Get to know us

Purpose

At Hill Country MHDD Centers our purpose is to help people have positive control over the life they desire and who are valued for their contributions to their communities. We provide services for adult and child behavioral health, intellectual and developmental disabilities, substance abuse, crisis care, and justice involved services. Our goal is to focus on each person and help them create the life they want to live.

The work that we do matters to the people we serve, to their families, our communities and to our employees. We know what we do is bigger than any one person, and every person is invaluable in achieving the goal.

Location, Location, Location

We serve individuals throughout 19 counties of the greater Texas Hill Country region which includes: Bandera, Blanco, Comal, Edwards, Gillespie, Hays, Kendall, Kerr, Kimble, Kinney, Llano, Mason, Medina, Menard, Real, Schleicher, Sutton, Uvalde and Val Verde. With 22 locations including 15 Mental Health Clinics we serve approximately 816,000 in a 22,714 square mile area

The Texas Hill Country is brimming with beautiful scenery and friendly people. From the western border region of Del Rio to the northern region of Llano, eastern region of San Marcos, and the southern region of Hondo, you will find a vast array of people, cultures, history, landscapes and activities. Just about anything can be found in the Texas Hill Country.

Outdoor enthusiasts will enjoy fishing, hunting, hiking, rock climbing, bird watching, swimming, kayaking, boating, golfing, and miles of riverfront parks and picnic areas as well as stunning panoramic views.

Additionally, many cities within the Hill Country offer an abundance of unique shopping venues, winery tours, museums, theatres, military memorials, and walking tours of downtown historical districts.

People

When you join the Hill Country MHDD team, we understand continually developing as a professional is important. That’s why Hill Country MHDD Centers offers professional development and skills training opportunities. Keeping current with new trends, information and ideas is important to your career.


44 Career Opportunities at Hill Country MHDD Centers


The ICM/Wraparound Facilitator will engage high-need youth and their families in developing, implementing, and monitoring an intensive, individualized plan of care. This position helps the youth and families to identify a support team that will collaboratively design a plan based upon family needs, strengths, and goals.


The TCOOMMI Rural Parole/Probation Intensive Case Manager (RICM) is responsible for providing person-centered intensive case management services to adults diagnosed with severe and persistent mental health disorders who are currently on the Special Needs Offender Parole caseload and the Mental Health Initiative Probation Caseload in Kendall & Medina Counties.


New Posting Service Coordinator (Kerr County)
Kerrville, TX78028

The Service Coordinator will assess individuals' needs, advocate for your people, and develop and monitor Person Directed Plans. The Service Coordinator will collaborate with service providers and agencies to support effective Person Directed Plans. The Service Coordinator will provide skills training, crisis prevention and management, and maintain a positive relationship with individuals, family members, and service providers to support successful, person-centered outcomes.


The Peer Specialist, by definition, is a person in recovery who will utilize their personal mental health recovery experience to instill a sense of hope and optimism for individuals facing mental health challenges. The Peer Run Youth Crisis Respite Program (PRYCRP), also referred to as the Youth Peer Support Program (YPSP), supports youth from 13 to 17 years of age, as well as the individuals who support them at home.


Under the direction of the Director of Peer Support Services, the Peer Support Specialist provides individual and group peer support services to individuals in need of behavioral health support. Supports include assistance with more effectively utilizing the service delivery system, understanding and coping with stressors, along with coaching and mentoring of the individuals served through peer support.


New Posting Peer Support Specialist (Uvalde MH Center)
Uvalde, TX78801

Under the direction of the Director of Peer Support Services, the Peer Support Specialist provides individual and group peer support services to individuals in need of behavioral health supports. Supports include assistance with more effectively utilizing the service delivery system, understanding and coping with stressors along with coaching, and mentoring of the individuals served through peer support.


This position is responsible for, but not limited to, coordinating the PAP program, opening/closing consumers in NEC, completing consumers' financial/demographic, follow-up appointments with consumers, New Generation Medication Tracking, McKesson Purchase orders, and NEC overrides and prior authorizations.


