Registered Nurse or LPN; Overnight

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.

Gastonia, NC
Full-Time | Overnight Shift w/ rotating weekends
RN: $35–$39/hour | LPN:
Starting at $37/hour + Shift Differential

Freedom Detox, a Pyramid Healthcare program, is seeking compassionate and skilled Registered Nurses (RNs) and Licensed Practical Nurses (LPNs) to join our overnight nursing team in Gastonia, NC.

As an overnight nurse, you'll play a critical role in providing safe, high-quality medical care and support to adults receiving detoxification services. We're looking for clinicians with a strong bedside manner, exceptional professionalism, excellent customer service skills, and the ability to remain calm while effectively de‑escalating challenging situations. If you're a collaborative team player who is passionate about helping individuals begin their recovery journey, we'd love to hear from you.

• Conduct nursing assessments and monitor clients throughout the overnight shift.
• Administer medications safely, accurately, and in accordance with physician orders.
• Monitor and manage withdrawal symptoms using established detoxification protocols.
• Complete COWS and CIWA assessments per clinical protocol.
• Educate clients on medications, treatment plans, and the recovery process.
• Coordinate with on‑call medical providers regarding client assessments, medication needs, and changes in condition.
• Respond appropriately to medical and behavioral health emergencies using sound clinical judgment.
• Utilize strong de‑escalation techniques to maintain a safe, therapeutic environment for clients and staff.
• Maintain accurate, timely, and thorough clinical documentation.
• Ensure medical equipment and supplies are maintained and functioning properly.
• Complete all required trainings, certifications, and continuing education requirements.
• Perform other duties as assigned.

Registered Nurse (RN)

• Current, unrestricted North Carolina RN license.

Licensed Practical Nurse (LPN)

• Current, unrestricted North Carolina LPN license.

Both Positions

• Current CPR/BLS and First Aid certification.
• Previous experience in behavioral health, detoxification, addiction treatment, or substance use services is preferred but not required.

The ideal candidate will demonstrate:

• Outstanding bedside manner with a compassionate, client‑centered approach to care.
• Excellent customer service and interpersonal skills with the ability to build trust and rapport.
• Professionalism, integrity, and sound clinical judgment in all interactions.
• Strong verbal and written communication skills.
• Proven ability to de‑escalate crisis situations while maintaining a calm, therapeutic environment.
• Strong critical thinking, assessment, and problem‑solving abilities.
• Ability to work independently while collaborating effectively with a multidisciplinary treatment team.
• Commitment to delivering safe, ethical, and evidence‑based nursing care.
• Working knowledge of federal and state regulations, medication administration standards, and clinical documentation…