Behavioral Health Technician; BHT), Nights

We are opening a new ASAM Level 3.7 and 3.5 residential treatment center in Marshall, Missouri, providing 24-hour medically monitored and clinically managed care for adults seeking recovery from substance use and co-occurring mental health disorders. As a Behavioral Health Technician (BHT), you will be a vital part of the treatment team—supporting daily structure, safety, and therapeutic engagement in a high-acuity environment.

You’ll work closely with nursing, clinical, and peer staff to monitor residents, facilitate groups, and ensure a safe, recovery-focused atmosphere that meets Missouri Department of Mental Health (DMH) and ASAM standards.

The Behavioral Health Technician (BHT) provides direct supervision, support, and monitoring to residents within the 24-hour residential program. This role plays a key part in maintaining a therapeutic and safe environment, supporting medical and clinical interventions, and modeling recovery-oriented behaviors under the supervision of the Clinical Supervisor or Director of Nursing.

• Monitor residents’ activities to ensure a safe, structured, and therapeutic environment consistent with ASAM 3.7 and 3.5 standards.
• Conduct regular rounds, safety checks, and documentation of client behaviors and locations per facility policy.
• Assist clients with daily routines, group attendance, and recovery-oriented activities.
• Support residents in maintaining program rules, healthy boundaries, and respect for others.
• Encourage participation in recovery groups, therapeutic assignments, and medical appointments.
• Promote positive communication, peer accountability, and personal responsibility.

• Assist in facilitating life skills, psycho educational, or recovery-based groups as directed by clinical leadership.
• Participate in treatment team meetings and provide behavioral observations to inform individualized care planning.
• Reinforce therapeutic and medical interventions as instructed by clinical and nursing staff.
• Assist with admissions, orientations, and discharges, ensuring a smooth and supportive process for clients.
• Maintain a professional and compassionate presence that supports client motivation and recovery engagement.

• Conduct room checks, contraband searches, and environmental safety inspections as scheduled.
• Identify and respond to crisis situations promptly using approved de-escalation and intervention techniques.
• Support nursing staff during medical incidents, detox monitoring, or emergencies as directed.
• Accurately document and report incidents, behavioral observations, and safety concerns to supervisory staff immediately.
• Maintain compliance with DMH safety standards, HIPAA, and infection control protocols.

• Complete shift reports, observation notes, and incident documentation accurately and promptly.
• Uphold all 9 CSR 30-3.140 and 9 CSR 30-3.100 requirements related to residential care and client monitoring.
• Maintain confidentiality in all interactions and records.
• Follow established facility protocols and report deviations or concerns immediately to leadership.
• Participate in ongoing training related to DMH compliance, trauma-informed care, and ASAM level-of-care standards.

• High school diploma or GED required. Associate’s or Bachelor’s degree in psychology, human services, or a related field preferred.
• Prior experience in a residential, detox, or behavioral health setting strongly preferred.
• Ability to maintain professionalism, empathy, and appropriate boundaries in all interactions.
• Excellent communication, observation, and documentation skills.
• Basic computer proficiency for Electronic Medical Record (EMR)…