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Working for Keystone Substance Abuse Services is a rewarding and fulfilling opportunity. Thank you for your interest in Keystone’s employment opportunities. Please review our open jobs below. If you see something that is of interest, click for more details. You will have an option to submit your resume and an application on the detail page. Please note that this section is updated regularly, so re-visit the site to view changes. Keystone is an equal opportunity employer.

Executive Director

We are searching for an enthusiastic, passionate Executive Director with proven experience in the addiction treatment/behavioral health space as well as a track record of growing programs and engaging staff in an organization’s mission.


The Executive Director is responsible for all day-to-day operations of a growing, full-service agency that comprises three facilities offering programs across American Society of Addiction Medicine (ASAM) levels of care, from prevention/community education to outpatient and inpatient behavioral health services. Keystone serves adults, youth and adolescents primarily in a three-county region. Executive Director candidates are experienced in managing key functions in a behavioral health system, including staff, marketing and development, state and accreditation compliance, finance, utilization and admissions. The Executive Director must be able to build strong teams, collaborate with community and state stakeholders, elected officials, and partner closely with the Board of Directors, which is the hiring authority.


The setting
Keystone is an ideal public-private partnership as it serves as York County’s substance abuse authority as designated by York County Council and is also 501(c)(3) organization. Keystone is situated in Rock Hill, SC, along the North Carolina border near Charlotte. The region offers a wonderful climate for both weather and business, excellent school systems and a robust growth rate. With the growth comes a higher case load of people suffering from substance abuse, particularly among our younger population. The challenges and opportunities are huge for a new Executive Director to make a lasting impact on the region.
Ideal candidates:
• Demonstrate proven leadership and a willingness to work alongside team members
• Possess exceptional organizational and communications skills
• Possess strong business acumen and a working knowledge of operations and finance in a behavioral health care setting
• Exude confidence, inspire others and expect accountability of staff and him/herself
• Value integrity and ethical business practices above all

Essential Duties
• Assures compliance with CARF and all federal, state and county regulatory authorities.
• Advocates for Keystone in the community, with all groups, organizations, agencies and interested parties.
• Responds promptly to all inquiries from local, state or federal authorities regarding Keystone matters.
• Directs preparation and submission of all reports, programmatic and administrative, to the Board of Directors and organizations to which Keystone is accountable.
• Directs acquisition of funding adequate to carry out the mandated responsibilities of Keystone.
• Directs long and short-range planning functions to keep abreast of current and projected agency needs in all services.
• Ensures that all Keystone services and service providers are licensed and/or certified and meet all credentialing and contract standards.
• Requires regular and reliable attendance.

QUALIFICATIONS: Master’s degree or above, preferably in public administration or healthcare management field. Minimum five (5) years of management experience with documented responsibility leading teams, managing budgets and building programs. Candidates have a working knowledge of addiction, recovery and its dynamics.

SUPERVISOR: Board of Directors

TRAVEL: Travel is primarily local during the business day or to the state capital in Columbia, SC. Some overnight travel may be expected.
COMPENSATION: Keystone offers a competitive compensation package, comprehensive benefits and flexible work schedule.

Keystone ensures equal employment opportunity without discrimination or harassment on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, age, disability, marital status, citizenship, genetic information, or any other characteristic protected by law.

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Withdrawal Management Counselor

This position is Full Time (40 hours – includes a weekend day). Responsibilities include conducting assessments, treatment planning, case management, aftercare planning, individual, family and group counseling, and utilization review. Requirements: Master’s degree in Human Services, either current for Certification as an Addiction Counselor in South Carolina (CACI or CACII) or the ability to be in process. LMSW or LPC/LPCI Licensure preferred. Clinical experience working in a Withdrawal Management program a plus. Bi-Lingual a plus!

Please submit a letter of interest that includes days and hours you can work, as well as your resume by clicking ‘Submit Application’ below.

Submit Application

RN Staff Nurse – Evening Shift

Inpatient Detox (14 beds) facility- PRN (on an as needed basis with the opportunity to go Part or Full Time).

    • Performs all appropriate nursing services, including admission (Inpatient or Outpatient) nursing assessment, accurate and professional charting, (to include proficiency with MS Office computer software applications and/or medical records software/applications, emails, etc.), knowledge of and strict adherence to Inpatient Medication Program for clients, on-going assessment of client throughout stay and through completion of client discharges.
    • Provide education to and consultation with clients about health and wellness related issues, and information about their medications and make appropriate referrals as needed.
    • Bi-Lingual a plus!

Salary: $27.00 to $28.00 /hour

Please submit a letter of interest that includes days and hours you can work, as well as your resume by clicking ‘Submit Application’ below.

Submit Application

PRN – Inpatient Substance Abuse Specialist/ Technician

Maintains continuous observation of clients. Accurate checks and charting of vital signs.Encourages client’s participation in family activities. Assists client’s as necessary in the activities of daily living. Professional and courteous telephone etiquette and communications with clients, co-workers and visitors.
Requirements: High Scholl graduate; written and verbal communication skills, proficiency with MS office computer software applications and/or medical records software/applications, emails, etc. Some knowledge of alcohol and drug abuse; must work compatibly with others and have enough basic physical strength to perform required manual tasks involved with the position.

Please submit a letter of interest that includes days and hours you can work, as well as your resume by clicking ‘Submit Application’ below.
Submit Application