Clinical Social Worker Jobs in North Carolina
Clinical Social Worker jobs in North Carolina are in strong and steady demand, concentrated in healthcare systems, behavioral health organizations, and community mental health centers, with openings at every level from entry-level positions through senior licensed clinicians. The most active hiring markets are Charlotte, Raleigh, and Greensboro, where major employers such as Atrium Health, UNC Health, and Cone Health consistently bring on clinical social workers. The most sought-after specialties in North Carolina are behavioral health, child and family services, and medical social work in acute care settings. Find a role that fits below and apply directly.
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Job Summary
As a Licensed Clinical Mental Health Counselor or Licensed Clinical Social Worker, you’ll provide compassionate, evidence-based care to clients across appropriate age groups and care settings. You’ll conduct mental health assessments, develop treatment plans, and deliver individual, group, family, and telehealth therapy. Your approach may draw on psychotherapy, cognitive behavioral therapy, motivational interviewing, trauma-focused therapy, and other methods suited to each client.
Your impact: Thoughtful assessment and coordinated care help clients and families navigate challenges and work toward meaningful progress.
Responsibilities
- Complete intake, diagnostic evaluation, and patient assessment; document findings and treatment plans in electronic medical records (EMR/EHR).
- Provide clinical counseling, child and family counseling, grief and addiction counseling, crisis intervention, and behavioral health support as appropriate.
- Use evidence-based practice and clinical documentation standards; follow Health Insurance Portability and Accountability Act (HIPAA) requirements and clinical ethical guidelines.
- Coordinate case management and direct support with clients, families, and care teams; communicate clearly and manage crises responsibly.
- Apply relevant International Classification of Diseases (ICD) coding, including ICD-9 and ICD-10, and maintain accurate medical records.
Requirements
- Current, applicable licensure as a clinical mental health counselor or clinical social worker; meet jurisdictional requirements for clinical practice.
- Clinical counseling experience, including psychotherapy, treatment planning, and clinical documentation.
- Experience working with children is important; experience in pediatrics, child and youth therapy, developmental disabilities, autism, or special education is valued.
- Preferred experience may include hospital, inpatient, outpatient, or clinic settings; telehealth therapy; co-occurring disorders; PTSD care; crisis management; and geriatrics.
- Additional relevant skills may include group therapy, applied behavior analysis, behavioral therapy, chronic pain counseling, art or dance therapy, psychodynamic therapy, research, data collection, medical terminology, and social work.
Pay: From $35.00 per hour
Benefits:
- Flexible schedule
People with a criminal record are encouraged to apply
Work Location: Hybrid remote in Greensboro, NC 27408
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Where North Carolina roles are concentrated, by current openings.
Clinical Social Worker Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring


Top Industries Hiring
- Healthcare & Medical Services
What North Carolina Employers Look For
The qualifications that appear most often in clinical social worker jobs across North Carolina.
- Active Licensed Clinical Social Worker (LCSW) credential issued by the North Carolina Social Work Certification and Licensure Board
- Master of Social Work degree from a CSWE-accredited graduate program
- Two or more years of supervised post-master's clinical social work experience
- Experience conducting psychosocial assessments, treatment planning, and individual therapy
- Familiarity with electronic health records and clinical documentation standards
- Strong knowledge of community mental health resources and referral networks in North Carolina
Clinical Social Worker Jobs in North Carolina: Frequently Asked Questions
How do you become a clinical social worker in North Carolina?
To become a clinical social worker in North Carolina, you must earn a Master of Social Work from an accredited program and then obtain licensure through the North Carolina Social Work Certification and Licensure Board. The path leads to the Licensed Clinical Social Worker designation, which requires completing the required supervised clinical hours and passing the Association of Social Work Boards clinical examination. Most hospital systems and behavioral health employers in North Carolina require the full LCSW before extending a clinical offer.
Which companies hire clinical social workers in North Carolina?
Employers hiring clinical social workers in North Carolina right now include Trinzic, Thriveworks, and Duke Health, based on current listings on Migrate Mate as of October 2026. North Carolina's large integrated health systems and community mental health centers tend to be the most consistent sources of full-time clinical social worker openings across the state.
Which North Carolina cities have the most clinical social worker jobs?
Durham, Charlotte, and Raleigh have the most clinical social worker openings in North Carolina. Charlotte and Raleigh lead because of their large integrated hospital systems and growing behavioral health infrastructure, while Greensboro serves as an anchor for the Piedmont Triad region where Cone Health and several community mental health agencies maintain significant clinical workforces.
Are there remote clinical social worker jobs in North Carolina?
Yes, but they are more limited than in purely desk-based fields, since much clinical social work involves in-person assessment, care coordination, and direct client contact. About 74% of clinical social worker openings tied to North Carolina are remote or hybrid as of October 2026, with telehealth therapy and care management roles representing the largest share of those flexible positions.
How can I get hired as a clinical social worker in North Carolina with little or no experience?
The most realistic entry path is pursuing a Licensed Clinical Social Worker Associate designation through the North Carolina Social Work Certification and Licensure Board while completing your required supervised hours under a qualified supervisor. Large North Carolina employers such as Atrium Health and UNC Health regularly hire master's-level social workers into associate or care coordinator roles specifically designed to build toward full licensure. Adjacent roles like case manager, discharge planner, or behavioral health technician are common lateral entry points that provide the supervised setting needed to accumulate clinical hours and qualify for the LCSW.
Where can I find and apply to clinical social worker jobs in North Carolina?
You can find and apply to clinical social worker jobs in North Carolina on Migrate Mate, which lists current openings from employers across the state. Search the listings for roles that match your license level, specialty, and preferred location, then apply directly to the ones that fit.
See All 65 Clinical Social Worker Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
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