Behavioral Health Technician (Overnight)
Listed compensation
$17-$18.5/hr
The week · per this posting · weekdays assumed
Ask the employer about the work setting, call expectations, weekend coverage and time off.
Job Description
Pyramid Healthcare is dedicated to offering the highest quality of care to those we serve. A focus on client-focused care establishes our family of brands as respected leaders in addiction treatment, mental health recovery and eating disorder treatment modalities.
Pyramid Healthcare offers comprehensive behavioral healthcare defined by supportive environments that offer patients the strength they need to overcome life’s challenges. We offer behavioral healthcare services – psychiatry, addiction recovery, mental disorder treatment, etc. – that allow clients at all stages of recovery or rehabilitation to reclaim health and well-being.
- Behavioral Health Technician (BHT) – Overnight Shift
- Location: Pyramid Healthcare of Asheville – Asheville, NC
- Pay: $17.00/hour + up to $1.50/hour overnight shift differential ($18.50/hour)
- Employment Type: Full-Time & Part-Time Opportunities
- Schedule: Overnight Shift | Flexible Scheduling Options
- Make a Difference in Recovery – Overnight!
Pyramid Healthcare of Asheville is seeking compassionate, dependable, and motivated Behavioral Health Technicians (BHTs) to join our overnight team serving adults in our residential and sober living programs.
This is a hands-on, direct-care opportunity for individuals passionate about supporting recovery and mental health. As an Overnight BHT, you will play an important role in maintaining a safe, structured, and supportive environment while providing supervision and assistance to clients throughout overnight hours.
Whether you're looking to begin a career in behavioral healthcare or build on previous experience, this is an opportunity to grow with a team dedicated to helping individuals achieve lasting recovery.
Position Summary
The Behavioral Health Technician provides direct client supervision, care, and support throughout the overnight shift. This role is responsible for monitoring client safety, completing routine observations, maintaining accurate documentation, and responding appropriately to client needs or emergencies.
The Overnight BHT works closely with clinical and administrative teams to ensure continuity of care and maintain a safe, therapeutic residential environment.
Key Responsibilities
- Provide direct client supervision, support, and engagement throughout overnight hours.
- Monitor client safety and overall well-being.
- Complete regular rounds and observations according to program requirements.
- Monitor and document client behaviors, interactions, and progress in clinical records.
- Observe and document client self-administration of medications, as applicable.
- Recognize and respond appropriately to behavioral, emotional, or medical concerns.
- Provide crisis support and follow approved de-escalation and intervention procedures.
- Communicate significant client updates and concerns to appropriate team members.
- Assist clients with overnight needs and requests.
- Maintain a safe, clean, and organized residential environment.
- Follow individualized treatment plans and program policies.
- Complete required documentation, training, and assigned responsibilities.
Qualifications
Required
- High school diploma or GED.
- Valid driver's license with a safe driving record.
- Current CPR, AED, and First Aid certification, or ability to obtain upon hire.
- Ability to remain alert, attentive, and responsive throughout overnight hours.
Preferred
- Previous experience in behavioral health, substance use treatment, residential care, or healthcare.
- Experience working with vulnerable populations.
- Knowledge, Skills & Abilities
- Strong verbal and written communication skills.
- Ability to recognize and respond to crises and challenging situations.
- Strong professional judgment and problem-solving skills.
- Understanding of regulatory requirements and ethical standards in behavioral healthcare.
- Ability to maintain appropriate professional boundaries and confidentiality.
- Ability to work independently while collaborating with a multidisciplinary treatment team.
Physical & Work Environment Requirements
- Frequent standing, walking, stair climbing, and use of hands and arms.
- Occasional lifting of up to 50 pounds and carrying up to 25 pounds.
- Local travel may be required; reliable personal transportation is necessary.
- Potential exposure to infectious diseases and psychiatric emergencies.
- Work performed in indoor clinical and residential environments with moderate noise levels.
Why Join Pyramid Healthcare?
At Pyramid Healthcare, we believe recovery is possible for everyone. We are committed to providing compassionate, evidence-based care while creating opportunities for our employees to grow and make a lasting impact.
What We Offer
- Competitive hourly pay with overnight shift differential.
- Full-time and part-time scheduling opportunities.
- Opportunities for career advancement in behavioral health and addiction treatment.
- Supportive, mission-driven team environment.
Comprehensive benefits for eligible full-time employees, including medical, dental, vision, PTO, 401(k), and more.
Join Pyramid Healthcare of Asheville and become part of a team making a difference in the lives of individuals and families impacted by behavioral health and substance use challenges!
Pyramid CORE Values
We are committed and proud to live our CORE values and use them to inspire those around us. Our employees are expected to align with these values, behaviors, and standards.
We are held accountable for upholding these CORE Values: INTEGRITY is striving to be honest, transparent, and ethical when dealing with clients, staff, and the community. DEDICATION is demonstrating an unwavering commitment to always provide exceptional care and support to those we serve is needed daily.
COLLABORATION is a steadfast, team-focused approach; working together to achieve excellence. PASSION is genuine, compelling, and relentless desire to improve lives and support Pyramid Healthcare’s mission.
Total Rewards for Full-Time Positions
- Medical, Dental, and Vision Insurance
- Flexible Spending Accounts
- Life Insurance
- Paid Time Off
- 401(k) with Company Match
- Tuition Reimbursement
- Employee Recognition Programs
- Referral Bonus opportunities
- And More!
Want to Know More?
To learn more about Pyramid Healthcare, and how you can achieve personal and professional growth, visit us at: bit. ly.
Pyramid Healthcare, Inc. is proud of its diverse workforce, and is an Equal Opportunity Employer.
Qualifications
- Education
- Professional certificate or licensure
Key Skills
Behavioral Health Career Context
Of the 40 active Behavioral Health listings this role was benchmarked against, 73% have no call, 53% require no weekends.
Behavioral Health pay on WeekdayDoc is down 2.1% vs. the prior quarter (through Oct 2026).
| Measure | This job | Market |
|---|---|---|
| Work-life score | 2.8 / 10 · above average in behavioral health | ranked against 1,227 Behavioral Health listingslisting-based score, 0–10 |
| Listed pay | $35k–$38k | Behavioral Health median $43k (middle half $37k–$51k)23 comparable listings, Nov 2026 |
| Cost-of-living adjusted pay | ~$39k in purchasing power | North Carolina index 94.3 (US = 100)BEA Regional Price Parities (2024) |
| Behavioral Health listings in North Carolina | 53 active | 1,620 nationallylive on WeekdayDoc, Nov 2026 |
| Work setting | on-site | peers: 73% no call · 53% no weekends40 benchmarked listings |
| Sign-on & loan repayment | not stated | US healthcare professional listings: 4% state a sign-on bonus (median $3k) · 12% offer loan repayment1,000 active listings, Nov 2026 |
| New Behavioral Health listings | 847 in the last 30 days | 531 the 30 days before (+60%)U.S., first seen on WeekdayDoc, Nov 2026 |
| Behavioral Health pay trend | −2.1% vs prior quarter | —through Oct 2026 |
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