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Pyramid Healthcare
Asheville, North Carolina

Behavioral Health Technician (Overnight)

Behavioral Health TechFull-Time

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.

Posted 58m ago · Verified live

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

Safety MonitoringBehavioral ObservationClinical DocumentationMedication ObservationCrisis ResponseVerbal CommunicationTeam Collaboration

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).

Behavioral Health by the numbers
MeasureThis jobMarket
Work-life score2.8 / 10 · above average in behavioral healthranked against 1,227 Behavioral Health listingslisting-based score, 0–10
Listed pay$35k–$38kBehavioral Health median $43k (middle half $37k–$51k)23 comparable listings, Nov 2026
Cost-of-living adjusted pay~$39k in purchasing powerNorth Carolina index 94.3 (US = 100)BEA Regional Price Parities (2024)
Behavioral Health listings in North Carolina53 active1,620 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 73% no call · 53% no weekends40 benchmarked listings
Sign-on & loan repaymentnot statedUS healthcare professional listings: 4% state a sign-on bonus (median $3k) · 12% offer loan repayment1,000 active listings, Nov 2026
New Behavioral Health listings847 in the last 30 days531 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
Sources: WeekdayDoc live listing index (1,227 Behavioral Health listings), BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Behavioral Health Tech Jobs

23 matches · ranked by pay

Salary Distribution

23 jobs · 19 employers
6
<$40k
8
$40k-45k
5
$45k-50k
3
$52k
1
$59k

Annual compensation range

Benefits & Perks

17 jobs
401k / retirement match
94% this job
CME allowance
35%
Sign-on bonus
12%
PSLF eligible
6%

Share of similar jobs offering each benefit

#1

Behavioral Health Technician

Centurion Health · Pontiac, Illinois

$26.91-$28.58/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
+ 21 more · ranked by pay

Work-life snapshot

median 1.5this job 2.8
Better work-life than 60% of Behavioral Health listings

Listing-based score, 0–10, across 1,227 comparable listings. Shaded area = the share scoring below this one.

Pyramid Healthcare logo

About Pyramid Healthcare

Hospitals and Health Care
Duncansville, Pennsylvania
1,001-5,000 employees

Benefits & Perks

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

Living in Asheville

Typical 3-bedroom home value
$451k
Typical market rent
$1,726/mo
Residents’ average commute
18 min
Metro price indexU.S. average = 100
96.5
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 · Asheville, NC metro prices. Housing figures are city-level.

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