Licensed Mental Health Counselor

Benefits

• Competitive salary
• Flexible schedule
• Opportunity for advancement
• Training & development

Organization overview

Across The Life Span, PLLC (ATLS) is an integrated behavioral health, primary care, and opioid addiction treatment organization serving Caswell, Person, Guilford, and Alamance Counties in North Carolina under NC Medicaid. Guided by a trauma-informed, recovery-oriented philosophy, ATLS delivers whole-person care to individuals and families across all life stages. Our multi-disciplinary clinical team includes licensed therapists, nurse practitioners, Qualified Professionals, Certified Peer Support Specialists, and primary care providers working in close collaboration to address the full continuum of behavioral and physical health needs.

Position Summary

The Mental Health Counselor provides direct, evidence-based outpatient mental health therapy services to individuals, couples, families, and groups experiencing a range of mental health and co-occurring substance use challenges. The counselor maintains a consistent caseload, develops individualized treatment plans grounded in best practices, and delivers therapeutic services within ATLS's integrated care model.

The position may be filled by a fully licensed clinician (LCMHC, LCSW, LMFT) or a provisionally licensed clinician (LCMHC-A, LCSWA, LMFTA) working under qualified clinical supervision toward independent licensure. This is a multi-site role serving any combination of the Roxboro, Yanceyville, Greensboro, other ATLS service locations, as assigned by the Clinical Director and CEO.

Key responsibilities

• Clinical Therapy Services
• Provide individual, family, and group therapy to adults, adolescents, and/or children presenting with mental health conditions including depression, anxiety disorders, trauma and PTSD, bipolar disorder, adjustment disorders, grief and loss, and co-occurring substance use disorders
• Conduct comprehensive biopsychosocial assessments and diagnostic evaluations in accordance with DSM-5-TR criteria
• Develop, implement, and monitor individualized, strengths-based treatment plans with measurable goals and objectives in collaboration with each consumer
• Deliver evidence-based therapeutic modalities including Cognitive Behavioral Therapy (CBT), Trauma-Focused CBT (TF-CBT), Motivational Interviewing (MI), Dialectical Behavior Therapy (DBT) skills, and other clinically appropriate approaches
• Facilitate psychoeducation for consumers and family members regarding mental health diagnoses, treatment options, medication management, and coping strategies
• Conduct ongoing risk assessments and implement safety planning for consumers presenting with suicidal ideation, self-harm, or other safety concerns
• Provide crisis intervention support and coordinate with crisis services, emergency systems, and ATLS leadership as clinically indicated

• Co-Occurring Disorder & Integrated Care
• Provide therapy services for consumers with co-occurring mental health and substance use disorders, incorporating Integrated Dual Diagnosis Treatment (IDDT) principles
• Collaborate with the ATLS MAT/OAT program team to support individuals in medication-assisted treatment for opioid use disorder through co-occurring mental health services
• Coordinate with primary care providers, nurse practitioners, and the Medical Director to ensure holistic, integrated care planning
• Participate in multidisciplinary care conferences and warm handoffs with QPs, CPSSs, and other team members

• Treatment Planning & Care Coordination
• Complete Comprehensive Clinical Assessments (CCAs), Person-Centered Plans (PCPs), and treatment plan updates within NC Medicaid required timeframes
• Coordinate referrals to higher levels of care, community resources, specialty mental health services, psychiatric providers, and social supports as clinically appropriate
• Provide transition planning and continuity of care support for consumers moving between levels of care or transferring to/from other providers
• Collaborate with community agencies, schools, courts, DSS, and other external partners to support consumer goals with appropriate consent

• Documentation & Compliance
• Maintain accurate, timely, and complete clinical documentation in the electronic health record (EHR) in compliance with NC Medicaid, HIPAA, 45 CFR Parts 160 and 164, and all applicable ATLS policies
• Complete all clinical documentation — including progress notes, treatment plan reviews, and discharge summaries — within ATLS-established timeframes
• Adhere to ATLS two-level document review workflow for clinical records
• Accurately document diagnosis codes (ICD-10-CM) and procedure codes in compliance with NC Medicaid Outpatient Behavioral Health service definitions
• Fulfill all mandatory reporting obligations under N.C.G.S. § 7B-301 (child abuse/neglect) and applicable adult protective services statutes

