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Monarch

Behavioral health and substance use treatment

Substance Abuse Counselor

Full-TimeUpdated on 10/24/2026
$60k+ $1,000 sign-on bonus
Mid, Senior
Master's
Charlotte, NC, USA
In PersonDriving and travel may be required.
Medical, Clinical & VeterinaryMental & Behavioral Health

About the job

Requirements
  • A Master's degree in Human Services is required.
  • Must be a Qualified Professional and hold a Licensed Clinical Addiction Specialist credential (LCAS-A or LCAS).
  • Must have a minimum of one year of full-time or two years of part-time applicable experience; the posting also specifies one to four years of required experience working with adults with a mental health diagnosis and/or substance use disorder, dependent upon education.
  • A valid United States driver's license is required.
  • Experience providing employment services or advanced education involving field training in vocational services is not required.
Responsibilities
  • Provide service coordination for individuals with mental health and substance abuse issues and develop the overall service plan with other team members.
  • Assist in developing natural support networks; provide individual and group supportive counseling; monitor symptoms and medications; link individuals to appropriate community services, agencies, and supports; monitor behaviors in home and community settings; teach independent-living skills and support their practice and transfer; and support families.
  • Write, implement, evaluate, and revise Person Centered Plans, treatment goals, and service plans based on professional evaluations and recommendations and input from the individual supported.
  • Work as a member of a multidisciplinary team to develop and implement treatment goals.
  • Facilitate independent-living-skills training, establish access to community services and agencies, help individuals establish community support networks, and assess individual needs daily.
  • Coordinate services with program staff and inpatient and detoxification facilities, and establish linkages to residential programs, self-help programs, and community resources.
  • Review treatment progress and provide continuous consultation with Assertive Community Treatment Team staff and community agencies to ensure consistent therapeutic management of individuals' needs.
  • Liaise with after-hours program staff daily by exchanging participant information, including presenting problems and after-hours plans.
  • Meet regularly with team members to share information, review caseloads, problem-solve, develop plans, and determine daily duty assignments; be available by telephone and/or pager.
  • Complete intake assessments covering medical history, physical condition, alcohol and drug histories and current use, education, family structure and relationships, vocational history and goals, legal history and issues, psychiatric history and treatment, medication history, and risk behaviors.
  • Ensure immediate and appropriate interventions in response to changes in mental status that may put an individual at risk.
  • Document participant activities consistent with the service records manual and write event notes reflecting activities, goals, interventions, and outcomes.
  • Develop service plans and/or person-centered plans as appropriate and screen referrals in coordination with other team members.
  • Attend and actively participate in required meetings and training, and maintain certifications in agency, state, and federal training requirements.
  • Comply with agency policies and procedures and applicable state and federal statutes and regulations.
  • Follow service-definition guidelines for services provided.
  • Perform other relevant responsibilities assigned by the supervisor.
  • Drive and travel as required.

About the company

Monarch NC provides behavioral health services across North Carolina, addressing mental health and substance use disorders. It offers telehealth, crisis intervention, urgent care, and outpatient services to deliver personalized care. The approach combines in-person clinics, telehealth, and crisis support across multiple locations (Asheville, Charlotte, Greensboro) to coordinate care and support recovery. Its goal is to improve clients' mental health by delivering the right level of care tailored to each person and expanding access through integrated services.

Company Size

1,001-5,000

Company Stage

Series A

Total Funding

$23.9M

Headquarters

Albemarle, North Carolina

Founded

1958

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Simplify's Take

What believers are saying

  • North Carolina backed Monarch with a $32.5 million Cabarrus grant and $500,000 Nash allocation.
  • Monarch opened Pittsboro's Chatham Opportunities Center in summer 2026, broadening I/DD capacity.
  • Cabarrus expects Monarch's new behavioral health center to serve 200 youth in 2027.

What critics are saying

  • August 2022 ransomware settlement still exposes Monarch to trust and compliance damage in 2026.
  • Monarch's Concord expansion requires staffing about 150 jobs before mid-2026 opening.
  • North Carolina funding dependence ties Nash County and Cabarrus growth to state appropriations.

