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Pyramid Healthcare
Gastonia, North Carolina

Behavioral Health Technician (BHT) – Full-Time 3rd Shift

Behavioral Health TechIncludes weekendsFull-Time

Listed compensation

$17-$18.5/hr

The week · per this posting

Ask the employer about call expectations, nights and shift pattern and time off.

Posted 3h 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) – Overnight | Full-Time
  • Freedom Detox – Gastonia, NC
  • Pay: $17.00/hour + up to $1.50/hour overnight shift differential ($18.50/hour)
  • Full-Time | Overnight | 12-Hour Shifts | Open Availability Required
  • Full Benefits Package + PTO + Growth Opportunities

Make a Difference in Recovery—Even Overnight

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

This full-time overnight position offers 12-hour shifts and requires open availability, including nights, weekends, and holidays as needed. You’ll play an important role in maintaining a safe, structured, and supportive environment for individuals receiving substance use and mental health treatment.

As an Overnight BHT, you’ll monitor clients, provide support when needed, complete required documentation, and work as part of a team dedicated to helping clients through the recovery process.

What You'll Do

  • Provide direct supervision, support, and engagement with clients throughout the overnight shift
  • Monitor client safety and well-being throughout the night
  • 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 during overnight hours
  • 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 an overnight shift
  • Open availability required, including nights, weekends, and holidays as needed
  • 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 an Overnight BHT, your role is critical. You’ll help create a safe and supportive environment during overnight hours, ensuring clients have the structure and support they need as they work toward recovery.

Join Freedom Detox and become an important part of someone's journey toward 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: https://bit.ly/Pyramid-Careers.

Pyramid Healthcare, Inc. is proud of its diverse workforce, and is an Equal Opportunity Employer.

Key Responsibilities

Supervise and support clients overnight, monitor their safety and well-being, conduct rounds, and respond to behavioral, emotional, or medical concerns. Document observations and client updates, support a safe treatment environment, follow treatment plans and program policies, and coordinate with clinical staff and incoming team members.

Requirements

A high school diploma or equivalent is required, along with a valid state driver’s license and a safe driving record; behavioral health, healthcare, or residential treatment experience is preferred. Current CPR, AED, and First Aid certifications are required, as are open availability for nights, weekends, and holidays and the ability to remain alert throughout overnight shifts.

Key Skills

Client SupervisionClient SupportSafety MonitoringBehavioral ObservationMedication ObservationTreatment Plan ComplianceTeam CommunicationOvernight Alertness

Behavioral Health Career Context

Of the 40 active Behavioral Health listings this role was benchmarked against, 53% have no call, 43% require no weekends.

Behavioral Health pay on WeekdayDoc is up 17.7% vs. the prior quarter (through Aug 2026).

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$37k midpoint carries the purchasing power of roughly $39k in an average-cost state. 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Behavioral Health Tech Jobs

28 matches · ranked by pay

Salary Distribution28 jobs · 18 employers

7
<$40k
9
$40k-45k
8
$45k-50k
2
$52k
2
$59k

Annual compensation range

Benefits & Perks17 jobs

401k / retirement match
94% this job
CME allowance
47%
Loan repayment
6%

Share of similar jobs offering each benefit

#1

Behavioral Health Technician at Hill (83693)

Centurion Health · Galesburg, Illinois

$26.91-$28.58/hr
#2

Behavioral Health Technician (83534)

Centurion Health · Pontiac, Illinois

$26.91-$28.58/hr
#3

Behavioral Health Technician - Bachelor's Degree in Psychology (83704)

$25/hr
#4

Behavioral Health Associate I

$20-$25/hr
+ 26 more · ranked by pay

Work-life snapshot

median 1.5this job 1.5
Better work-life than 50% of Behavioral Health listings

Listing-based score, 0–10, across 1,227 comparable listings. Shaded area = the share scoring below this one.

  • On-site
  • Includes weekends

Living in Gastonia

Typical 3-bedroom home value
$277k
Typical market rent
$1,501/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 (Aug 2026), Zillow market rents (Aug 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.

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