New Posting Office Coordinator (Canyon Lake MH Center)
Canyon Lake, TX78133

The Office Coordinator for our Mental Health Services will provide numerous varied administrative services to help keep our team organized, on track, and optimally functioning. The Office Coordinator will, under the direct supervision of the Center Director, supervise the support staff and business functions of the clinic.



The Next Step LPHA (Licensed Professional of the Healing Arts) position is funded through a Health and Human Services Grant in collaboration with the Crisis Center of Comal County and NB Housing Partners. This position is responsible for providing services and support to adults with mental health conditions who are without consistent and safe housing to reach their vision of recovery.


This position is responsible for providing Multi-Systemic Therapy services to families, ensuring services align with MST fidelity and evidence-based measures. The therapist will provide services to a small caseload of 5-6 families. This position is a remote position working from home for the administrative duties and working in the homes and community of Uvalde County, TX for the delivery of services.


The Mobile Unit Care Coordinator serves as a Qualified Mental Health Professional – Community Services (QMHP-CS) responsible for operating a mobile clinic unit to deliver behavioral health services across rural and underserved areas within Hill Country MHDD Center’s (HCMHDDC) catchment area. This position combines direct service provision with logistical oversight, including driving the mobile unit, ensuring equipment setup, maintaining a safe and functional mobile care environment, and delivering individualized services in accordance with the Texas Resiliency and Recovery (TRR) model and agency standards.


The Mobile Unit Care Coordinator serves as a Qualified Mental Health Professional – Community Services (QMHP-CS) responsible for operating a mobile clinic unit to deliver behavioral health services across rural and underserved areas within Hill Country MHDD Center’s (HCMHDDC) catchment area. This position combines direct service provision with logistical oversight, including driving the mobile unit, ensuring equipment setup, maintaining a safe and functional mobile care environment, and delivering individualized services in accordance with the Texas Resiliency and Recovery (TRR) model and agency standards.


The Mental Health Specialist is a highly responsible service position that will work in partnership with and be housed with the Kendall County Sheriff's Department Mental Health Unit in collaboration with the Boerne Police Department, in the community, in the jail, and/or dispatch. The Mental Health Specialist will perform crisis assessments in the field for adults and children as mental health calls or referrals are received.


New Posting Medical Records Specialist (Hays County MH Center)
San Marcos, TX78666

The Medical Records Specialists, under the direction of the Coordinator of Office Management Systems, are responsible for preparing, assembling, and disclosing medical records for clients throughout the 19-county catchment area of Hill Country MHDD Centers.


New Posting Clinical Intern
New Braunfels, TX78130

Hill Country MHDD Centers partners with local institutions of higher education to provide volunteer internship opportunities for individuals pursuing careers in the behavioral health field, particularly those interested in acquiring experience in a community mental health setting.


New Posting Contracts Specialist (Hays County)
San Marcos, TX78666


The Contracts Specialist performs complex contract duties, including developing, analyzing, evaluating, reviewing, processing, ensuring applicable compliance, inspecting, implementing, and monitoring contracts. Work requires extensive contact with agency personnel, vendors, and governmental officials. Employees at this level perform work independently on assignments; however, all unusual issues are referred to the supervisor.


The Mental Health Crisis Care Coordinator with the Mental Health Mobile Crisis Outreach Team (MCOT) will provide crisis intervention, prevention, and postvention services to individuals experiencing a mental/behavioral health crisis in Kerr County. They will assess needs, develop treatment plans, and effectively collaborate with individuals and their family members.


The Mental Health Crisis Care Coordinator with the Mental Health Mobile Crisis Outreach Team (MCOT) will provide crisis intervention, prevention, and postvention services to individuals experiencing a mental/behavioral health crisis. They will assess needs, develop treatment plans, and effectively collaborate with individuals and their family members.


