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Lead Counselor

Company:
Stepping Stone of North Carolina, LLC
Location:
North Wilkesboro, NC, 28659
Posted:
October 30, 2025
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Description:

Job Description

We offer competitive salaries, full benefits package, Paid Time Off, and opportunities for professional growth.

Pinnacle Treatment Centers is a growing leader in addiction treatment services. We provide care across the nation touching the lives of more than 35,000 patients daily. Our mission is to remove all barriers to recovery and transform individuals, families, and communities with treatment that works. Our employees believe we are creating a better world where lives and communities are made whole again, through comprehensive treatment.

As a Lead Counselor, you will provide leadership for other counselors. You will provide management of an individual caseload, participation in various facility committees, and carrying out other management-related duties as specified by the Clinical Supervisor/Clinical Director. You will also assist Clinical Supervisor/Clinical Director in the areas of problem solving, conflict resolution, readiness for state, CARF visits, and other areas assigned. It is expected that this role be performed onsite and it is not a remote position.

Benefits:

18 days PTO (Paid Time Off)

401k with company match

Company sponsored ongoing training and certification opportunities.

Full comprehensive benefits package including medical, dental, vision, short term disability, long term disability and accident insurance.

Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP)

Discounted tuition and scholarships through Capella University.

NC Requirements:

Licensed or certified in the state of North Carolina in one of the following:

CADC

LCAS

LPC

LCSW

LMFT

LSATP

Preferred

Demonstrated leadership qualities amongst the counseling team.

Demonstrated superior clinical skills and the ability to share expertise with others.

Responsibilities:

Ensure the completion of patient databases, treatment plans, progress notes, discharge summaries, and other essential documentation in accordance with applicable federal and state standards and agency policies and procedures.

Provide patients with orientation regarding objectives of the program, phase system requirements, rules and regulations, sanctions, hours of services, patient rights, and additional information to help patients adjust to the program.

Ensure each patient is assessed and placed according to treatment phases in accordance with Federal and State standards and agency policies.

Ensure all clinical documentation and patient charts are updated in accordance with established policies and procedures.

Counsel patients in crisis situations by identifying patient resources and coping abilities to help patients cope with and resolve crisis.

Counsel patients who have refused to comply with specific program requirements to increase patient awareness of consequences of noncompliance.

Arrange referrals to other agencies and resources in the community when appropriate.

Perform treatment plan reviews.

Participate in case conferences and case reviews in accordance with established policies and procedures.

Review counselor documentation and sign off on documentation as directed by the Clinical Supervisor or Clinic Director.

Assist with the overall direction and development of all substance use services.

Participate in treatment team meetings and grievance hearings as needed.

Conduct/assist with weekly staff meetings with the counseling team.

Conduct/assist with ongoing review of counselor’s case files to ensure compliance with Federal, State and PTC requirements.

Assist Clinical Supervisor/Director with annual performance reviews of the counseling team.

Assist Clinical Supervisor/Clinical Director as needed in state and CARF inspections, staff meetings and other areas.

Assist with in-service training to clinical teammates on regularly scheduled basis.

Monitors clinical records regularly for quality and compliance with State and Federal regulations. Conduct mock inspections.

Perform intakes on new patients.

Develop preliminary and comprehensive treatment plans.

Provides training and technical assistance to community agencies as requested.

Provides guidance to counselors in managing difficult or complex patients.

Maintain accurate and up-to-date case files on each patient on their caseload and team caseload per federal, state and PTC requirements.

Oversees substance use counseling case assignments and discharges.

Attend team meetings and complete all training courses as required.

Attend ongoing training per program/Federal/ State requirements.

Other duties as assigned.

Join our team. Join our mission.

Full-time

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