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Focus Behavioral Health
Lenoir, North Carolina

Residential Overnight Milieu Counselor

Counselor / TherapistNo weekendsFull-Time

Listed compensation

$16-$17/hr

The week · per this posting · Monday – Friday

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

Posted 45m ago · Verified live

Job Description

This position takes place in a highly structured 24 hour residential facility program working with male youth clientele. Assist the population in improving their behaviors and meeting their treatment goals. Staff members are role models and actively engage clients served to meet overall behavior goals.

Know and understand each client's treatment needs. Review and contribute to revising treatment plans and implementation. Maintain confidentiality at all times per HIPAA standards.

Provide therapeutic care and treatment of all clients equally and effectively according to the standards outlined in the Counselor's Orientation manual and agency policies and procedures manual.

Maintain cleanliness of facility by performing general and light household chores (sweeping, dusting, ensuring bathrooms are clean, etc.) during the overnight shift while clients are asleep.

Monitor clients at irregular intervals throughout the night (hours of sleep) to provide monitoring of all clients throughout the night; this includes walking up and down the halls and looking into each and every assigned bedroom.

Begin preparing for the next day's meals (laying out frozen items, starting items in crock pot, etc.). Preparing lunches for the following day.

Develop and adhere to a written morning schedule and post within the facility for all clients and staff to follow.

Learn, utilize, and model the following tools/modalities for all clientele: Head Heart Hands, Cycles of Growth and Change, Think It Tools for Living, New Me curriculum, and any subsequent program models implemented by the agency.

Wake clients every morning to prepare for morning daily scheduled routine. Administer morning medications as ordered. Conduct a morning check-in (HDID, and verbal safety plans to attend the daily scheduled activities).

Prepare breakfast for clients every morning (light breakfast Monday - Friday with larger breakfasts on the weekends).

  • Assist clients in morning chores, coaching them to perform the chore properly.
  • Assist clients in daily chores, coaching them to perform the chore properly.
  • Follow all traffic laws when driving with clients or using company vehicles (seat belts, speed limits, yielding requirements, etc.).
  • Attend scheduled staff meetings and mandatory training.

Appropriately accept and cooperate with supervisory guidance and leadership. Work consistently with peers and with agency representatives.

Support a teamwork environment.

Participate in quality improvement program. Participate in safety programs agency-wide including completion of fire/disaster drills, notification of potential hazards, etc.

  • Professionalism in all areas of work, including client and co-worker relationships.
  • Other duties as assigned.
  • Minimum 21 years of age.
  • All employment contingent upon satisfactory results of background check and drug screening.

Key Responsibilities

Provide overnight supervision and therapeutic behavioral support to male youth in a structured residential program, including regular room checks, treatment plan implementation, and morning medication and safety routines. Prepare meals, maintain facility cleanliness, coach clients through chores and daily routines, and collaborate with colleagues while following agency policies and safety procedures.

Requirements

Applicants must be at least 21 years old and pass a background check and drug screening. The posting does not specify an education or prior experience requirement; candidates are expected to follow treatment, confidentiality, safety, and agency procedures.

Key Skills

Youth CounselingClient MonitoringMedication AdministrationSafety PlanningHousekeepingMeal PreparationDriving Safety

Behavioral Health — Counselor Career Context

Of the 50 active Behavioral Health listings this role was benchmarked against, 52% are remote, 38% have no call, 62% require no weekends.

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$34k midpoint carries the purchasing power of roughly $36k in an average-cost state. 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

How many Behavioral Health jobs are remote?
MeasureThis jobMarket
Work-life score3.9 / 10 · above average in behavioral health (counseling)ranked against 348 Behavioral Health (Counseling) listingslisting-based score, 0–10
Cost-of-living adjusted pay~$36k in purchasing powerNorth Carolina index 94.3 (US = 100)BEA Regional Price Parities (2024)
Behavioral Health listings in North Carolina25 active348 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 52% remote · 38% no call · 62% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedNorth Carolina Counselor listings: 13% state a sign-on bonus (median $5k) · 14% offer loan repayment497 active listings, Nov 2026
New Behavioral Health listings856 in the last 30 days594 the 30 days before (+44%)U.S., first seen on WeekdayDoc, Nov 2026
Behavioral Health pay trend−8.1% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index (348 Behavioral Health (Counseling) listings), BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Counselor Jobs

44 matches · ranked by pay

Salary Distribution

44 jobs · 33 employers
21
<$80k
11
$80k-95k
8
$95k-110k
3
$110k-125k
1
$125k

Annual compensation range

Benefits & Perks

32 jobs
401k / retirement match
88%
CME allowance
34%
Sign-on bonus
22%
Loan repayment
9%
PSLF eligible
3%

Share of similar jobs offering each benefit

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#2

Licensed Clinical Mental Health Counselor (LCMHC)

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#3

Licensed Professional Counselor (LPC)

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#4

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+ 42 more · ranked by pay

Work-life snapshot

median 2.8this job 3.9
Better work-life than 60% of Behavioral Health (Counseling) listings

Listing-based score, 0–10, across 348 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
Focus Behavioral Health logo

About Focus Behavioral Health

Wellness and Fitness Services
51-200 employees

Living in Lenoir

Typical 3-bedroom home value
$249k
Median resident rent
$664/mo
Residents’ average commute
25 min
Metro price indexU.S. average = 100
88.5
State income tax
Up to 4.8%
Sources & methodology

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

BEA 2024 · Hickory-Lenoir-Morganton, NC metro prices. Housing figures are city-level.

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