Rehab Therapy Tech II

Texas Health and Human Services; Big Spring (TX); On-site; USD 31,000 - 40,000; Full time

Benefits offered by this job

Health insurance

Pension plan

Paid time off

Career advancement

Job summary

Texas Health and Human Services Commission (HHSC) is seeking a Rehab Therapy Technician II to support habilitation and rehabilitation services at Big Spring State Hospital. The RTT II will assist with therapeutic activities, data collection, and collaboration with the interdisciplinary team to improve patient outcomes.

Responsibilities include preparing materials, accompanying individuals to activities, and helping implement treatment plans under supervision.

Qualifications

• Assist in habilitation/rehabilitation therapy under supervision.
• Collect data for treatment plans and observe sessions.
• Communicate effectively with team and individuals served.

Responsibilities

• Attend to assigned therapeutic activities and prepare materials.
• Accompany individuals to activities and appointments as required.
• Perform housekeeping duties in therapeutic areas as directed.
• Assist in development and implementation of treatment plans.

Job description

Date: Sep 15, 2026

Location: BIG SPRING, TX

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: Rehab Therapy Tech II

Job Title: Rehab Therapy Tech II

Agency: Health & Human Services Comm

Department: Adult Education

Posting Number: 21548

Closing Date: 11/14/2026

Posting Audience: Internal and External

Occupational Category: Healthcare Support

Salary Range: $2,769.08 - $3,547.58

Pay Frequency: Monthly

Salary Group: TEXAS-A-10

Shift: Day

Additional Shift: Days (First)

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: Big Spring State Hospital

Job Location City: BIG SPRING

Job Location Address: 1901 N HIGHWAY 87

Other Locations: Big Spring

MOS Codes: 4C0X1,65A,65B,66C,66R,68F,68L,HM

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 Rehabilitation Therapy Technician II (RTT) performs routine habilitative and rehabilitative therapy work. Primary responsibilities include helping the habilitation/rehabilitation supervisor provide assistance to individuals for an assigned therapeutic specialty (e.g., supported employment job coaching and/or vocational rehabilitation and vocational/day program). Work involves assisting with services as directed by implementing treatment plans for assigned therapeutic specialty. May accompany individuals to and from activities and appointment. Performs housekeeping duties in therapeutic activity areas. Valid driver’s license and ability to drive a state vehicle may be required, depending on the needs of the facility. Works under moderate supervision of the designated supervisor with limited 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 required 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.
• Prepares materials for assessments using the data from prior assessments and assists in conducting assessments as directed.
• Accompanies individuals to and from activities and appointments, if required.
• Prepares materials for therapeutic activities and maintains an adequate supply of materials.
• Performs housekeeping duties in therapeutic activity areas as instructed.
• Provides assistance to individuals for an assigned therapeutic specialty, (e.g., supported employment job coaching and/or vocational rehabilitation and vocational/day program) through hands‑on methods.
• Performs direct contact observations and completes observation notes.
• Collects data related to treatment plans as instructed.
• Provides feedback to the interdisciplinary team about the individual’s progress, works with Psychiatric Nurse Assistants (PNAs) to maintain a connection and assists with the development of treatment plans for the assigned discipline.
• Provides treatment goals that are feasible for the team to implement that are also in the best interest of the individual.

Maintains Current Skills In Relation To Assigned Responsibilities.

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)

• Some knowledge, or ability to gain knowledge, of relevant therapeutic techniques.
• Knowledge of how to teach, coach or train in a one-one-one situation.
• Ability to work with people who exhibit aggressive behavior.
• Ability to communicate effectively, orally and in writing.
• Experience in, or ability to gain experience in, the use of equipment, tools, and materials used in therapeutic activities.
• Ability to assist in development of treatment and support plans.
• Ability to collect data for assigned therapeutic specialty (e.g., music therapy, therapeutic recreation, dance/movement therapy, occupational therapy, physical therapy, psychology, or vocational rehabilitation).
• Ability to utilize personal computers and relevant software.
• General knowledge of, or ability to gain knowledge of, Joint Commission/BHS regulations and State Hospital policies and procedures.
• Willingness and ability to administer first aid or cardiopulmonary resuscitation, once trained.
• Ability to record production or training data.
• Ability to make to make accurate notes of an observation session.
• Ability to meet the physical requirements as those for direct contact staff positions.
• Ability to assist in development and/or implementation of treatment and support plans.
• Ability to use personal computers and relevant software.
• Ability to work effectively with others, as a member of a team, and accept supervision.

Registrations, Licensure Requirements Or Certifications

Valid Texas driver’s license or ability to obtain it no later than 90 days after hire date, is required or preferred. Applicants with an out-of-state driver’s license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy.

Certified in CPR and first aid or obtain within twelve months of hire.

Initial Screening Criteria

• Twelve (12) months experience working with people who have mental illness or intellectual and developmental disabilities.
• Twelve (12) months experience in the development of treatment and support plans for people with mental illness or intellectual and developmental disabilities preferred.

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 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 criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.

ADA Accommodations

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Pre-Employment Checks And Work Eligibility

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form

Telework Disclaimer

This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.