Residential Behavioral Health Specialist 1
Compensation
Pay not listed
The week · per this posting · weekdays assumed
Ask the employer about the pay range, the work setting, call expectations and time off.
Job Description
General Description of Duties and Responsibilites
The Residential Behavioral Health Specialist I provides functional milieu engagement, recovery support, life-skills coaching, safety rounds, and incident reporting in a residential SUD/MH program. This tier co-facilitates structured activities, documents objective observations in the EMR, and escalates clinical concerns to AP/QP/LP staff.
Major Responsibilitites
- Conduct access control, safety rounds, and hazard checks; promptly escalate risks/emergencies to supervisory staff.
- Use de-escalation and crisis techniques per training; complete incident reports and follow chain-of-custody procedures when applicable.
- Coach residents in ADLs/IADLs (hygiene, room care, meal prep, time management, budgeting, transportation readiness).
- Co-facilitate non-clinical groups and recovery-focused activities using approved materials.
- Support transportation readiness and accompany residents to appointments/activities as assigned.
- Participate in shift handoffs and communicate objective observations to the treatment team.
Document & Compliance
- Complete objective, behavior-based notes in the EMR within required timelines (generally within 24 hours for billable encounters).
- Maintain confidentiality under HIPAA/42 CFR Part 2 and program policy.
- Document incidents immediately per incident reporting policy.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education/Experience
- Must possess at a minimum High School Diploma/GED
- Experience in residential / SUD / MH settings preferred
Required Skills/Abilities
- At least 21 years of age
- Valid driver’s license and acceptable driving record
- Ability to work varied shifts
- Strong verbal de-escalation, customer service, and milieu engagement skills
Additional Training and Requirements
- Nonviolent Crisis Intervention (CPI/NCI) and de-escalation.
- CPR/First Aid; Blood-borne Pathogens; Infection Control.
- HIPAA/Client Rights; Incident Reporting; Workplace Violence Prevention.
- Obtain IAHSS Basic (unarmed healthcare security) within 90 days of hire.
PERFORMANCE METRICS (KPIs)
- Timeliness and quality of documentation (objective, complete, within program timelines – typically within 24 hours for billable encounters).
- Effective de-escalation and incident response; accuracy of incident reports.
- Resident engagement in groups/activities and observable skill acquisition.
- Quality of handoffs and inter-disciplinary communication.
- Compliance with HIPAA/42 CFR Part 2 and program policy; audit readiness.
Key Responsibilities
The specialist provides functional milieu engagement, recovery support, and life-skills coaching within a residential SUD/MH program. They are responsible for conducting safety rounds, documenting objective observations in the EMR, and escalating clinical concerns to the treatment team.
Key Skills
Healthcare Administration Career Context
Of the 50 active Healthcare Administration listings this role was benchmarked against, 22% are remote, 28% have no call, 70% require no weekends.
The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)). 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
| Measure | This job | Market |
|---|---|---|
| Listed pay | not listed | Healthcare Administration median $62k (middle half $56k–$71k)11 comparable listings, Oct 2026 |
| Cost of living | North Carolina index 94.3 | US average = 100BEA Regional Price Parities (2024) |
| Healthcare Administration listings in North Carolina | 36 active | 1,302 nationallylive on WeekdayDoc, Oct 2026 |
| Work setting | on-site | peers: 22% remote · 28% no call · 70% no weekends50 benchmarked listings |
| Healthcare Administration pay trend | −6.0% vs prior quarter | —through Sep 2026 |
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