Behavioral Health Tech - Night Shift

RHA Health Services, LLC•Wilmington, NC

About The Position

The Behavioral Health Technician (BHT) provides direct support, supervision, and therapeutic assistance to individuals receiving behavioral health services in facility-based, crisis, or residential treatment settings. The role supports safety and stabilization, monitors behaviors, implements treatment interventions, and promotes the emotional and physical well-being of individuals served. The BHT helps maintain a trauma-informed, person-centered environment where care is delivered with dignity, respect, and cultural humility. The position has no supervisory responsibilities.

Requirements

  • High school diploma or GED.
  • At least 18 years of age.
  • Valid driver’s license, auto insurance, and reliable transportation.
  • Ability to regularly lift 20 lbs and lift a minimum of 30 lbs; ability to pull a minimum of 20 lbs.
  • Ability to squat, kneel, crawl, crouch, climb, and stoop; regularly use hands to finger, handle, or feel objects, tools, or controls; and regularly stand and walk.
  • Ability to demonstrate CPR proficiency from floor level, requiring work on hands and knees, bending, standing, and lifting.

Nice To Haves

  • Experience in behavioral health, inpatient psychiatric care, crisis units, emergency departments, or residential treatment programs is preferred but not required.

Responsibilities

  • Provide direct care to individuals with psychiatric or co-occurring disorders and follow their plans of care, observation levels, safety checks, and supervision requirements.
  • Assist individuals with activities of daily living, including hygiene, meals, mobility, and personal care, while promoting autonomy.
  • Monitor and document behavior, mood, affect, sleep, intake/output, and participation in programming.
  • Support individuals in crisis using de-escalation, grounding, redirection, and therapeutic engagement techniques; respond appropriately to behavioral or medical emergencies and facility codes.
  • Maintain a structured, safe, and therapeutic environment in the unit or crisis setting.
  • Lead or co-facilitate assigned skills groups, recreational activities, psychoeducational sessions, and coping-skills practice; encourage participation in therapeutic activities and treatment goals.
  • Monitor and support individuals during transitions, meals, quiet-room time, visitation, and safe transport.
  • Identify triggers, early warning signs, and behavioral changes, and promptly report concerns to clinical and nursing staff.
  • Use trauma-informed, least-restrictive strategies to prevent escalation and implement protocols for special precautions, suicide prevention, elopement risk, violence precautions, and environmental safety rounds.
  • Demonstrate appropriate techniques for managing aggressive or unsafe behavior.
  • Document observations, interventions, incidents, and care accurately in the electronic health record.
  • Communicate patient needs, risk factors, and progress to the interdisciplinary team; participate in treatment team meetings, shift reports, and clinical hand-offs.
  • Participate in quality improvement activities and follow organizational policies, procedures, and regulatory standards.
  • Use infection control practices and contribute to a clean, safe environment; maintain professional boundaries and model respectful, trauma-informed interactions.
  • Support new team members during onboarding by demonstrating unit routines and protocols.
  • Perform other duties as assigned to support the health, safety, and well-being of individuals served.

Benefits

  • Payactiv early access to earned wages before payday.
  • Employee perks and discount program.
  • Paid time off for full-time employees.
  • Health insurance for full-time employees.
  • 401(k) retirement savings program.
  • Wellbeing programs covering physical, emotional, and financial well-being.
  • Chronic disease management programs for hypertension and diabetes for qualifying employees.
  • Free CPR, first aid, and job-specific training opportunities.
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