Behavioral Health Counselor Jobs in North Carolina
Behavioral Health Counselor jobs in North Carolina are in strong demand, concentrated across community mental health centers, hospital systems, substance use treatment programs, and state-operated facilities, with openings at every level from entry-level associate counselors through senior clinicians and program supervisors. The busiest hiring markets are Charlotte, Raleigh, and Greensboro, where employers such as Atrium Health, UNC Health, and Monarch are consistently recruiting. The most in-demand specialties include substance use disorder counseling, trauma-informed care, and integrated behavioral health within primary care settings. Find a role that fits below and apply directly.
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Responsibilities:
- CLINICAL CARE:
- Plan and conduct group therapy sessions and patient intake assessments based on clinic needs and best-practice guidelines.
- Provide crisis and de-escalation techniques.
- TREATMENT PLANNING AND PROGRESS MONITORING:
- Assist with treatment planning.
- Review progress towards treatment plan goals.
- COORDINATION AND COMMUNICATION:
- Coordinate patient care with the onsite multidisciplinary team.
- Attend required meetings, including on-site staff meetings and multidisciplinary team meetings.
- DOCUMENTATION AND COMPLIANCE:
- Timely and comprehensively document all necessary treatment data into the electronic patient health record.
- Follow adherence to all necessary regulatory and company compliance requirements.
- EXPERIENCE
- Preferred: 2 years of experience in a relevant field
-
EDUCATION:
- Required: Consistent with state-level regulation and requirements, at minimum Bachelors Degree
- Preferred: Bachelor’s degree
LICENSES AND CERTIFICATIONS
- REQUIRED: Active clinical licensure consistent with state-level regulatory requirements, at minimum LCAS-A or LCAS
BRIGHTVIEW HEALTH BENEFITS AND PERKS:
- PTO (Paid Time Off)
- Immediately vested and eligible in 401k program with employer 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.
- Tuition Reimbursement after 1 year in related field
We offer competitive compensation, comprehensive benefits, and a supportive work environment dedicated to your professional growth and development.
Ready to shape our future by bringing in top talent? Apply now and be a key player in our success!
See All 12 Behavioral Health Counselor Jobs in North Carolina
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Find JobsBehavioral Health Counselor Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
Behavioral Health Counselor Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring



Top Industries Hiring
- Social Media
- Technology & Software
- Marketing & Advertising
- Healthcare & Medical Services
What North Carolina Employers Look For
The qualifications that appear most often in behavioral health counselor jobs across North Carolina.
- Active LCAS, LCAS-A, or LCMHC licensure issued or recognized by the North Carolina Board
- Master's degree in counseling, social work, psychology, or a closely related field
- Experience delivering individual and group therapy in a behavioral health setting
- Familiarity with evidence-based modalities such as CBT, motivational interviewing, or DBT
- Ability to complete clinical documentation accurately within electronic health record systems
- Valid North Carolina driver's license for community-based or mobile outreach positions
Behavioral Health Counselor Jobs in North Carolina: Frequently Asked Questions
How do you become a behavioral health counselor in North Carolina?
You become a licensed behavioral health counselor in North Carolina by earning a master's degree in counseling or a closely related field and then applying to the North Carolina Board of Licensed Clinical Mental Health Counselors or the Addictions Specialist Professional Practice Board, depending on your focus. Associate licensure lets you begin supervised practice, and after completing the required hours and passing the relevant board exam you can apply for full licensure as an LCMHC or LCAS.
Which companies hire behavioral health counselors in North Carolina?
Employers hiring behavioral health counselors in North Carolina right now include Alexander Youth Network, BrightView Health, and RHA Health Services, based on current listings on Migrate Mate as of August 2026. North Carolina's large integrated health systems and county-contracted community mental health organizations account for a significant share of ongoing openings across the state.
Which North Carolina cities have the most behavioral health counselor jobs?
Greensboro, Asheville, and High Point have the most behavioral health counselor openings in North Carolina. Charlotte and Raleigh drive the largest share of postings because of their major hospital systems and growing populations, while Greensboro benefits from its concentration of community mental health agencies and proximity to several university-affiliated training programs that partner directly with regional employers.
Are there remote behavioral health counselor jobs in North Carolina?
Yes, though they are more selective than in purely desk-based fields since much of behavioral health counseling involves direct client care. About 0% of behavioral health counselor openings tied to North Carolina are remote or hybrid as of August 2026, and telehealth therapy roles focused on individual counseling sessions are the positions most likely to offer fully remote schedules.
How can I get hired as a behavioral health counselor in North Carolina with little or no experience?
The most realistic entry path is pursuing an associate-level license, such as the LCAS-A or LCMHC-A, which allows you to work under supervision while accruing the hours required for full licensure. Large North Carolina systems including UNC Health and Atrium Health hire associate-licensed clinicians into supervised residency-style roles, and community mental health centers often bring on case managers or behavioral health technicians as a lateral step into counselor tracks. Completing a practicum or internship at a North Carolina-based agency while finishing your master's degree gives candidates a meaningful edge.
Where can I find and apply to behavioral health counselor jobs in North Carolina?
You can find and apply to behavioral health counselor jobs in North Carolina on Migrate Mate, which lists current openings from employers across the state. Search the listings, find roles that match your credentials and location, and apply directly to the ones that fit.
See All 12 Behavioral Health Counselor Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
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