Rehab Therapy Tech IV - Patient Services

FALL CREEK FARM & NURSERY; Waco (TX); On-site; USD 41,000 - 51,000; Full time

Job summary

Health & Human Services Commission in Waco Center for Youth seeks a Rehab Therapy Tech IV to support rehabilitation programming and patient activities. The role involves leading therapies, training staff, and coordinating transportation and equipment management.

The position requires ensuring quality programming, coordinating with the Rehabilitation Directors, and contributing to disaster recovery/COOP efforts when needed. The posting indicates a monthly salary range and non-telework status.

Responsibilities

• 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.
• Ensures quality rehabilitation programming is provided to patients on a daily basis that will help to promote a successful return to the community through assisting the Director of Rehabilitation (Director) and the Assistant Director of Rehabilitation (Assistant Director) in screening applicants, interviewing, and onboarding qualified Rehabilitation Technicians; facilitates and instructs patients in therapeutic activities, such as interactive games, therapeutic recreation activities, fitness and exercise, swimming skills, sports skills, creative crafts, arts and crafts, and team building activities.
• Provides instruction to patients in a variety of courses related to self-care, independent living, and character building as evidenced by instructing patients on character building including, self-control, ethics, trustworthiness, integrity, fairness, honesty, responsibility, confidence, respect, citizenship, perseverance, and tolerance; teaches patients independent living skills and self-care including, decision making, career planning, finances, maintenance, general health and hygiene, etiquette, and manners; maintains relationships with local colleges to assist in scheduling college visits for clients, as needed; maintains relationships with community resources to assist in scheduling guest speakers that will educate patients; assists the Assistant Director in ensuring all new Rehabilitation Technicians maintain relationships with community resources and colleges, and schedules college tours and guest speakers on a regular basis.
• Provides accurate observation of patient’s behavior and level of participation, reporting and documenting on patients served. Observes patients during scheduled programming and documents level of participation and the patient’s behavior in progress notes.
• Develops and maintains knowledge of the needs of the patients served. Observes patient’s behaviors to assess the needs of the group and identifies what therapeutic activities will meet needs. Implements workshops and groups on topics that will meet the needs of the patients served.
• Assists the Assistant Director in training Rehabilitation Therapy Technicians in all aspects of their job, and provides guidance as needed.
• Operates a state vehicle and transports patients, as assigned. Ensures the correct number of vans are reserved in a timely fashion for all off-campus trips; completes a thorough vehicle check before taking the vans off-campus; verifies all staff and patients are safely seated and their seat belts are buckled before leaving campus; and completes all driving logs according to agency policy.
• Attends meetings and completes special projects and assignments, as directed. Attends weekly department team meetings and participates by voicing any concerns and giving feedback. Attends case formulations, when needed, to learn the rehabilitation needs, likes, and dislikes of all new admissions. Attends overlap in the units when needed to discuss the current issues and needs of the patients. Organizes and implements special projects (i.e. dances, holiday parties, campus-wide celebrations etc.).
• Ensures equipment and supplies are maintained and replaced as needed; all equipment and supplies used by the rehabilitation department are in good working condition by doing weekly checks; obtains approval for all purchases from the department director; verifies all new equipment is inventoried and stored appropriately; and ensures all equipment is checked out and checked in.
• Researches and develops new curriculum and coordinates and obtains approval for

Job description

Career Opportunities: Rehab Therapy Tech IV - Patient Services (20776)

Posting ID20776-Posted09/01/2026-Health & Human Services Comm-Recreation Progs-Community and Social Services-Waco Center for Youth-Not Eligible for Telework-b. $3000 - $4999 per month

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 IV - Patient Services
Job Title:Rehab Therapy Tech IV
Agency:Health & Human Services Comm
Department:Recreation Progs
Posting Number:20776
Closing Date:09/15/2026
Posting Audience:Internal and External
Occupational Category:Community and Social Services
Salary Range:$3,649.83-$4,594.50
Pay Frequency: Monthly
Salary Group:TEXAS-A-14
Shift:Day
Additional Shift:None
Telework:Not Eligible for Telework
Travel:Up to 15%
Regular/Temporary:Regular
Full Time/Part Time:Full time
FLSA Exempt/Non-Exempt:Nonexempt
Facility Location:Waco Center for Youth
Job Location City:WACO
Job Location Address:3501 N 19TH ST
Other Locations:None
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. The 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 Rehab Therapy Tech IV performs highly complex (senior-level) rehabilitative therapy work. Work involves assisting in the development, implementation, and execution of a planned and assigned program of rehabilitative therapy. Assists with assigning and/or providing guidance to other staff. Assists in training all new rehabilitation staff. 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.

This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends.

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.
• Ensures quality rehabilitation programming is provided to patients on a daily basis that will help to promote a successful return to the community through assisting the Director of Rehabilitation (Director) and the Assistant Director of Rehabilitation (Assistant Director) in screening applicants, interviewing, and onboarding qualified Rehabilitation Technicians; facilitates and instructs patients in therapeutic activities, such as interactive games, therapeutic recreation activities, fitness and exercise, swimming skills, sports skills, creative crafts, arts and crafts, and team building activities.
• Provides instruction to patients in a variety of courses related to self-care, independent living, and character building as evidenced by instructing patients on character building including, self-control, ethics, trustworthiness, integrity, fairness, honesty, responsibility, confidence, respect, citizenship, perseverance, and tolerance; teaches patients independent living skills and self-care including, decision making, career planning, finances, maintenance, general health and hygiene, etiquette, and manners; maintains relationships with local colleges to assist in scheduling college visits for clients, as needed; maintains relationships with community resources to assist in scheduling guest speakers that will educate patients; assists the Assistant Director in ensuring all new Rehabilitation Technicians maintain relationships with community resources and colleges, and schedules college tours and guest speakers on a regular basis.
• Provides accurate observation of patient’s behavior and level of participation, reporting and documenting on patients served. Observes patients during scheduled programming and documents level of participation and the patient’s behavior in progress notes.
• Develops and maintains knowledge of the needs of the patients served. Observes patient’s behaviors to assess the needs of the group and identifies what therapeutic activities will meet needs. Implements workshops and groups on topics that will meet the needs of the patients served.
• Assists the Assistant Director in training Rehabilitation Therapy Technicians in all aspects of their job, and provides guidance as needed.
• Operates a state vehicle and transports patients, as assigned. Ensures the correct number of vans are reserved in a timely fashion for all off-campus trips; completes a thorough vehicle check before taking the vans off-campus; verifies all staff and patients are safely seated and their seat belts are buckled before leaving campus; and completes all driving logs according to agency policy.
• Attends meetings and completes special projects and assignments, as directed. Attends weekly department team meetings and participates by voicing any concerns and giving feedback. Attends case formulations, when needed, to learn the rehabilitation needs, likes, and dislikes of all new admissions. Attends overlap in the units when needed to discuss the current issues and needs of the patients. Organizes and implements special projects (i.e. dances, holiday parties, campus-wide celebrations etc.).
• Ensures equipment and supplies are maintained and replaced as needed; all equipment and supplies used by the rehabilitation department are in good working condition by doing weekly checks; obtains approval for all purchases from the department director; verifies all new equipment is inventoried and stored appropriately; and ensures all equipment is checked out and checked in.
• Researches and develops new curriculum and coordinates and obtains approval for