Licensed Practical Nurse; LPN Methadone Clinic

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.

Pyramid Healthcare | Asheville, NC
Pay: $26–$29 per hour Schedule: Full-Time | 5:00 AM–1:00 PM On-Call: One Saturday per month | 6:00 AM–9:00 AM Benefits: Full Benefits Package

Pyramid Healthcare is seeking a compassionate, dependable, and clinically skilled Licensed Practical Nurse (LPN) to join our Methadone Clinic team in Asheville, NC.

This position plays an important role in providing safe, high-quality, client-centered care to adults receiving treatment for substance use and co-occurring mental health conditions. The LPN will support medication-assisted treatment (MAT), detox protocols, medication management, and ongoing nursing care in a structured outpatient environment.

The LPN provides direct nursing services while working closely with medical providers and clinical staff to ensure safe, effective, and compliant treatment. The ideal candidate is comfortable working in a fast-paced behavioral health environment and is committed to treating every client with dignity, compassion, and respect.

• Complete initial nursing assessments for new admissions, as applicable

• Administer medications according to physician orders, treatment plans, and clinic protocols

• Perform and document COWS and CIWA assessments as required

• Provide medication education and health-related guidance to clients

• Support medical providers during assessments and medication management appointments

• Monitor client health status and communicate relevant concerns to the treatment team

• Maintain medical equipment and supplies

• Maintain accurate, timely, and confidential clinical documentation

• Follow professional boundaries, safety standards, and applicable regulatory requirements

• Collaborate effectively with nursing, medical, and clinical team members

• Perform other duties as assigned based on program needs

• Current, unencumbered LPN license in the state of North Carolina

• Current CPR/BLS, AED, and First Aid certification

• At least one year of nursing experience preferred

• Experience in behavioral health, substance use treatment, medication-assisted treatment (MAT), or co-occurring disorders strongly preferred

• Strong clinical judgment and nursing skills

• Excellent verbal and written communication skills

• Ability to remain calm, professional, and effective in crisis or high-risk situations

• Working knowledge of applicable federal, state, and regulatory requirements

• Strong organizational and documentation skills

• Ability to problem-solve, multitask, and work effectively as part of a multidisciplinary team

• Compassionate, respectful, and recovery-focused approach to client care

• Ability to sit, stand, walk, bend, kneel, and use hands and arms regularly

• Occasional lifting of up to 25 pounds; infrequent lifting of up to 50 pounds

• Work is primarily indoors in a moderately quiet clinical setting

• May be exposed to infectious diseases or emotionally challenging situations

• Reliable transportation required

• Mission-driven organization focused on helping individuals and families affected by substance use and mental health challenges

• Supportive leadership and collaborative, team-oriented environment

• Competitive pay and comprehensive benefits

• Opportunities for professional growth and development

• Meaningful work where you can make a direct impact on…