Registered Therapist IV

Your Texas Benefits; San Antonio (TX); Hybrid; USD 45,000 - 53,000; Part time

Benefits offered by this job

Health insurance

Pension plan

Paid time off

Career advancement opportunities

Job summary

Texas Health and Human Services Commission in San Antonio, TX is seeking a Registered Therapist IV to perform advanced therapeutic rehabilitation and supervise staff. This role coordinates services across departments, develops protocols for specialty areas, and contributes to performance improvement initiatives.

The position emphasizes trauma-informed care and patient-centered goals, with regular or rotating shifts and potential overtime.

Qualifications

• The Registered Therapist IV performs highly advanced and complex (senior level) therapeutic rehabilitation activities and treatment.
• Coordinates therapeutic rehabilitation services and programs within the department.
• Can supervise and/or provide training to Registered Therapists and Rehabilitation Therapy Technicians in rehabilitation department.
• Develops treatment protocols for specialty areas.
• Analyzes progress reports, provision of services by direct reports and instructs on modifications required.
• Develops in-service training programs.

Responsibilities

• 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.
• Develops treatment protocols for specialty areas.
• 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 evaluations and assessments; formulates and develops goals and objectives; Implements person centered, recovery oriented, and trauma informed care.
• Supervises, trains and evaluates rehabilitation technicians and registered therapists in the rehabilitation department.
• Develops in-service training programs.
• Works with departmental and hospital leadership to develop programming via performance improvement activities.

Job description

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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 IV
Job Title: Registered Therapist IV
Agency: Health & Human Services Comm
Department: Physical Therapy Clinical Svs
Posting Number: 19690
Closing Date: 10/06/2026
Posting Audience: Internal and External
Occupational Category: Healthcare Support
Salary Range: $4,030.00-$4,754.12
Pay Frequency: Monthly
Salary Group: TEXAS-B-25
Shift: Day
Additional Shift: Days (First)
Telework: Not Eligible for Telework
Travel: Up to 10%
Regular/Temporary: Regular
Full Time/Part Time: Part time
FLSA Exempt/Non-Exempt: Exempt
Facility Location: San Antonio State Hospital
Job Location City: SAN ANTONIO
Job Location Address: 6711 S NEW BRAUNFELS
Other Locations: San Antonio
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 IV performs highly advanced and complex (senior level) therapeutic rehabilitation activities and treatment. Coordinates therapeutic rehabilitation services and programs within the department. Can supervise and/or provide training to Registered Therapists and Rehabilitation Therapy Technicians in rehabilitation department. Provides and/or directs the provision of skilled therapy to individuals. Develops treatment protocols for specialty areas. Analyzes progress reports, provision of services by direct reports and instructs on modifications required. Develops in-service training programs. Works with departmental and hospital leadership to develop programming via performance improvement activities. Works under minimal 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. Develops treatment protocols for specialty areas. 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 evaluations and assessments; formulates and develops goals and objectives; Implements person centered, recovery oriented, and trauma informed care.

Supervises, trains and evaluates rehabilitation technicians and registered therapists in the rehabilitation department. Develops 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. Engages in quality assurance activities to ensure programming meets standards.

Establishes and