New Posting LVN (Werlein Crisis Stabilization Unit)
Kerrville, TX78028

We are searching for a Licensed Vocational Nurse (LVN) to join our mental health healing team and perform various nursing functions to provide care, treatment, and welfare of people in services. This includes medication administration, transcription, observation, and reporting of patient physical and mental status, assisting the RN, and documentation of patient care services.


The Licensed Vocational Nurse (LVN) on our mental health healing team performs various nursing functions to provide care, treatment, and welfare of people in services. This includes medication administration, transcription, observation, and reporting of patient physical and mental status, assisting the RN, and documentation of patient care services.


Under the general direction of the JBCR Supervisor, this part-time position will meet with individuals in the competency restoration program, which is housed in the Hays County jail. This position will lead groups and meet with individuals in a supportive manner, sharing lived experiences and helping with goal development, community reintegration, skill development, and competency restoration.


Under the supervision of the JBCR Supervisor, the JBCR Assistant Supervisor will be responsible for providing competency restoration services, which include legal education for defendants found incompetent to stand trial and psychosocial rehabilitation services. This position will directly supervise the JBCR team and assist staff with the day-to-day operations of the program and the provision of curriculum.


Jail Diversion Clinician - LPHA
New Braunfels, TX78130

Under the supervision of the Director of Forensic Services, the Jail Diversion Clinician will be responsible for completing intake assessments and intervention for participants in the Comal County Mental Health Court, as well as for individuals transitioning out of the Comal County jail. This position will act as a liaison with MH Court representatives and jail administration. The Jail Diversion Clinician will provide intake assessments, counseling, and coordination of care for justice-involved individuals and will provide clinical case consultation with program stakeholders.


Under the general supervision of the Director of Forensic Services, this position supports incarcerated individuals by collaborating with stakeholders in the courts and jails to support the continuity of care of individuals both while in jail and post-release. The Jail Continuity of Care Peer Support Specialist will meet with individuals in the Hays County Jail in a supportive manner, sharing lived experiences and helping with goal development, community reintegration, and skill development.


The Jail Based Peer Specialist embedded within the Kerr County Jail, is a compassionate and dedicated individual in the Mental Health Grant Program for Justice-Involved Individuals (MHGJII). In this role, you will provide triage/liaison between the Kerr County Jail, Hill Country MHDD Centers and community resources to assure continuity of care for people identified as having reported or potential mental health and/or substance abuse disorder, with the goal of re-entry planning. 




The ICM/Wraparound Facilitator will engage high-need youth and their families in developing, implementing, and monitoring an intensive, individualized plan of care. This position helps the youth and families to identify a support team that will collaboratively design a plan based upon family needs, strengths, and goals. The ICM/Wraparound Facilitator will support the team as they implement the plan and monitor its success. This position will require some early evenings. 


The Inpatient Care Specialist on the Crisis Stabilization Unit (CSU) assists the treatment team to include Psychiatrists, RN's, LVNs, QMPHs, and other unit staff, in ensuring that the basic needs of people in service on the unit are met. Observes and monitors clients with regard to medication, meals, hygiene, sleeping, and behavioral needs. Provides verbal and written reports on each person in service to the Nurse in charge on each shift.


The Certified Peer Recovery Support Specialists (PRSS) are an integral part of the Substance Use Services (SUS) team as the bridge that connects program participants and the clinical staff. Under the leadership of the SUS Program Director, the PRSS provides opportunities for individuals referred to and participating in directing their own recovery process (self-determination) and acts as an advocate for persons served.


The Youth PRS-Family Partner is an integral part of the Substance Use Services (SUS) team as the bridge that connects the parent/legal guardian/family with the youth program participants and the clinical staff. Under the leadership of the SUS Program Director and the PRS Team Lead, the Family Partner provides support to the parent/Legal Authorized Representative (LAR) of the youth.


New Posting Certified Medical Assistant (Hays County MH Center)
San Marcos, TX78666

The Certified Medical Assistant (CMA) will directly support one of our physicians by collecting vital signs, documenting medical histories, and detailing an individual's physical and mental status and needs. The CMA will coordinate and maintain medical, discharge, and authorization records while maintaining HIPAA compliance and confidentiality. This compassionate, caring, and supportive team member will connect with individuals to provide optimum healthcare and contribute to the overall well-being of members of the community living with mental health challenges.


