Substance Abuse Counselor – LCAS / CADC

📍 Asheville, NC
💰 $52,000–$58,000 annually, based on licensure and experience
🕐 Full-Time | Monday–Friday | 5:00 AM–1:00 PM
🎯 Full Benefits + PTO + Paid Holidays + 401(k) Match

Make an Impact in Addiction Recovery

Pyramid Healthcare is seeking a Substance Abuse Counselor to join our Asheville treatment team. This position provides direct clinical services to individuals receiving treatment for opioid use disorder and other substance use disorders in a structured outpatient treatment setting.

This is an excellent opportunity for a counselor who is passionate about addiction treatment, enjoys building therapeutic relationships, and wants to help individuals make meaningful progress in recovery.

The schedule is Monday through Friday, 5:00 AM–1:00 PM, making this a great opportunity for a clinician who prefers an early daytime schedule.

What You'll Do

• Provide individual, group, and family counseling to clients receiving substance use disorder treatment

• Complete clinical assessments and develop individualized treatment plans

• Provide substance use education, recovery support, and relapse prevention services

• Monitor client progress and update treatment plans based on clinical needs

• Maintain accurate, timely, and thorough clinical documentation in the EHR

• Participate in treatment team meetings and collaborate with other members of the care team

• Support continuity of care, aftercare planning, and discharge planning

• Communicate with referral sources, families, and other providers as appropriate

• Assist with crisis intervention and level-of-care assessments

• Maintain appropriate professional boundaries and client confidentiality

• Follow all applicable state regulations, clinical standards, and company policies

• Support a safe, respectful, and recovery-focused treatment environment

What You'll Need

Required Licensure

One of the following credentials is required:

• CADC-I

• CADC

• LCAS-A

• LCAS

Education

• Master’s degree in Counseling, Social Work, Psychology, or a related behavioral health field preferred

• Candidates with a Bachelor’s degree, Associate’s degree, or High School Diploma may be considered based on applicable CADC/CADC-I credentials and experience

Experience & Skills

• Experience working with substance use disorders preferred

• Experience in opioid use disorder treatment or medication-assisted treatment (MAT) is a plus

• Experience working with co-occurring mental health disorders preferred

• Knowledge of recovery-oriented and trauma-informed care

• Strong clinical documentation and organizational skills

• Excellent communication and interpersonal skills

• Ability to work effectively as part of a multidisciplinary treatment team

• Ability to maintain confidentiality and appropriate professional boundaries

Why Join Pyramid Healthcare?

At Pyramid Healthcare, you'll be part of a team dedicated to providing compassionate, evidence-based addiction and behavioral healthcare.

Full-Time Benefits Include:

• Medical, Dental & Vision Insurance

• 401(k) with Company Match

• Paid Time Off

• Paid Holidays

• Tuition Reimbursement

• Paid Training & Professional Development

• Employee Recognition Programs

• Career Growth Opportunities

• Referral Bonus Opportunities

Ready to Make a Difference?

If you're a CADC, CADC-I, LCAS-A, or LCAS looking for a full-time counseling opportunity with a consistent Monday–Friday, 5:00 AM–1:00 PM schedule, apply today to join Pyramid Healthcare in Asheville.

Help individuals take meaningful steps toward recovery while building your career with a team committed to quality addiction treatment.