Lead ER Veterinary Technician - Overnight

  • Animal Wellness Center
  • Hickory, North Carolina
  • Full Time
Lead ER Veterinary Technician - Overnight

Department: Veterinary Technicians

Employment Type: Full Time

Location: Hickory, North Carolina

Compensation: $24.00 - $28.00 / hour

Description Lead Emergency & ICU Operations When Pets Need You Most

Are you an experienced Emergency Veterinary Technician , ER Lead Tech , or seasoned Veterinary Assistant ready to step into a high-impact overnight leadership role within a fast-paced specialty and emergency hospital?

Carolina Animal Specialty & Emergency Hospital (CASE) is seeking a Full-Time Overnight ER Lead Technician to support our 3rd Shift Emergency & ICU operations in Hickory, North Carolina. This is not just a technical role this is a hands-on clinical leadership opportunity designed for someone who thrives in:
  • Emergency & Critical Care Veterinary Medicine
  • Overnight hospital operations
  • Team leadership and mentorship
  • Client communication and de-escalation
  • Real-time problem solving and workflow management
As the overnight clinical leader on the floor, you will help guide hospital operations during the absence of daytime leadership while serving as a trusted resource for technicians, assistants, doctors, and clients alike. CASE is a 24/7 Emergency & Specialty Veterinary Referral Hospital providing advanced emergency, critical care, surgical, and specialty services across Western North Carolina. Our hospital includes:
  • 24-Hour Emergency & Critical Care
  • Internal Medicine
  • Advanced Surgery
  • Anesthesia & Analgesia
  • Rehabilitation & Sports Medicine
  • Behavioral Medicine
  • Advanced Diagnostic Imaging
  • ICU & Oxygen Therapy Support
This is a hospital built for veterinary professionals who want to practice advanced medicine while working within a collaborative, high-performing team culture. Overnight emergency medicine requires a unique type of veterinary professional:
  • Calm under pressure
  • Technically skilled
  • Emotionally intelligent
  • Operationally aware
  • Comfortable leading in real time
As the Overnight ER Lead Technician , you will serve as:
  • A clinical and operational leader on the floor
  • A mentor and support resource for overnight staff
  • A point of escalation for workflow and client service concerns
  • A collaborative partner to overnight veterinarians
  • A dependable leader helping ensure continuity of care and hospital efficiency overnight
This role is ideal for:
  • Experienced Registered Veterinary Technicians (RVT/LVT/CVT)
  • Senior Emergency Veterinary Technicians
  • Strong Veterinary Assistants with advanced ER/ICU experience and leadership capability

Key Responsibilities Overnight ER Lead Technician Emergency & ICU Patient Care
  • Provide advanced nursing care for hospitalized ER and ICU patients
  • Monitor critical patients and respond to changes in condition
  • Perform:
  • IV catheter placement
  • Venipuncture
  • Medication administration (IV, SQ, oral)
  • Oxygen therapy support
  • Diagnostic sample collection
  • CPR and emergency stabilization support
  • Assist with anesthesia monitoring and emergency procedures
  • Support radiographic and diagnostic imaging procedures
Overnight Hospital Operations Leadership
  • Act as the primary overnight leadership presence on the floor
  • Support hospital operations in the absence of daytime leadership teams
  • Help coordinate workflow, triage, staffing support, and patient flow
  • Step into clinical responsibilities as needed to support the team during high-volume periods or call-outs
  • Assist with maintaining operational efficiency and overnight accountability
Team Development & Coaching
  • Mentor Veterinary Technicians and Veterinary Assistants during overnight operations
  • Provide real-time coaching and workflow guidance from the floor
  • Support onboarding and training of overnight team members
  • Foster a collaborative, accountable, and supportive overnight culture
  • Help identify growth opportunities for support staff development
Client Communication & De-Escalation
  • Support difficult client conversations with professionalism and empathy
  • Assist with client service escalations and emotional de-escalation situations
  • Educate clients regarding treatment plans, estimates, discharge instructions, and overnight care expectations
  • Maintain compassionate communication during emotionally charged situations

What We're Looking For Required Qualifications
  • Strong background in:
  1. Emergency Veterinary Medicine
  2. ICU/critical care nursing
  3. High-volume veterinary environments
  • Ability to confidently support overnight ER operations independently
  • Strong technical veterinary skills and clinical judgment
  • Leadership mindset with strong communication abilities
  • Comfortable leading from the floor in a fast-paced emergency setting
  • Ability to multitask and prioritize during high-acuity caseloads
Preferred Qualifications
  • Registered Veterinary Technician (RVT/LVT/CVT) strongly preferred
  • Previous leadership or supervisory experience in veterinary medicine preferred
  • Advanced ER/ICU experience highly preferred
  • Experience mentoring or coaching veterinary support staff
  • Strong Veterinary Assistants with advanced ER experience encouraged to apply

Why Join CASE? At CASE, we believe overnight teams deserve:
  • Strong leadership support
  • Respect for technical skill and experience
  • Opportunities for growth and advancement
  • A collaborative specialty hospital culture
  • The ability to practice high-level medicine with autonomy and trust
This role offers the opportunity to become a key operational and clinical leader within our Emergency & ICU team.
Full-Time Benefits & Incentives

We believe exceptional veterinary professionals deserve exceptional support.

Compensation & Financial Incentives
  • Competitive compensation based on experience, technical skillset, and leadership background
  • Overnight / 3rd Shift Pay Differential for hours worked between 12:00 AM 8:00 AM
  • This position is eligible for Lead Shift Differential , paid in addition to the base hourly rate listed, for shifts worked in the ER Floor Lead role.
  • 401(k) with 2% company match
  • Headstart Student loan support opportunities for eligible RVT candidates.
  • Paid training and leadership development opportunities
Health & Wellness Benefits
  • Medical insurance
  • Dental insurance
  • Vision insurance
  • Life insurance
  • Paid parental leave
  • Access to BetterHelp mental well-being platform
  • Employee Assistance Program (EAP)
Professional Growth & RVT Support
  • Generous Continuing Education (CE) allowance
  • 2 CE-specific PTO days
  • Paid state licensure fees and renewals
  • Growth and mentorship opportunities within CASE and Innovetive Petcare
  • Support for technicians pursuing advanced specialty growth pathways
HeadStart Student Loan Support Program

Eligible RVTs who:
  • Graduated from an AVMA-accredited Veterinary Technology Program
  • Successfully passed the VTNE within the past 3 years
may qualify for Innovetive Petcares HeadStart Program , designed to support newly credentialed technicians as they transition into advanced clinical practice.

Additional Benefits
  • Flexible scheduling support
  • Paid Time Off (PTO)
  • Employee pet care discounts
  • Collaborative specialty & emergency hospital environment

Why Hickory, North Carolina?

Enjoy the perfect balance of career growth and quality of life:
  • Affordable cost of living
  • Access to Charlotte & Asheville
  • Outdoor recreation & Blue Ridge Mountain access
  • Thriving veterinary referral community
  • Strong specialty and emergency caseload exposure

Ready to Lead Overnight Emergency Operations at CASE?

If you are an experienced:
  • Emergency Veterinary Technician
  • ER Lead Tech
  • RVT/LVT/CVT
  • Veterinary Assistant with advanced ER/ICU experience
who is ready to help lead a high-performing overnight emergency team, we want to hear from you.
Apply today and join Carolina Animal Specialty & Emergency Hospital (CASE) where leadership, emergency medicine, and advanced patient care come together overnight.
Job ID: 522208254
Originally Posted on: 5/22/2026

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