What makes Monarch unique

  • Monarch's June 2026 Concord center bundles urgent care, crisis, and residential youth services.
  • Monarch's mobile clinics reach six northeastern counties with on-site and telehealth treatment.
  • Monarch's I/DD and substance-use curriculum uniquely targets underserved patients with developmental disabilities.

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Benefits

  • Health Insurance
  • Paid Vacation
  • Professional Development Budget

Growth & Insights and Company News

6 month growth

14%

1 year growth

15%

2 year growth

15%
The Financial Technology Report
Jun 6th, 2025
Monarch Raises $75M, Valued at $850M

Monarch, a personal finance app, raised $75M in a Series B round, valuing the company at $850M. The funding was co-led by FPV Ventures and Forerunner Ventures, with support from Accel, SignalFire, Clocktower Ventures, and Menlo Ventures. Following Intuit's announcement to shut down Mint, Monarch saw a surge in users. The company plans to expand its platform and team, hiring in engineering and marketing across North America.

Businessuite Media Group International
May 23rd, 2025
Fontana Reports $835.9M Gross Profit Growth

Fontana Limited reported a Q3 2025 gross profit of $835.9 million, a 15.2% increase from the previous year, driven by a 15.3% rise in revenue to $2.2 billion. The Monarch acquisition led to a 13.3% increase in operating expenses, mainly due to staffing costs. Operating profit grew 25% to $148.1 million. Finance costs rose 38.4% to $63 million due to foreign exchange losses and loan interest. Net profit increased by 10.6% to $102.8 million, with earnings per share rising to $0.08.

CNBC
May 23rd, 2025
Monarch raises $75M amid fintech downturn

Monarch, a personal finance app, raised $75 million in a Series B round, valuing the company at $850 million. This funding comes amid a challenging period for consumer fintechs. Monarch's growth surged after Mint's closure, as it offers a paid, ad-free service. The round, led by FPV, highlights Monarch's innovative approach to financial planning. Despite a 38% decline in fintech funding, Monarch's success stands out in the current "nuclear winter" for fintech startups.

PR Newswire
Oct 11th, 2023
Monarch Breaks Ground With Free, Online Curriculum For Those With Intellectual Or Developmental Disabilities Struggling With Addiction

ALBEMARLE, N.C., Oct. 11, 2023 /PRNewswire/ -- Monarch has launched "Understanding Addiction and Developmental Disabilities," a first-of-its-kind web-based resource to help an underserved population of people living with intellectual or developmental disabilities (I/DD) and substance use disorders (SUD)."Substance use is often overlooked and people with I/DD are less likely to seek help." - Peggy Terhune, Ph.D. Tweet this Understanding Addiction and Developmental Disabilities, a curriculum developed by Monarch to assist professionals and caregivers in helping those with Intellectual and/or developmental disabilities and substance use disorders, features our hero Eddie learning about the health risks that come from mixing medicines and alcohol, and the importance of taking only the medicines and dosages prescribed by his doctor.The " Understanding Addiction and Developmental Disabilities '' website features screening tools and helpful guides for those who work with individuals with I/DD, such as mental health clinicians and caregivers, guardians or parents and teachers. The free, open-source curriculum consists of 14 animated videos that provide relevant therapeutic information for the person with I/DD and SUD. To learn more, visit understanding.monarchnc.org .Those interested in learning more can attend the "Understanding Addiction and Developmental Disabilities" webinar, a free training for professionals, family members and other caregivers, Friday, Nov. 17, 2023 11 a.m

Roanoke-Chowan News-Herald
Feb 24th, 2023
Monarch’s Mobile Integrated Care Clinic services begin in Bertie and Hertford counties

Monarch, in partnership with Trillium Health Resources, has launched its second Mobile Integrated Care Clinic offering mental health and substance use disorder services to communities within Bertie and Hertford counties.