Job Description

Counselor
Full‑Time | LPC, LMFT or LCSW
Schedule: Monday–Friday with rotating Saturday or Tuesday–Saturday

As a Counselor at our Roanoke, VA location, you will oversee the counseling components of a patient’s clinical care while supporting continuity from admission through discharge and follow‑up. In this full‑time role, you will provide patient‑centered, evidence‑based counseling services focused on addressing the underlying causes and effects of substance use disorders through individual, group, and family therapy.

Why Pinnacle

• Collaborative, team‑based clinical environment
• Commitment to evidence‑based, quality patient care
• Opportunities for professional growth and advancement
• Ongoing training and clinical collaboration
• Meaningful work that positively impacts patients, families, and communities

Requirements

• Bachelor’s or Master’s degree in psychology, counseling, or social work from an accredited college or university, as required by Virginia regulations
• Minimum of three (3) years of experience in substance use treatment, mental health counseling, or a related field
• Active licensure in accordance with 12VAC30‑130‑5020, including one of the following:
  • Licensed Clinical Social Worker (LCSW)
  • Licensed Professional Counselor (LPC)
  • Licensed Marriage and Family Therapist (LMFT)

Responsibilities

• Collaborate with the clinical team on patient care decisions and attend clinical meetings as required
• Assess patient counseling needs and conduct substance use evaluations using DSM criteria and ASAM guidelines
• Obtain and review prior treatment records relevant to the current episode of care
• Develop and implement the counseling components of individualized treatment plans
• Provide substance use counseling services, including individual, group, and family sessions
• Reassess patients and update treatment plans as clinically indicated
• Develop discharge and continuum‑of‑care plans to support appropriate transitions
• Participate actively as a member of a multidisciplinary treatment team
• Document all counseling services, assessments, referrals, reassessments, and follow‑ups in the clinical record
• Maintain an assigned caseload, including case management, utilization review updates, treatment planning, and clinical charting
• Coordinate support services for patients and families and document services provided
• Communicate and coordinate with referral sources (legal, school, employer, etc.)
• Facilitate crisis intervention using a collaborative, multidisciplinary approach
• Complete assigned administrative and clinical tasks
• Attend required meetings and trainings
• Perform other duties as assigned

Join our team. Join our mission.