Registered Therapist II

CounselorNo nightsFull-Time

Listed compensation

$74k-$87k

The week · per this posting · weekdays assumed

Ask the employer about call expectations, weekend coverage and time off.

Posted 1h ago · Verified live

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 II

  • Job Title: Registered Therapist II Agency: Health & Human Services Comm
  • Department: Recreation Progs Posting Number: 22549 Closing Date: 12/19/2026 Posting Audience: Internal and External Occupational
  • Category: Healthcare Practitioners and Technical
  • Salary Range: $6,149.00 - $7,253.83 Pay Frequency: MonthlySalary Group: TEXAS-B-21
  • Shift: Day Additional Shift: 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: Austin State Hospital Job Location City: AUSTIN Job
  • Location Address: 4110 GUADALUPE Other Locations: 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 II performs moderately complex (journey-level) therapeutic rehabilitation activities and treatment.

The types of duties the Registered Therapist is responsible for include therapeutic recreation, music therapy, art therapy, dance/movement therapy, drama therapy (based on discipline credentials), psychosocial session planning; and completing the Functional Skills Assessment.

Other responsibilities include maintaining inventory, equipment, instruments, and cleanliness of assigned area. The Registered Therapist provides guidance to therapist technicians who provide therapeutic activities for the individuals served.

The Registered Therapist is required to demonstrate appropriate role-modeling behaviors when in the presence of patients and staff in support of the Recovery Based Program. The Registered Therapist has full access to a limited set of records in accordance with HIPPA regulations.

Works under general supervision, with moderate 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.

Assesses individual rehabilitation functional skills to provide a basis for individual program planning. Establishes, implements, and adapts an individualized treatment plan of care (including collaborative goal setting and treatment activities). Completes the initial assessment on all individuals admitted into the hospital.

Discusses future program changes with their supervisor. Shares future programming changes with their respective program staff. Develops and implements consistent feedback loops to determine programmatic changes based on the current recovery needs of the individuals.

Maintains inventory, equipment, instruments, and cleanliness of assigned area, and is accountable for assigned property.

Acts as a role model and provides on-going technical direction to professional and para-professional staff in the development and implementation of the Rehabilitation Therapy programs to ensure a focus on program goals, which includes person centered, recovery oriented, trauma informed care. Clarifies program goals, provides sessions, and implements approaches, directly observes program implementation, and enacts corrective actions.

  • Follows HIPPA guidelines when completing all required documentation.
  • Assists technicians with developing activity calendars for their specific program areas.

Attends and participates in required departmental meetings, training, and performance improvement activities and tasks.

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 the operation of computers and applicable computer software.
  • Skills in effective communication, both orally and in writing.
  • Ability to plan, develop, implement, and facilitate treatment focused therapy groups.
  • Ability to plan, develop, implement, and facilitate individual therapy sessions based on evaluation outcomes.
  • 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 appropriately in stressful situations.
  • Ability to plan therapy programs.

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

Graduation from an accredited college or university program with major coursework in one of the recognized therapeutic rehabilitation activities such as include therapeutic recreation, music, therapy, art therapy, dance/movement therapy, drama therapy.

  • One year of experience in therapeutic rehabilitation work.
  • One year of experience working with children, adolescents, adults, and/or senior adults.

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 and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza.

All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.

Active Duty, Military, Reservists, Guardsmen, and Veterans

Military occupation(s) that relate to the initial selection crit

Key Responsibilities

The Registered Therapist II performs moderately complex therapeutic rehabilitation activities, including music, art, and recreational therapy, to support patient recovery. They are responsible for assessing individual functional skills, developing individualized treatment plans, and providing technical direction to support staff.

Requirements

Candidates must hold a degree in a recognized therapeutic rehabilitation field and possess current national registration, state licensure, or certification. At least one year of experience in therapeutic rehabilitation work with children, adolescents, or adults is required.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Patient careHIPAA complianceCrisis managementInterdisciplinary collaboration

Counselor Career Context

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 32% are remote, 28% have no call, 62% require no weekends.

The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$80k midpoint carries the purchasing power of roughly $83k in an average-cost state. 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Mental Health Therapy by the numbers
MeasureThis jobMarket
Cost-of-living adjusted pay~$83k in purchasing powerTexas index 97.1 (US = 100)BEA Regional Price Parities (2024)
Mental Health Therapy listings in Texas449 active7,853 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 32% remote · 28% no call · 62% no weekends50 benchmarked listings
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$80k midpoint, that is roughly $3k–$6k a year versus a typical 4–7% state rate.

Top Counselor Jobs

35 matches · ranked by pay

Salary Distribution

35 jobs · 25 employers
9
<$70k
12
$70k-85k
7
$85k-100k
4
$100k-115k
3
$115k+

Annual compensation range

Benefits & Perks

25 jobs
401k / retirement match
88% this job
Sign-on bonus
28%
CME allowance
20%
Loan repayment
8%
PSLF eligible
4%

Share of similar jobs offering each benefit

#1

Licensed Marriage and Family Therapist (LMFT, LPC, LCSW)

LifeStance Health · Brookfield, Wisconsin

$92k-$125k
#2

Licensed Mental Health Therapist (LMFT, LMHC, LCSW)

Gotham Enterprises · Davie, Florida

$115k-$120k
#3

Licensed Marriage and Family Therapist (LMFT)

$115k-$120k
#4

Licensed Clinical Therapist (LCSW, LPC, LMFT)

$84k-$113k
+ 33 more · ranked by pay

Work-life snapshot

median 6.0this job 5.1
Better work-life than 40% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 7,851 comparable listings. Shaded area = the share scoring below this one.

  • No nights
  • On-site
Texas Health & Human Services Commission logo

About Texas Health & Human Services Commission

Government Administration
Austin, TX
1,001-5,000 employees

Benefits & Perks

100% paid employee health insurance for full-time eligible employees
Defined benefit pension plan
Generous time off benefits
Numerous opportunities for career advancement

Living in Austin

Typical 3-bedroom home value
$455k
Typical market rent
$1,586/mo
Residents’ average commute
24 min
State income tax
None
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

City-level figures. Not a cost-of-living guarantee.