Behavioral Health Therapist Jobs in North Carolina
Behavioral Health Therapist jobs in North Carolina are consistently active, with demand concentrated in community mental health centers, hospital systems, and substance use treatment programs at every level from entry-level associate therapist through senior clinician. Charlotte, Raleigh-Durham, and Greensboro generate the highest volume of openings, where employers like Atrium Health, UNC Health, and Monarch NC maintain ongoing hiring across outpatient, crisis, and integrated care settings. The most sought-after specialties in North Carolina include trauma-informed care, substance use disorder treatment, and child and adolescent behavioral health. Find a role that fits below and apply directly.
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Operations Manager – Behavioral Health | AWA North Carolina
Mooresville, NC | On-Site | Full-Time | Monday–Friday, 11 AM–7 PM | $65,000/year
Build something meaningful. Lead with purpose!
Adolescent Wellness Academy (AWA) is opening our first North Carolina clinic in early 2027, and we're looking for an Operations Manager to join our founding team!
AWA provides Joint Commission-accredited PHP and IOP mental health care for teens ages 13–17 and their families.
You'll lead daily program operations, support your team, manage schedules and workflows, and create a safe, structured environment where teens and families thrive.
Backgrounds that translate well: Education · Youth Programs · Behavioral Health · Healthcare Operations · Program Management · Clinic Management
What You'll Do
- Program Operations: Oversee daily PHP/IOP operations, scheduling, and program workflows.
- Team Leadership: Hire, train, supervise, and coach the operations team.
- Scheduling & Coordination: Manage staffing, coverage, attendance, census, and intake coordination.
- Client Experience: Support behavioral needs, de-escalation, and a safe, structured environment.
- Compliance & Safety: Monitor documentation, incident reporting, and regulatory standards.
- Collaboration: Partner with clinical leadership, therapists, admissions, and families.
- Facility Management: Coordinate supplies, facility needs, and administrative operations.
What You Bring
- 2+ years in education, youth services, behavioral health, or operations leadership.
- Supervisory experience with strong coaching and accountability skills.
- Excellent organization, communication, and problem-solving abilities.
- Confidence navigating behavioral challenges and shifting priorities.
- Strong attention to documentation, safety, and compliance.
- Bachelor's degree preferred; equivalent experience considered.
- Ability to pass required background and drug screening.
- On-site availability, Monday–Friday, 11 AM–7 PM (fixed schedule).
What We Offer
$65,000/year · Medical, Dental & Vision · PTO & Holidays · 401(k) · Professional Growth
Why AWA?
Great care starts with great people and great leadership!
Join our founding North Carolina team and help build a supportive environment where employees thrive and teens and families receive exceptional care.
North Carolina, we're building our village! Ready to grow with us? Apply today!
Learn More: Adolescent Wellness Academy (https://adolescentwellnessacademy.com/)
See All 184+ Behavioral Health Therapist Jobs in North Carolina
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Find JobsBehavioral Health Therapist Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
Behavioral Health Therapist Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring
- RHA Health Services21

- Advocate Aurora Health15

- Atrium Health12

- Monarch Healthcare11

- Cape Fear Valley Medical Center10

Top Industries Hiring
- Healthcare & Medical Services
What North Carolina Employers Look For
The qualifications that appear most often in behavioral health therapist jobs across North Carolina.
- Active LCSW, LCMHC, LCAS, or equivalent license issued or recognized by North Carolina
- Master's degree in social work, counseling, psychology, or a related behavioral health field
- Experience providing individual and group therapy in an outpatient or community setting
- Proficiency with electronic health records systems such as Epic or Netsmart
- Ability to complete clinical documentation within required timeframes per North Carolina regulatory standards
- Experience with evidence-based modalities such as CBT, DBT, or motivational interviewing
Behavioral Health Therapist Jobs in North Carolina: Frequently Asked Questions
How do you become a behavioral health therapist in North Carolina?
You earn a master's degree in counseling, social work, or a related field, then apply for licensure through the North Carolina Board of Licensed Clinical Mental Health Counselors for the LCMHC credential, or the North Carolina Social Work Certification and Licensure Board for the LCSW. Both require supervised postgraduate hours and a passing score on the relevant national examination before full independent licensure is granted.
Which companies hire behavioral health therapists in North Carolina?
Employers hiring behavioral health therapists in North Carolina right now include RHA Health Services, Advocate Aurora Health, and Atrium Health, based on current listings on Migrate Mate as of October 2026. North Carolina's large integrated health systems and community mental health organizations generate some of the most consistent openings in the state across outpatient, residential, and crisis care settings.
Which North Carolina cities have the most behavioral health therapist jobs?
Charlotte, Winston-Salem, and Raleigh have the most behavioral health therapist openings in North Carolina. Charlotte and Raleigh-Durham lead because of their large hospital systems and growing outpatient behavioral health networks, while Greensboro and other Piedmont cities benefit from a concentration of community mental health centers and nonprofit providers that maintain steady hiring.
Are there remote behavioral health therapist jobs in North Carolina?
Yes, and more than most clinical fields, because licensed therapists can deliver individual and group counseling entirely through telehealth platforms. About 33% of behavioral health therapist openings tied to North Carolina are remote or hybrid as of October 2026, reflecting strong adoption of telehealth across community mental health and private group practice settings. Intake coordination and care management roles are among the most commonly fully remote positions.
How can I get hired as a behavioral health therapist in North Carolina with little or no experience?
The most realistic entry path is applying for associate-level or provisional licensure positions while accumulating the supervised hours required for full LCMHC or LCSW licensure. Large North Carolina employers like Monarch NC, Trillium Health Resources, and Atrium Health hire provisionally licensed therapists into structured supervision programs. Lateral moves from case manager, psychiatric technician, or community support specialist roles are common starting points, and completing practicum rotations at a North Carolina community mental health center gives candidates a meaningful edge.
Where can I find and apply to behavioral health therapist jobs in North Carolina?
You can find and apply to behavioral health therapist jobs in North Carolina on Migrate Mate, which lists current openings across the state. Search the available roles, find the ones that fit your experience and preferred setting, and apply directly to the employers posting them.
See All 184+ Behavioral Health Therapist Jobs in North Carolina
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