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Pyramid Healthcare
Mills River, North Carolina

Behavioral Health Technician (BHT) – Full-Time Overnight Shift

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 1mo ago

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) – Full-Time Overnight Shift
  • Mills River, NC
  • $17.00 – $18.50 per hour
  • Full-Time | 3rd Shift (Overnight)

Make a Difference While Others Sleep

Pyramid Healthcare at Silver Ridge is seeking compassionate, dependable, and motivated individuals to join our team as Behavioral Health Technicians (BHTs) on our overnight shift. In this role, you'll help provide a safe, structured, and supportive environment for individuals receiving treatment for substance use and behavioral health challenges.

If you're looking to start or grow a career in behavioral health, mental health services, addiction recovery, or healthcare, this is an excellent opportunity to gain meaningful experience while making a lasting impact in the lives of others.

Why Join Pyramid Healthcare?

  • Full-time schedule with benefits eligibility
  • Gain valuable experience in behavioral health and addiction treatment
  • Paid training and ongoing professional development
  • Supportive team environment with opportunities for advancement
  • Work for an organization dedicated to helping individuals achieve lasting recovery

What You'll Do

  • Client Care & Support
  • Provide supportive, respectful, and therapeutic interactions with clients
  • Assist with admissions, intakes, and orientation of new clients
  • Monitor client behavior and well-being throughout the shift
  • Support clients in following program schedules and expectations
  • Safety & Supervision
  • Conduct routine bed checks and overnight safety rounds
  • Maintain a safe, structured, and therapeutic environment
  • Observe medication lines and report concerns as needed
  • Perform client and belongings searches when appropriate
  • Respond calmly and professionally to emergencies or crisis situations
  • Documentation & Communication
  • Complete accurate shift documentation and communication logs
  • Report client concerns and significant events to the treatment team
  • Collaborate with clinical and medical staff to support client success
  • Facility Support
  • Assist with light housekeeping, stocking supplies, and maintaining common areas
  • Help ensure the facility remains clean, organized, and welcoming
  • Support onboarding and training of new staff members as needed

Qualifications

  • Required
  • High School Diploma or GED
  • Valid Driver's License
  • Ability to work overnight hours
  • Strong communication and interpersonal skills

Preferred

Experience working in behavioral health, mental health, addiction treatment, healthcare, or human services

Experience Working in a Residential Treatment Environment

No experience? No problem. We welcome entry-level candidates who are passionate about helping others and willing to learn.

About Pyramid Healthcare – Silver Ridge

At Silver Ridge, we are committed to providing high-quality behavioral health and substance use treatment in a supportive and healing environment. Every member of our team plays an important role in helping clients build healthier, more fulfilling lives.

  • If you're compassionate, reliable, and ready to make a meaningful impact, we'd love to hear from you.
  • Apply today and begin a rewarding career helping others on their journey to recovery.

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.

Key Responsibilities

The Behavioral Health Technician provides supportive, therapeutic care to clients while maintaining a safe and structured environment through routine safety rounds and documentation. They also assist with clinical intake processes, medication observation, and general facility upkeep to ensure a welcoming atmosphere.

Key Skills

Client supportCrisis interventionSafety monitoringIntake processingFacility maintenance

Behavioral Health Career Context

Of the 40 active Behavioral Health listings this role was benchmarked against, 73% have no call, 63% require no weekends.

Behavioral Health pay on WeekdayDoc is down 1.0% vs. the prior quarter (through Oct 2026).

Behavioral Health by the numbers
MeasureThis jobMarket
Listed pay$35k–$38kBehavioral Health median $43k (middle half $37k–$51k)28 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 Carolina46 active1,228 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 73% no call · 63% no weekends40 benchmarked listings
Sign-on & loan repaymentnot statedUS healthcare professional listings (all specialties): 4% state a sign-on bonus (median $3k) · 12% offer loan repayment1,000 active listings, Nov 2026
New Behavioral Health listings861 in the last 30 days503 the 30 days before (+71%)U.S., first seen on WeekdayDoc, Nov 2026
Behavioral Health pay trend−1.0% 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.

Top Behavioral Health Tech Jobs

24 matches · ranked by pay

Salary Distribution

24 jobs · 20 employers
7
<$40k
5
$40k-45k
8
$45k-50k
2
$52k
2
$55k+

Annual compensation range

Benefits & Perks

15 jobs
401k / retirement match
100% this job
CME allowance
33%
Sign-on bonus
13%
Loan repayment
7%
PSLF eligible
7%

Share of similar jobs offering each benefit

#1

Behavioral Health Technician

Centurion Health · Taylorville, Illinois

$26.91-$28.58/hr
#2

Therapeutic Recreation Behavioral Health Technician (BHT)

New Horizon Community Care · Tolleson, Arizona

$23-$27/hr
#3

Behavioral Health Technician

$16-$25/hr
#4

Behavioral Health Tech IV

$22-$25/hr
+ 22 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 1,195 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 Mills River

Typical 3-bedroom home value
$500k
Typical market rent
$2,988/mo
Residents’ average commute
21 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.