make a meaningful impact every day, we'd love to meet you.

Schedule

• Full-Time

• Monday–Friday

• 5:00 AM – 1:00 PM

• No overnight shifts

Compensation

• CADC-I: $21.00 per hour

• CADC: $24.00 per hour

Qualifications

• Active North Carolina CADC-I or CADC certification required.

• High School Diploma or GED required.

• Associate's or Bachelor's degree in Human Services, Psychology, Social Work, Counseling, or a related field preferred.

• Experience working with individuals experiencing substance use disorders or in a Medication-Assisted Treatment (MAT) setting preferred.

• Strong communication, documentation, and organizational skills.

Key Responsibilities

Clinical Counseling

• Provide individual counseling focused on recovery, relapse prevention, and treatment engagement.

• Develop individualized treatment plans and regularly review client progress.

• Conduct clinical assessments and assist with ongoing treatment planning.

• Utilize evidence-based interventions including Motivational Interviewing and person-centered counseling techniques.

Case Management & Care Coordination

• Maintain an assigned client caseload while providing ongoing support throughout treatment.

• Coordinate care with medical providers, referral sources, probation officers, community agencies, and family members when appropriate.

• Connect clients with community resources that support long-term recovery, housing, employment, and behavioral healthcare.

Documentation & Compliance

• Complete accurate and timely clinical documentation in accordance with state regulations, CARF standards, Medicaid guidelines, and Pyramid Healthcare policies.

• Maintain client records, progress notes, treatment plans, releases of information, and discharge documentation.

• Ensure compliance with confidentiality requirements, including HIPAA regulations.

Team Collaboration

• Participate in multidisciplinary treatment team meetings.

• Collaborate closely with physicians, nurses, dosing staff, and behavioral health professionals to provide comprehensive client care.

• Support a welcoming, recovery-oriented treatment environment that promotes client success.

Why Join Pyramid Healthcare?

• Competitive hourly pay based on certification

• Monday–Friday daytime schedule with early afternoons free

• Comprehensive benefits package including medical, dental, vision, PTO, paid holidays, and 401(k)

• Paid training and continuing education opportunities

• Career advancement within one of the nation's leading behavioral healthcare organizations

• Supportive, mission-driven team dedicated to changing lives every day

At Pyramid Healthcare, we're committed to providing compassionate, evidence-based care that empowers individuals to achieve lasting recovery. Join our Asheville MAT team and help make recovery possible—one client at a time.