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Monarch

Behavioral health and substance use treatment

Licensed Substance Abuse Counselor

Full-TimeUpdated on 10/23/2026
$47k
Mid
Master's
Concord, NC, USA
In PersonRequires driving or travel to community locations, agencies, and outreach destinations as assigned.
Medical, Clinical & VeterinaryMental & Behavioral Health

About the job

Requirements
  • Must be fully or provisionally licensed as a Licensed Clinical Addictions Specialist (LCAS/LCAS-A) in good standing with the Substance Abuse Professional Practice Board.
  • A Master's degree is required.
  • Must maintain licensure as required by the licensing board and attend educational trainings or seminars to remain up to date on current best practices.
  • Must maintain certification in all agency, state, and federal training requirements.
  • Must demonstrate knowledge of and comply with agency policies and procedures, and state and federal statutes and regulations related to specific program areas.
  • Must demonstrate knowledge of emergency procedures and assist in crisis situations.
  • Must follow service definition guidelines for services being provided.
Responsibilities
  • Maintain a therapeutic and safe environment while persons supported receive services, and facilitate appropriate linkage and transition into the community upon discharge.
  • Participate in team meetings, person-centered planning, and discharge planning for individuals served on the Behavioral Health Urgent Care or Facility Based Crisis Unit and the Non-Hospital Medical Detox unit, as appropriate.
  • Serve as a resource for non-licensed staff by assisting with in-service training and educating Facility Based Crisis staff in mental health and substance abuse.
  • Interview individuals and/or families to identify presenting problems, assess mental status and dangerousness, gather relevant psychosocial history, and assign accurate diagnoses to determine appropriate interventions toward stated goals.
  • Provide individual, group, and family therapy to individuals of all ages receiving Facility Based Crisis services, using person-centered philosophies and best practices.
  • Assess psychiatric crises and provide crisis intervention in coordination with other Facility Based Crisis staff.
  • Maintain medical records in compliance with state, federal, and agency guidelines.
  • Refer individuals and families to appropriate outside agencies for psychosocial needs upon discharge, such as specialty providers, doctors, social services, and Christian ministries, and provide information within confidentiality guidelines.
  • Provide crisis assessments, stabilization, and service coordination to de-escalate crisis and potential crisis situations and maintain the lowest level of care that promotes safety.
  • Maintain positive working relationships with individuals, families, staff, monitoring and licensing agencies, organizations, funding resources, and other human service agencies in the communities served.
  • Participate in the agency's ongoing continuous quality improvement activities.
  • Provide clinical consultation to other professionals within Monarch to support ongoing professional development and process difficult client situations.
  • Drive or travel to community locations, agencies, and other outreach destinations as assigned.
  • Attend and actively participate in required meetings and training.
  • Demonstrate knowledge of and comply with agency policies and procedures.
  • Complete other relevant responsibilities as assigned by the supervisor.

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.