New Posting Care Coordinator (Medina County MH Center)
Hondo, TX78661

A Mental Health Care Coordinator will assess needs, develop treatment plans, and effectively collaborate with individuals and their family members. The Care Coordinator will assess strengths and needs and, in collaboration with the individual, develop a person-centered recovery plan.


Assisted Outpatient Treatment Care Coordinator is responsible for providing services and supports to individuals living with mental illness who are participating in the Hays County Assisted Outpatient Treatment Program (AOT). Assisted Outpatient Treatment Care Coordinator will assess the individual's strengths and needs and in collaboration with the individual develop a person- centered recovery plan.


The Administrative Support Specialist (PRN) serves an essential role, providing person-centered, short-term inpatient psychiatric treatment services for people in service at the CSU. Under the direction of the Facility Director, this position works with CSU staff and providers, Hill Country MHDD Administrative and support staff, crisis workers, law enforcement, community representatives, individuals in treatment, and families/visitors/vendors. Able to work a flexible schedule, including evenings and weekends, is required.


New Posting Administrative Specialist (Kerr County MH Center)
Kerrville, TX78028

The Administrative Specialist, under the direction of the Clinic Director, is responsible for the overall administrative duties of the mental health clinic. The Administrative Specialist is a customer-focused and customer-driven position requiring a highly motivated and compassionate can-do attitude. Providing a positive customer experience in a person-centered environment is a leading performance expectation.


New Posting Care Coordinator (Gillespie County MH Center)
Fredericksburg, TX78624

A Mental Health Care Coordinator will assess needs, develop treatment plans, and effectively collaborate with individuals and their family members. The Care Coordinator will assess strengths and needs and, in collaboration with the individual, develop a person-centered recovery plan.


New Posting Service Coordination Team Lead (Hays County)
San Marcos, TX78666

The Service Coordination Team Lead, under direction of the Regional Director of Service Coordination, is responsible for providing valuable support to Service Coordinators through modeling, mentoring, and hands-on assistance, driving LIDDA performance through running of A/B reports, meeting with Service Coordinators to review performance and strategize improvement, and acting as a mentor and role model to Service Coordinators in all aspects of behavior.


The Certified Medical Assistant (CMA) will directly support one of our physicians by collecting vital signs, documenting medical histories, and detailing an individual's physical and mental status and needs. The CMA will coordinate and maintain medical, discharge, and authorization records while maintaining HIPAA compliance and confidentiality.


The Texas Correctional Office on Offenders with Medical or Mental Impairments (TCOOMMI) Adult Probation Intensive Case Manager (ICM) is responsible for providing person-centered intensive case management services to adults diagnosed with severe and persistent mental health disorders who are currently on the specialized Mental Health Initiative probation caseload in Hays County, Texas.


New Posting Learning & Development Specialist
Kerrville, TX78028

The Learning and Development (L&D) Specialist designs, implements, and manages training programs to upskill employees, aligning them with organization goals by assessing needs, facilitating sessions, managing LMS, and supporting program effectiveness. Key responsibilities include supporting curriculum, delivering training, and tracking compliance, requiring strong person-centered skills, project management, and communication skills.


The Crisis Care Coordinator is a highly responsible service position. The Crisis Care Coordinator will perform crisis assessments in the field for adults and children as mental health calls or referrals are received. The delivery of services will be based on the needs of the community and individuals experiencing a psychiatric emergency.


A Mental Health Care Coordinator will assess needs, develop treatment plans, and effectively collaborate with individuals and their family members. The Care Coordinator will assess strengths and needs and, in collaboration with the individual, develop a person-centered recovery plan. The Care Coordinator will provide skills training, crisis prevention/management, linkage, and referral to support goal progress for children and families living with mental health challenges.