Registered Therapist Supervisor
Listed compensation
$84k-$100k
The week · per this posting · weekdays assumed
Ask the employer about call expectations, weekend coverage, nights and shift pattern and time off.
Job Description
Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey.
Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.
Functional Title: Registered Therapist Supervisor Job Title: Registered Therapist III Agency: Health & Human Services Comm Department: Vocational Svs Admin Suppor Posting Number: 20091 Closing Date: 10/18/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Range: $7,039.91 - $8,304.83 Pay Frequency: MonthlySalary Group: TEXAS-B-23 Shift: Day Additional Shift: Days (First); Evenings (Second) Telework: Not Eligible for Telework Travel: Up to 10% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Nonexempt Facility Location: Terrell State Hospital Job Location City: TERRELL Job Location Address: 1200 E BRIN Other Locations: Terrell MOS Codes: 230X,42BX,42NX,42TX,65A,65B,68F,68L, HM, HN, HS, SEI12 Brief Job Description:
Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork?
HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of ten psychiatric hospitals, two youth residential treatment facilities, and thirteen state supported living centers.
Psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based.
If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below.
The Registered Therapist III (Registered Therapist Supervisor) performs highly complex (senior-level) therapeutic rehabilitation activities and treatment. The Registered Therapist Supervisor will provide direct supervision and training for therapy technicians and other registered therapist in rehabilitation services.
Coordinates therapeutic rehabilitation activities and therapy groups for individuals within the department. Provides and/or directs the provision of skilled therapy to individuals. Monitors and audits documentation completed by direct reports on their assigned individuals’ attendance and their response to treatment.
Develops, implements, and evaluates programs and activities assigned. Assists in planning and developing in-service training programs. Works with departmental and hospital leadership to develop and improve programming by participating in performance improvement activities.
Works under limited supervision, with considerable latitude for the use of initiative and independent judgment.
Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.
Essential Job Functions (EJFs)
Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.
Plans, develops, implements, and evaluates discipline specific therapy and activities. Provides consultation and collaboration among department, units, recovery teams and administration in order to establish an active rehabilitation department with patient goals/objectives based on recovery needs.
Performs therapy assessments; formulates and develops goals and objectives; monitors and audits documentation entered by direct reports on their individual’s response to treatment and interventions. Implements person centered, recovery oriented, trauma informed care.
Supervises, trains, and evaluates rehabilitation technicians and registered therapists in the rehabilitation department. Assists in planning and developing in-service training programs. Monitors and audits documentation completed by direct reports on their assigned individuals’ attendance and their response to treatment. Demonstrates respect, compassion, consideration and responsiveness to individual satisfaction and recovery team recommendations.
Establishes and maintains professional competencies through participation in Continuing Education programs relevant to their credentialed discipline or activities in order to provide the best level of care to individuals as well as maintain their credential.
Participates in performance improvement activities that include revision of departmental policies and procedures; identifying client and programmatic needs; developing and implementing outcome measures; monitoring and improving environment of care; revising treatment programs to meet standards of care and accreditation standards for The Joint Commission (TJC), Medicare/Medicaid, and HHSC. Participates in Participates in audits, attends Performance Improvement Team (PIT) meetings, and develops and implements plan of corrections.
Actively supports facility and agency safety (including patient safety) risk management, and infection control programs. Implements and monitors health, safety, and infection control measures relevant to rehabilitation session spaces and equipment.
Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.
Knowledge, Skills and Abilities (KSAs)
Knowledge of the principles and techniques of rehabilitation therapy in working with various patient populations
- Knowledge of discipline specific therapeutic modalities in the recovery process
- Knowledge of implementation and documentation of individualized care and recovery plans
- Knowledge of approved methods of facilitating and interacting with individuals
- Knowledge of health, safety, and infection control
- Knowledge of performance and quality improvement activities or techniques
- Skills in the use of rehabilitation and orthopedic equipment, materials, and tools
- Skills in evaluation, treatment planning and documentation of patient progress
- Skills in program design, implementation, and evaluation
- Skills in the operation of computers and applicable computer software
- Skills in effective communication
Skills in the Supervision of Multiple Employees
- Ability to plan, develop, implement, facilitate, and administer treatment focused therapy groups.
- Ability to motivate and sustain individuals’ interest in rehabilitation activities and make changes.
- Ability to observe, evaluate, communicate, and document individual’s progress.
- Ability to be consistent and empathetic in working with patients.
- Ability to develop and conduct assessments.
- Ability to communicate effectively in both oral and written communications.
- Ability to maintain confidentiality.
- Ability to react calmly and professionally in stressful situations.
- Ability to plan and administer therapy programs.
- Ability to supervise and train staff.
- Ability to communicate effectively, both orally and in writing
Registrations, Licensure Requirements or Certifications
Must be a licensed or credentialed therapist in one of the therapy specialties Current national registration, state licensure, or certification as required by law in the therapeutic specialty for which the Registered Therapist is to work.
Must possess a valid Texas driver license or obtain it no later than 90 days after hire date to drive a state vehicle, if required to transport individuals. Applicants with an out-of-state driver license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy.
Initial Screening Criteria
Two years of experience in therapeutic rehabilitation work
Graduation from an accredited college or university program with major coursework in one of the recognized therapeutic rehabilitation disciplines such as physical therapy, art therapy, music therapy, dance movement, recreation, or drama, occupational or speech.
Two years of experience supervising other staff.
Additional Information
Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service.
All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco and Terrell Center for Youth applicants must be 21 years of age.
Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.
Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control an
Key Responsibilities
The Registered Therapist Supervisor provides direct supervision and training for therapy staff while coordinating complex therapeutic rehabilitation activities. They are responsible for monitoring treatment documentation, evaluating program effectiveness, and collaborating with leadership to improve patient care standards.
Requirements
Candidates must hold a current national registration, state licensure, or certification in their therapeutic specialty. The role requires at least two years of experience in therapeutic rehabilitation and two years of experience in a supervisory capacity.
Qualifications
- Education
- Professional certificate or licensure
- Experience
- 2+ years of experience
Key Skills
Counselor Career Context
Of the 50 active Mental Health Therapy listings this role was benchmarked against, 40% are remote, 26% have no call, 62% require no weekends.
Mental Health Therapy pay on WeekdayDoc is down 1.2% vs. the prior quarter (through Sep 2026).
The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$92k midpoint carries the purchasing power of roughly $95k in an average-cost state. 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
Location & Logistics
Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$92k midpoint, that is roughly $4k–$6k a year versus a typical 4–7% state rate.
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