Facility Based Crisis Behavior Technician

00 RHA Health Services, LLC; Wilmington (NC); On-site; USD 32,000 - 42,000; Full time

Job summary

RHA Health Services seeks a Behavioral Health Technician to provide direct support and crisis intervention in a facility-based setting. You will monitor patients, document progress, and assist with daily activities while maintaining a safe, therapeutic environment.

Applicants should have a high school diploma or GED, and a driver’s license with reliable transportation. This role emphasizes trauma-informed care, teamwork, and adherence to care plans in a challenging, supportive environment.

Qualifications

• High school diploma or GED required.
• Experience in behavioral health settings preferred but not required.
• Valid driver’s license, auto insurance, and reliable transportation.
• Must be at least 18 years of age.

Responsibilities

• Provide direct patient care to individuals with psychiatric or co-occurring disorders, ensuring safety and well-being at all times.
• Follow the plan of care, including observation levels, safety checks, and supervision.
• Assist individuals with activities of daily living (ADLs) such as hygiene, meals, mobility, and personal care, while promoting autonomy.
• Monitor and document behavior, mood, affect, sleep, intake/output, and participation in programming.
• Support individuals experiencing crisis using de-escalation, grounding, redirection, and therapeutic engagement techniques.
• Respond to behavioral or medical emergencies and all facility codes.
• Help maintain a structured, safe, and therapeutic environment within the unit or crisis setting.
• Lead or co-facilitate skills groups, recreational activities, psychoeducational sessions, and coping-skills practice as assigned.
• Encourage patient participation in therapeutic activities and support treatment goals.
• Monitor and support individuals during transitions, meals, quiet room time, visitation, and safe transport.
• Identify triggers, early warning signs, and changes in behavior; report concerns to clinical and nursing staff promptly.
• Utilize trauma-informed, least-restrictive intervention strategies to prevent escalation.
• Document observations, interventions, incidents, and care in the EHR; communicate with the team.

Education

High school diploma or GED

Experience in behavioral health, inpatient psychiatric care, crisis units, emergency departments, or residential treatment programs preferred

Valid driver's license, auto insurance, and reliable transportation

Must be at least 18 years of age

Job description

We are hiring for:

Facility Based Crisis Behavior Technician Type:

Regular

If you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people with intellectual, developmental disabilities, and people facing mental health, and substance use challenges, join our team at RHA Health Services!

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 BHT plays a critical role in maintaining safety, supporting stabilization, monitoring behaviors, implementing treatment interventions, and promoting the emotional and physical well-being of each individual served.

This position supports a trauma-informed, person-centered environment and ensures that care is delivered with dignity, respect, and cultural humility.

DUTIES AND RESPONSIBILITIES:

Direct Support and Patient Care

• Provides direct patient care to individuals with psychiatric or co-occurring disorders, ensuring safety and well-being at all times.
• Follows the plan of care, including observation levels, safety checks, and supervision.
• Assists individuals with activities of daily living (ADLs) such as hygiene, meals, mobility, and personal care, while promoting autonomy.
• Monitors and documents behavior, mood, affect, sleep, intake/output, and participation in programming.
• Supports individuals experiencing crisis using de-escalation, grounding, redirection, and therapeutic engagement techniques.
• Responds appropriately to behavioral or medical emergencies and all facility codes.

Therapeutic Environment and Program Support

• Helps maintain a structured, safe, and therapeutic environment within the unit or crisis setting.
• Leads or co-facilitates skills groups, recreational activities, psychoeducational sessions, and coping-skills practice as assigned.
• Encourages patient participation in therapeutic activities and supports treatment goals.
• Monitors and supports individuals during transitions, meals, quiet room time, visitation, and safe transport.

Safety, Crisis Prevention, and Intervention

• Identifies triggers, early warning signs, and changes in behavior; reports concerns to clinical and nursing staff promptly.
• Utilizes trauma-informed, least-restrictive intervention strategies to prevent escalation.
• Implements protocols for special precautions, suicide prevention, elopement risk, violence precautions, and environmental safety rounds.
• Demonstrates appropriate techniques for managing aggressive or unsafe behavior.

Documentation and Communication

• Accurately documents observations, interventions, incidents, and care in the electronic health record (EHR).
• Communicates effectively with the interdisciplinary team regarding patient needs, risk factors, and progress.
• Participates in interdisciplinary treatment team meetings, shift reports, and clinical hand-offs.

Teamwork, Professionalism, and Quality

• Participates in quality improvement activities and adheres to organizational policies, procedures, and regulatory standards.
• Demonstrates infection control practices and contributes to a clean, safe environment.
• Maintains professional boundaries and models respectful, trauma-informed interactions.
• Supports new team members during onboarding by demonstrating proper unit routines and protocols.

Other Duties:

• Perform other duties as assigned to support the health, safety, and well-being of the individuals served.

SUPERVISORY RESPONSIBILITIES:

• This position has no supervisory responsibilities

MINIMUM QUALIFICATIONS:

• High school diploma or GED.
• Experience in behavioral health, inpatient psychiatric care, crisis units, emergency departments, or residential treatment programs roles preferred, not required.
• Valid driver's license, auto insurance, and reliable transportation.
• Must be at least 18 years of age.

PHYSICAL DEMANDS AND WORK ENVIRONMENT:

• Regularly required to lift 20 lbs.
• Must be able to lift a minimum of 30 lbs.
• Must be able to pull a minimum of 20 lbs.
• Must be able to squat, kneel, crawl, crouch, climb, and stoop.
• Must be able to regularly use hands to finger, handle, or feel objects, tools, or controls.
• Required to regularly stand and walk.
• Must be able to demonstrate proficiency in CPR from the floor level requiring to work on hands, knees, bending, standing, and lifting.

Pre-employment screening:

• Complete criminal background
• Name checked in the regi

RHA is an Equal Employment Opportunity Employer, prohibits discrimination based on the following protected categories: race, creed, color, national origin, nationality, ancestry, age, sex/gender, marital status, civil status, domestic partnership status, familial status, religion, affectional or sexual orientation, gender identity or expression, atypical hereditary cellular or blood trait, genetic information, liability for service in the Armed Forces of the United States, or disability.