
At Monarch, we work together to provide life-changing care in communities across North Carolina and Rhode Island. As a team, we provide hope, promote wellness, and empower individuals and families impacted by mental illness, substance use disorders, intellectual and developmental disabilities, and traumatic brain injury.
You deserve a positive and encouraging work environment - a place where you can do your best work and grow as a professional. That is just what you’ll find at Monarch. Here, we care for people, including our team members. We offer a comprehensive, competitive benefits package that supports full-time and part-time team members and their families. More than just a job, this opportunity with Monarch will give you room to spread your wings and grow because we believe in promoting from within and developing future leaders.
The Certified Alcohol and Drug Counselor, Crisis must be a Fully Certified Alcohol and Drug Counselor in good standing with State Addictions Specialist Professional Practice Board.
The primary responsibility of the Certified Alcohol and Drug Counselor, Crisis is to ensure that the people supported have access to counseling supports, psychoeducation, and crisis interventions when needed. The position plays a lead role in case management and coordination of care functions.
Participate in the initial development, implementation, and ongoing revision of the plan, including providing ongoing assessment and reassessment of the individual based on their plan and goals. Monitor and document the status of the person’s progress and the effectiveness of the strategies and interventions outlined in the plan.
Communicate the individual’s progress and the effectiveness of the strategies and interventions to the LCAS or LCAS-A and as outline in the plan.
Monitor, document, and communicate signs and symptoms of alcohol and other drug intoxication and withdrawal as well as the treatment and monitoring of those conditions to the treatment team.
Provide crisis interventions, when clinically necessary.
Provide psychoeducation as indicated in the plan, including groups.
Provide linkage to and coordination with services and supports.
Assist with the developments or relapse prevention and disease management strategies.
Engage with family members or individuals identified by the person as being important to their care and recovery in the withdrawal management process, with consent.
Provide linkage and referrals for recovery services and supports.
Maintain accurate service notes and documentation for all interventions provided.
Demonstrate knowledge of and comply with all agency policies and procedures.
Driving and travel may be required.
Follow service definitions guidelines for services being provided.
Complete all other relevant responsibilities as assigned by the supervisor.
High School Diploma (Required)
Certified Alcohol & Drug Counselor (CADC) - State Addictions Specialist Professional Practice Board
Experience working with adults, children, or adolescents with a mental health diagnosis and/or substance use disorder(s) | Not Required
Full time position with rotating schedule - primary hours 8am-6pm with one 10am-8pm shift per week
**Anticipated Start Date: May 4, 2026.**
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Monarch offers opportunities as diverse as the people we support and the communities we serve. Monarch is an equal opportunity employer and we are firmly committed to supporting and celebrating all forms of diversity.
Monarch does not accept paper applications. Any person with a disability who needs any reasonable accommodation under the Americans with Disabilities Act to apply for a position or otherwise to participate in Monarch job search or selection process, should contact HR@MonarchNC.org or call (704) 986-1550.
This job description in no way implies that these are the only duties and responsibilities to be performed. You will be required to follow any other instructions and to perform any other duties and responsibilities upon the request of a supervisor. This is subject to revision at the discretion of Monarch.

Established in 1958, Monarch is a premier nonprofit organization that provides innovative support to thousands of people with intellectual and developmental disabilities, mental illness and substance use disorders in North Carolina. With approximately 600,000 patient encounters annually, Monarch offers quality, person-centered services and treatment to nearly 30,000 people to help them learn, grow, work and heal. Monarch is accredited by The Joint Commission. The organization operates The Arc of Stanly County, which is a chapter of The Arc of North Carolina and The Arc of the United States.
To learn more, visit www.MonarchNC.org.