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Addiction Rn Jobs in North Carolina (NOW HIRING)

Psychiatric Nurses care for patients with psych/mental issues including addictions and depression ... Minimum of 1 year of experience as a Psych RN Active BLS, MAB or CPI a plus Active RN license

RN or LPN

Wilmington, NC

$25.50 - $34.50/hr

Graduation from an accredited school of nursing, RN or LPN * Two years of progressively responsible experience working with individuals having substance use; emphasis on narcotic addiction * Current ...

RN or LPN

Wilmington, NC · On-site

$23 - $31.50/hr

Graduation from an accredited school of nursing, RN or LPN * Two years of progressively responsible experience working with individuals having substance use; emphasis on narcotic addiction * Current ...

RN or LPN

Wilmington, NC · On-site

$23 - $31.50/hr

Graduation from an accredited school of nursing, RN or LPN * Two years of progressively responsible experience working with individuals having substance use; emphasis on narcotic addiction * Current ...

The Registered Nurse is responsible for providing nursing care to patients. Supervising care ... Experience in behavioral health/psychiatric/addiction recovery environment preferred. * Knowledge ...

The Registered Nurse is responsible for providing nursing care to patients. Supervising care ... Experience in behavioral health/psychiatric/addiction recovery environment preferred. * Knowledge ...

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Showing results 1-20

Addiction Rn information

See North Carolina salary details

$10

$36

$68

How much do addiction rn jobs pay per hour?

As of Aug 3, 2026, the average hourly pay for addiction rn in North Carolina is $36.92, according to ZipRecruiter salary data. Most workers in this role earn between $24.72 and $42.38 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an Addiction RN, and why are they important?

To thrive as an Addiction RN, you need a solid background in nursing practice, addiction treatment protocols, and mental health care, typically with an active RN license and experience or certification in addiction or behavioral health nursing. Familiarity with electronic health records (EHRs), detoxification management tools, and substance abuse screening instruments is highly beneficial. Strong interpersonal skills, compassion, and crisis intervention abilities help Addiction RNs build trust and effectively support patients through recovery. These competencies are essential to provide safe, evidence-based care and facilitate positive outcomes for individuals struggling with addiction.

What is the difference between Addiction Rn vs Substance Abuse Counselor?

AspectAddiction RnSubstance Abuse Counselor
CredentialsRegistered Nurse license, specialized training in addictionState certification or license, counseling credentials
Work EnvironmentHospitals, clinics, detox centersRehabilitation centers, outpatient clinics, community programs
Job FocusMedical management, patient care, medication administrationCounseling, therapy, behavioral interventions

While both roles focus on addiction treatment, Addiction Rns primarily provide medical care and manage medications, whereas Substance Abuse Counselors focus on therapy and behavioral support. Both are essential in addiction recovery but serve different functions within treatment settings.

How does an Addiction RN typically collaborate with multidisciplinary teams to support patient recovery?

As an Addiction RN, you will work closely with physicians, social workers, counselors, and other healthcare professionals to create and implement individualized care plans for patients struggling with substance use disorders. Daily, you may participate in team meetings to discuss patient progress, coordinate medication management, and provide education on harm reduction strategies. Effective communication and collaboration are essential to ensure continuity of care and to support patients' physical and emotional needs throughout their recovery journey.

What is an Addiction RN?

An Addiction RN (Registered Nurse) is a nursing professional who specializes in caring for patients struggling with substance use disorders. They provide medical support, administer medications, monitor withdrawal symptoms, and educate patients and families about addiction and recovery. Addiction RNs often work in rehabilitation centers, hospitals, outpatient clinics, or community health settings. Their role is vital in both the medical management of addiction and supporting patients through the recovery process.
What job categories do people searching Addiction Rn jobs in North Carolina look for? The top searched job categories for Addiction Rn jobs in North Carolina are:
Infographic showing various Addiction Rn job openings in North Carolina as of July 2026, with employment types broken down into 3% As Needed, 64% Full Time, 13% Part Time, 15% Contract, and 5% Nights. Highlights an 94% In-person, 3% Hybrid, and 3% Remote job distribution, with an average salary of $76,787 per year, or $36.9 per hour.