Supervision & Professional Development • Provisionally licensed staff

• actively participate in individual and/or group clinical supervision as required by the NC Licensing Board toward independent licensure
• Maintain current licensure or provisional licensure in good standing with the applicable North Carolina licensing board
• Complete all required continuing education units (CEUs) for licensure renewal
• Participate in ATLS staff trainings, case consultations, and professional development activities
• Adhere to the ethical standards of the applicable NC licensing board and ATLS professional conduct policies
• Perform other duties as assigned by the Clinical Director or CEO

Licensure & credential information

ATLS welcomes applications from clinicians holding or pursuing any of the following North Carolina licenses or credentials:

Credential | Full Title | Licensing Board | Status LCMHC | Licensed Clinical Mental Health Counselor | NCBLCMHC | Independent LCMHC-A | Licensed Clinical Mental Health Counselor – Associate | NCBLCMHC | Provisional LCSW | Licensed Clinical Social Worker | NCSWDB | Independent LCSWA | Licensed Clinical Social Worker – Associate | NCSWDB | Provisional LMFT | Licensed Marriage and Family Therapist | NCBLMFT | Independent LMFTA | Licensed Marriage and Family Therapist – Associate | NCBLMFT | Provisional

Minimum Qualifications

• Master's degree in counseling, social work, marriage and family therapy, psychology, or a closely related human services field from a CACREP-accredited or equivalent program
• Current, unrestricted licensure or provisional licensure in the State of North Carolina in one of the credentials listed above (LCMHC, LCMHC-A, LCSW, LCSWA, LMFT, or LMFTA)
• Knowledge of DSM-5-TR diagnostic criteria and evidence-based therapeutic modalities
• Experience or training in trauma-informed care and working with diverse populations
• Ability to pass criminal background check and pre-employment drug screen
• Valid North Carolina driver's license (required for multi-site travel)
• Proficiency in electronic health records and Microsoft Office applications
• Strong written and verbal communication skills suitable for professional clinical documentation

Preferred Qualifications

• Fully independent licensure (LCMHC, LCSW, or LMFT)
• Experience in an NC Medicaid-funded outpatient behavioral health or integrated care setting
• Demonstrated competency in at least one evidence-based modality (CBT, TF-CBT, DBT, EMDR, MI, or equivalent)
• Experience providing therapy for co-occurring mental health and substance use disorders
• Familiarity with NC Medicaid Outpatient Behavioral Health service definitions and documentation requirements
• Experience with WellSky, NC Tracks, or similar EHR/billing platforms
• Bilingual or multilingual communication abilities
• NPI registration or willingness to obtain NPI prior to start date

Work environment & conditions

This position may be assigned to one or more ATLS clinical locations in Roxboro, Yanceyville, Greensboro, and/or Surrounding service areas in North Carolina. Telehealth service delivery may be included consistent with consumer consent, NC Medicaid telehealth policies, and ATLS operational guidelines. Occasional in-person community-based service delivery may be required. Reasonable accommodations will be made for qualified individuals with disabilities.

Clinical supervision

ATLS provides clinical supervision for provisionally licensed clinicians (LCMHC-A, LCSWA, LMFTA) working toward independent licensure. Supervision is provided by a qualified LCSW or LCMHC supervisor in accordance with applicable NC Licensing Board requirements. ATLS is committed to supporting clinicians in achieving full independent licensure. Supervision hours and format will be specified in the individual supervision agreement.

Equal opportunity employment

Across The Life Span, PLLC is an equal opportunity employer. We celebrate the diversity of our team and the communities we serve and are committed to creating an inclusive, affirming workplace. Employment decisions are made without regard to race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity, or any other characteristic protected by applicable federal or state law.

Flexible work from home options available.