Lead Behavioral Health Technician - Second Shift
Listed compensation
$21-$22/hr
The week · per this posting
Ask the employer about the work setting, weekend coverage, nights and shift pattern and time off.
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.
- Lead Behavioral Health Technician - Second Shift
- Location: Concord, MA
- Company: Pyramid Healthcare
- Schedule: Full-Time, Second Shift
- Shifts Available: 2:00 PM – 10:00 PM or 3:00 PM – 11:00 PM
- Pay: $21–$22 per hour
About Pyramid Healthcare
Pyramid Healthcare is a nationally recognized leader in behavioral healthcare, providing compassionate, evidence-based treatment to individuals with substance use and co-occurring disorders. We are proud to open our newest treatment center in Concord, MA, specializing in Substance Use Disorder treatment for adults.
As part of our growing team, the Lead Behavioral Health Technician will play an important role in supporting clients throughout their treatment journey while helping maintain a safe, structured, and therapeutic environment.
Position Summary
The Lead Behavioral Health Technician (Lead BHT) performs all responsibilities of the Behavioral Health Technician (BHT) role while serving as the lead team member during assigned shifts. This position supports daily program operations by coordinating client activities, assisting with workflow, providing guidance and training to BHT staff, and promoting a safe, structured, and therapeutic treatment environment.
The Lead BHT works collaboratively with clinical and program leadership to support quality client care, continuity of services, operational efficiency, and compliance with organizational, regulatory, and accreditation standards.
Essential Duties and Responsibilities
Perform all duties and responsibilities of the Behavioral Health Technician (BHT) position.
Serve as the lead team member during assigned shifts and provide day-to-day guidance, mentoring, and support to Behavioral Health Technicians.
Assist with coordinating daily client activities, treatment schedules, and milieu operations to promote consistency and a positive therapeutic environment.
- Assist with the intake and orientation process for new clients entering the program.
- Observe, monitor, and respond appropriately to client behavioral and emotional needs, including crisis intervention when necessary.
- Support implementation of treatment plan objectives and reinforce client-specific therapeutic goals.
- Assist with onboarding and training new Behavioral Health Technicians as assigned.
- Communicate client concerns, staffing issues, and operational needs to program leadership.
- Maintain accurate client documentation in accordance with program, regulatory, and organizational standards.
- Observe and document client self-administration of medication, as applicable.
- Assist with maintaining a safe, clean, and orderly treatment environment.
- Assist with client dietary and daily living needs as required.
- When assigned as a BHT Driver, safely transport clients in accordance with company transportation policies and complete all required transportation documentation.
- Exercise discretion and maintain confidentiality regarding all company and client information.
- Complete all required trainings as designated by the company and applicable accreditation/licensing entities.
- Perform other duties as assigned.
Supervisory Responsibilities
This position has no direct supervisory responsibility. The Lead BHT functions as a lead worker and may provide shift-level guidance, training, coaching, and operational support to Behavioral Health Technicians.
Qualifications
- High school diploma or equivalent required.
- Two years of behavioral health or general healthcare experience preferred.
- Current CPR, AED, and First Aid certification preferred.
- Ability to communicate effectively and work collaboratively with clients, BHT staff, and members of the treatment team.
- Ability to remain calm and respond appropriately in crisis or other high-stress situations.
- Ability to maintain professional boundaries, confidentiality, and a safe therapeutic environment.
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 Lead Behavioral Health Technician coordinates daily program operations, provides shift-level guidance to staff, and ensures a safe, therapeutic environment for clients. They also perform direct client care duties, including intake, crisis intervention, and documentation of treatment progress.
Qualifications
- Experience
- 2+ years of experience
Certifications
Key Skills
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Lead Behavioral Health Technician - Second Shift at Pyramid Healthcare a 6.1 out of 10 for work-life balance — classified as good. This places the position in the top 25% in Behavioral Health — ranked against 1,240 active Behavioral Health listings on WeekdayDoc. Contributing factors include no on-call duties.
Behavioral Health Career Context
Of the 40 active Behavioral Health listings this role was benchmarked against, 3% are remote, 43% have no call, 53% require no weekends.
Behavioral Health pay on WeekdayDoc is up 2.8% vs. the prior quarter (through Sep 2026).
The cost-of-living index for Massachusetts is 105.8 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$45k midpoint carries the purchasing power of roughly $42k in an average-cost state. 63.2% of Massachusetts clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
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