Registered Nurse (RN) / Licensed Practical Nurse (LPN) - PRN Overnight

Pyramid Healthcare

Gastonia, NC • On-site

$25 - $33.75/hr

Full-time, Per diem

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.


Pyramid Healthcare rating

4.8

Company rating: 4.8 out of 10

Based on 58 frontline employees who took The Breakroom Quiz

868th of 887 rated healthcare providers


Job description

Join Our Team as a Registered Nurse (RN) / Licensed Practical Nurse (LPN) – PRN Overnight

Our organization is committed to delivering exceptional care to those we serve. By prioritizing client-centered approaches, we have established ourselves as leaders in addiction treatment, mental health recovery, and eating disorder therapies.

We provide a wide range of behavioral healthcare services, including psychiatry, addiction recovery, and mental health treatment, all designed to empower clients at various stages of their recovery journey to regain their health and well-being.

Position Overview

We are currently looking for dedicated and compassionate Registered Nurses (RN) and Licensed Practical Nurses (LPN) to join our PRN overnight team at Freedom Detox in Gastonia, NC.

This role is vital in ensuring safe, supportive, and clinically appropriate care for individuals embarking on their recovery from substance use disorders. Our nursing staff plays a crucial role in stabilizing clients during the detoxification process while providing empathetic care within a structured behavioral health setting.

Key Responsibilities
  • Deliver nursing care and support to clients throughout the detoxification process.
  • Conduct nursing assessments for new admissions and ongoing client needs.
  • Administer medications and assist with withdrawal management protocols.
  • Perform and document COWS and CIWA assessments in accordance with established guidelines.
  • Monitor client health status and relay any changes to medical providers and clinical leadership.
  • Educate clients about their medications and support their understanding of treatment plans.
  • Collaborate with the treatment team to ensure coordinated, high-quality care.
  • Maintain accurate and timely clinical documentation.
  • Ensure medical equipment and supplies are properly maintained and readily available.
  • Adhere to all regulatory requirements, policies, and safety protocols.
  • Complete necessary training and uphold compliance standards.
  • Perform additional nursing duties as assigned.
Qualifications
  • For Registered Nurses (RN):
    • Must possess a current, active, and unencumbered RN license in North Carolina.
    • Current CPR/BLS and First Aid certification required.
    • Experience in behavioral health, detox, addiction treatment, or psychiatric nursing is preferred.
  • For Licensed Practical Nurses (LPN):
    • Must possess a current, active, and unencumbered LPN license in North Carolina.
    • Current CPR/BLS and First Aid certification required.
    • Experience in behavioral health, substance use treatment, detox, or residential settings is preferred.
Skills & Attributes
  • Strong clinical judgment and nursing skills.
  • Excellent communication and interpersonal abilities.
  • Ability to remain calm and effective in crisis situations.
  • Attention to detail and commitment to accurate documentation.
  • Capacity to work independently while collaborating with a multidisciplinary team.
  • Dedication to compassionate, ethical, and recovery-focused care.
Why Work with Us?

At Freedom Detox, we foster a supportive environment for both our clients and employees, built on compassion, teamwork, and opportunities for professional growth. As part of our organization, you will be part of a respected network of behavioral health programs committed to providing evidence-based treatment and assisting individuals in achieving lasting recovery.

Make a difference—one shift at a time. Apply today!

Our Core Values

We take pride in living our CORE values, which guide our actions and inspire those around us. Our employees are expected to embody these values:

  • Integrity: Striving for honesty, transparency, and ethical interactions with clients, staff, and the community.
  • Dedication: A steadfast commitment to providing exceptional care and support daily.
  • Collaboration: A team-oriented approach to achieving excellence.
  • Passion: A genuine desire to improve lives and support our mission.
Benefits for Full-Time Positions
  • Medical, Dental, and Vision Insurance
  • Flexible Spending Accounts
  • Life Insurance
  • Paid Time Off
  • 401(k) with Company Match
  • Tuition Reimbursement
  • Employee Recognition Programs
  • Referral Bonus opportunities
  • And More!

We are proud of our diverse workforce and are an Equal Opportunity Employer.


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