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Pyramid Healthcare
Gastonia, North Carolina

Behavioral Health Technician (BHT) – PRN | Open Availability

Behavioral Health TechIncludes weekendsPer Diem

Listed compensation

$17/hr

The week · per this posting

Ask the employer about the work setting, call expectations 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) – PRN | Open Availability
  • Location: Freedom Detox – Gastonia, NC
  • Pay: $17.00/hour + up to $1.50/hour overnight shift differential
  • Employment Type: PRN (As Needed) | Open Availability Required
  • Schedule: Flexible scheduling based on program needs, including days, evenings, overnights, weekends, and holidays

Make a Difference in Recovery

Freedom Detox, part of Pyramid Healthcare, is seeking a dependable, compassionate, and motivated Behavioral Health Technician (BHT) to join our team in Gastonia, NC!

This PRN position is ideal for someone seeking a flexible, as-needed schedule while making a meaningful difference in the lives of individuals receiving substance use and mental health treatment. Candidates must have open availability and be willing to work various shifts, including nights, weekends, and holidays based on program needs.

As a BHT, you will play an important role in maintaining a safe, structured, and supportive treatment environment. You will provide direct client support, monitor client safety, assist with daily needs, and work alongside a dedicated treatment team to support individuals throughout their recovery journey.

What You'll Do

  • Provide direct supervision, support, and engagement with clients throughout assigned shifts.
  • Monitor client safety and overall well-being.
  • Complete regular rounds and observations according to program requirements.
  • Recognize and respond appropriately to behavioral, emotional, or medical concerns.
  • Provide crisis support and notify appropriate clinical staff when needed.
  • Observe and document client self-administration of medications, as applicable.
  • Maintain accurate and timely client documentation.
  • Support a safe, clean, and organized treatment environment.
  • Assist with client needs and requests throughout assigned shifts.
  • Follow individualized treatment plans and program policies.
  • Communicate important client updates and concerns to incoming staff.
  • Maintain confidentiality and professional boundaries at all times.
  • Complete required training and maintain compliance with company standards.
  • Perform additional duties as assigned.

What You'll Need

  • High school diploma or equivalent required.
  • Previous experience in behavioral health, healthcare, residential treatment, or a related field preferred.
  • Valid driver's license in the state of employment with a safe driving record.
  • Current CPR, AED, and First Aid certification required.
  • Ability to remain alert, attentive, and responsive throughout assigned shifts.
  • Open availability required, including days, evenings, overnights, weekends, and holidays as needed.
  • Flexibility to work varying shifts based on program staffing needs.
  • Ability to work independently while remaining connected with the treatment team.

Why Join Pyramid Healthcare?

At Pyramid Healthcare, we believe recovery is possible for everyone. Our teams provide compassionate, evidence-based care in a supportive environment focused on helping individuals build healthier, more fulfilling lives.

As a PRN BHT, you'll have the opportunity to make a meaningful impact while enjoying the flexibility of an as-needed schedule. Your support helps ensure clients receive the structure, encouragement, and care they need throughout their recovery journey.

Join Freedom Detox and become an important part of someone's path 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 direct supervision and support to clients to ensure a safe and structured treatment environment. They are responsible for monitoring client well-being, documenting observations, and assisting with daily needs throughout the recovery process.

Requirements

Candidates must possess a high school diploma or equivalent and a valid driver's license with a safe driving record. Current CPR, AED, and First Aid certifications are required, along with the ability to maintain open availability for various shifts.

Key Skills

Behavioral health supportCrisis interventionClient supervisionMedication observationSafety monitoringPatient careAddiction recovery supportMental health supportCommunicationTeam collaboration

Behavioral Health Career Context

Of the 40 active Behavioral Health listings this role was benchmarked against, 83% have no call, 33% 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$35kBehavioral Health median $43k (middle half $37k–$51k)26 comparable listings, Nov 2026
Cost-of-living adjusted pay~$37k 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: 83% no call · 33% 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 contract/1099 Behavioral Health Tech Jobs

38 matches · ranked by pay

Salary Distribution

25 jobs · 24 employers
8
<$40k
13
$40k-50k
4
$50k-60k

Annual compensation range

Benefits & Perks

26 jobs · 24 employers
401k / retirement match
96% this job
CME allowance
23%
Sign-on bonus
8%
PSLF eligible
4%

Share of similar jobs offering each benefit

#1

Behavioral Health Associate - Per DiemPer Diem

Comprehensive Healthcare · Kennewick, Washington

$20.24-$30.36/hr
#2

Behavioral Health Technician – Autism Services

Asteri Behavioral Treatment Center · Highland Park, California

$20-$26/hr
#3

Behavioral Health Associate I - On Call

$20-$25/hr
#4

PRN Behavioral Health Technician (Greenbrook)

$22-$24/hr
+ 36 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.

  • Includes weekends
Pyramid Healthcare logo

About Pyramid Healthcare

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

Benefits & Perks

Flexible scheduling
Shift differential

Living in Gastonia

Typical 3-bedroom home value
$275k
Typical market rent
$1,483/mo
Residents’ average commute
27 min
Metro price indexU.S. average = 100
97.3
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 · Charlotte-Concord-Gastonia, NC-SC metro prices. Housing figures are city-level.

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