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ECU Health Medical Center
Greenville, North Carolina

Behavioral Health Associate - Emergency Department

Behavioral Health TechFull-Time

Listed compensation

$18-$23.78/hr

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 29m ago · Verified live

Job Description

Position Summary

The Behavioral Health Associate provides behavioral health care that is safe, cost-effective, developmentally appropriate, and aligned with established health care quality standards. Under the direct supervision of a nurse, the Behavioral Health Associate participates in patient observation, planning, implementation, and evaluation as part of the interdisciplinary care team.

Behavioral Health Associates provide population-appropriate care within their assigned unit or clinical setting and support therapeutic partnerships with patients and families. Responsibilities include assisting with behavioral health interventions, goal-directed care planning, patient education, and accurate documentation in the electronic health record.

The Behavioral Health Associate may also serve in the role of Observer as assigned. The Observer is responsible for monitoring one or more assigned patients for a specified time period and alerting the assigned nurse or supervisor if a patient exhibits behaviors indicating risk of harm to self or others. Additional patient care tasks may be delegated within the associate's scope of practice while under nursing supervision.

Responsibilities

Demonstrates the knowledge and skills necessary to provide care appropriate to the assigned patient population.

Ensures patient safety and implements interventions as needed.

Utilizes developmentally appropriate de-escalation techniques to ensure safety during at-risk behaviors, including self-harm or harm to others.

Acts as an observer responsible for monitoring assigned patients according to the plan of care and provider orders, communicating effectively with the care team and receiving handoff from the assigned nurse.

Monitors, documents, and intervenes as appropriate in situations involving potential harm, escalating concerns to the primary nurse.

Maintains a safe environment by identifying and removing potentially harmful objects from patient belongings and surroundings.

Facilitates group and individual therapeutic activities.

Completes vital signs as ordered.

Engages patients in appropriate activities to reduce escalation, such as structured interactions, games, or ambulation.

Documents accurate and timely observations using required monitoring tools and the electronic health record.

Provides support to assigned clinical areas during times of low patient volume, serving as a vital ancillary team member.

Serves as a resource for de-escalation and patient monitoring techniques and may assist with training other team members.

Provides informal supportive interactions with patients and families.

Participates in behavior modification plans and therapeutic interventions.

Monitors therapeutic activities to ensure emotional and safety needs are met.

Assists patients with routine activities of daily living.

Reinforces teaching provided by licensed clinicians.

Provides indirect care including cleaning work areas, changing linens, restocking supplies, transporting patients, assisting with new employee orientation, and performing routine clerical tasks.

Minimum Requirements

Associate Degree or higher is required but can be replaced with 2 years in an inpatient hospital or outpatient psychiatric setting with a high school diploma.

BLS Certification is required.

Active NAI Certification required.

1 year or more experience in behavioral health preferred.

Pay Range

  • $18.00 - $23.78
  • ECU Health

About ECU Health Medical Center

ECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet® designation twice and provides acute and intermediate care, rehabilitation and outpatient health services to a 29-county region that is home to more than 1.4 million people.

General Statement

It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer.

Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law.

We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.

Requirements

Candidates must hold an Associate degree or higher, or a high school diploma with at least 2 years of experience in an inpatient or outpatient psychiatric setting. Required certifications include BLS and active NAI certification.

Key Skills

Vital signs monitoringPatient supportInterdisciplinary collaborationCrisis intervention

Behavioral Health Career Context

Of the 40 active Behavioral Health listings this role was benchmarked against, 83% have no call, 48% require no weekends.

Behavioral Health pay on WeekdayDoc is down 4.5% vs. the prior quarter (through Oct 2026).

Behavioral Health by the numbers
MeasureThis jobMarket
Listed pay$37k–$49kBehavioral Health median $38k (middle half $36k–$51k)37 comparable listings, Nov 2026
Cost-of-living adjusted pay~$46k in purchasing powerNorth Carolina index 94.3 (US = 100)BEA Regional Price Parities (2024)
Behavioral Health listings in North Carolina44 active—live on WeekdayDoc, Nov 2026
All behavioral health listings in North Carolina52 active1,625 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 83% no call · 48% no weekends40 benchmarked listings
Sign-on & loan repaymentnot statedUS healthcare professional listings (all specialties): 5% state a sign-on bonus (median $3k) · 13% offer loan repayment1,000 active listings, Nov 2026
New Behavioral Health listings837 in the last 30 days501 the 30 days before (+67%)U.S., first seen on WeekdayDoc, Nov 2026
Behavioral Health pay trend (all specialties)−4.5% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page. North Carolina figures use all behavioral healths: too few North Carolina Behavioral Health postings state pay.

Top Behavioral Health Tech Jobs

25 matches · ranked by pay

Salary Distribution

25 jobs · 19 employers
5
$40k
9
$40k-45k
7
$45k-50k
3
$52k
1
$56k

Annual compensation range

Benefits & Perks

16 jobs
401k / retirement match
100%
CME allowance
25%
Sign-on bonus
19%
PSLF eligible
13%
Loan repayment
6%

Share of similar jobs offering each benefit

#1

Therapeutic Recreation Behavioral Health Technician (BHT)

New Horizon Community Care · Tolleson, Arizona

$23-$27/hr
#2

Behavioral Health Technician

Discovery Behavioral Health · Fairfax, Virginia

$16-$25/hr
#3

Behavioral Health Tech IV

$22-$25/hr
#4

Behavioral Health Associate I

$20-$25/hr
+ 23 more · ranked by pay

Work-life snapshot

median 1.5this job 1.5
Below most Behavioral Health listings for work-life

Listing-based score, 0–10, across 1,215 comparable listings. Shaded area = the share scoring below this one.

Living in Greenville

Typical 3-bedroom home value
$237k
Typical market rent
$1,460/mo
Residents’ average commute
19 min
Metro price indexU.S. average = 100
88.4
State income tax
Up to 4.8%
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Greenville, NC metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.