Full-Time

Substance Abuse Counselor

Posted on 12/13/2025

Monarch

Monarch

1,001-5,000 employees

Behavioral health and substance use treatment

Compensation Overview

$23/hr

Lumberton, NC, USA

In Person

Extensive travel to community locations required.

Category
Medical, Clinical & Veterinary (2)
,
Requirements
  • High School Diploma or equivalent and Certified Alcohol & Drug Counselor (CADC)
  • Master's degree and Fully Licensed or Associate Licensed Clinical Addiction Specialist (LCAS-A/LCAS)
Responsibilities
  • Provide service coordination for individual with mental health and substance abuse issues and is responsible for developing, with the other team members, the overall service plan.
  • Provide education and training on mental illness, SUDS, relapse identification, preventions and the promotion of recovery.
  • Implement interventions that are evidence-based practices demonstrating effectiveness working with individuals with co-occurring mental health and substance use disorders.
  • Implement harm reduction practices, and programs that address the adverse effects of drug use including overdose, HIV, hepatitis C, addiction, and incarceration.
  • Provide symptom monitoring of mental health and SUD symptoms, which interfere with the individual’s daily living; assisting the beneficiary to identify and minimize their symptoms and potentially harmful behaviors.
  • Complete appropriate assessments including assessment of current and historical substance use and identify appropriate levels of treatment to make referrals to other services as necessary.
  • Assist in the development of natural support networks. Individual and group supportive counseling, monitoring of symptoms and medications, linking the individual supported to the appropriate services, agencies and supports in the community, monitoring their development of appropriate behaviors in his/her home and other community settings, teaching the individual supported skills necessary for independent community living and facilitating them in the practice and transfer of these skills to his/her environment, providing support to his/her family.
  • Facilitate access to community resources, including locating recreational activities, housing, food, clothing, school programs, vocational opportunities or services, other providers needed for mental health, developmental disabilities and substance abuse services; assist individual receiving services to develop relationships within their community.
  • Monitor utilization of services and ensure agency provides services consistent with authorization for each individual supported. Prepare reports for team leader in order to clearly communicate progress or lack of progress, and involvement in treatment to aid the team leader in the authorization process.
  • Maintain positive working relationships within the communities served, including with individuals, families, team members, other staff, monitoring and licensing agencies, organizations, and funders.
  • Drive and travel extensively to community locations, various agencies, and other outreach destinations. Provide and/or arrange for transportation for people supported as required.
  • Assume responsibility for writing, implementing, evaluating, and revising Person Centered Plan and overall treatment goals and service plans that are based on evaluations and recommendations from assessments by various professionals and input from the individual supported.
  • Facilitate training of independent living skills, establish access to community services and agencies, assist individuals in establishing support networks in the community and assess individual needs on a daily basis.
  • Coordinate services with the program, staff, inpatient facilities, and detoxification facilities and establish linkage to residential programs, self-help programs and community resources.
  • Review treatment progress and monitor and provide continuous consultation with other staff and community agencies to ensure the consistent therapeutic management of the individual’s needs.
  • Ensure immediate and appropriate interventions are provided in response to changes in mental status which may put individual at risk.
  • Documents participant activities consistent with the service records manual. Write an event note that reflects participant activities, goals, interventions, and outcomes.
  • Provides psychoeducation as indicated in the PCP.
  • Assists with crisis interventions.
  • Assists the Team Leader with behavioral and substance use disorder treatment interventions.
  • Assists with the development of relapse prevention and disease management strategies.
  • Coordinates the initial and ongoing assessment activities.
  • Develops the initial PCP and its ongoing revisions and ensures its implementation.
  • Consults with identified medical (i.e., primary care and psychiatric) and non-medical providers, engages community and natural supports, and includes their input in the person-centered planning process.
  • Ensures linkage to the most clinically appropriate and effective services including arranging for psychological and psychiatric evaluations.
  • Monitors and documents the status of the beneficiary’s progress and the effectiveness of the strategies and interventions outlined in the PCP.
  • Completes functional needs assessment(s) to determine the scope and anticipated outcomes to the services.
  • Provide crisis intervention/on-call/after hours services as needed.
  • Attend and actively participate in meetings and training as required. Maintain certification in all agency, state and federal training requirements.
  • Demonstrate knowledge of and comply with all agency policies and procedures, as well as state and federal statutes and regulations related to specific program areas.
  • Follow service definition guidelines for services being provided.
  • Complete all other relevant responsibilities as assigned by the supervisor.
Desired Qualifications
  • None, since after filtering the text for non-trivial items, the job posting does not list any "desirable" or "preferred" qualifications.

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

Simplify Jobs

Simplify's Take

What believers are saying

  • Mobile clinics expand via Trillium partnership into Bertie and Hertford counties.
  • Bamboo Health Pings deliver real-time patient notifications enhancing care coordination.
  • Broad NC locations like Asheville, Charlotte, Greensboro ensure accessible outpatient services.

What critics are saying

  • Free curriculum cannibalizes paid I/DD SUD services within 18-24 months.
  • Cabarrus free mobile crisis diverts BHUC revenue in overlapping regions within 12-18 months.
  • Teladoc undercuts telehealth with lower costs capturing NC insurance patients within 6-12 months.

What makes Monarch unique

  • Monarch NC specializes in I/DD and SUD with free 'Understanding Addiction' curriculum launched October 11, 2023.
  • Wake BHUC offers walk-in crisis care for ages 4+ diverting from ERs in Raleigh.
  • Virtual Open Access provides same-day telehealth assessments without appointments.

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Benefits

Health Insurance

Paid Vacation

Professional Development Budget

Company News

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 Online
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.

INACTIVE