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 ESC Care Coordinator is a non-licensed, site-based member of the ESC team who provides individuals and families with emotional support, psychoeducation, coping skills assistance, behavioral health screening, resource navigation, referral coordination, and follow-up. The position serves as a primary point of contact for the Emotional Support Center, connecting individuals with appropriate ESC services or referring them to licensed clinical, crisis, medical, or community resources based on identified needs.

All MHDD employees commit to our mission TO EMPOWER PEOPLE—FOSTER HOPE—SUPPORT CHOICE—CELEBRATE SUCCESS.

The First Responder Behavioral Health Liaison is a Qualified Mental Health Professional (QMHP) who builds trusted relationships with first responders and public-safety partners throughout the county served. The position provides non-clinical emotional support, psychoeducation, screening, resource navigation, and coordinated referrals to promote responder wellness and access to proper care.

All MHDD employees commit to our mission TO EMPOWER PEOPLE—FOSTER HOPE—SUPPORT CHOICE—CELEBRATE SUCCESS.

The Staff Accountant is responsible for a variety of accounting functions that support the organization's financial operations, including financial reporting, account reconciliations, budgeting, cost accounting, cash management, and regulatory reporting. This position helps ensure accurate financial records, compliance with applicable requirements, and informed decision-making across the agency.

This position is responsible for providing crisis psychiatric treatment to adolescents and/or adults with severe and persistent mental illness in a community mental health setting.

All MHDD employees commit to our mission TO EMPOWER PEOPLE—FOSTER HOPE—SUPPORT CHOICE—CELEBRATE SUCCESS.

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. This compassionate, caring, and supportive team member will contribute to the overall lifetime potential success of an individual living with intellectual and/or development disabilities and their state of wellbeing.

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 MCOT (Mobile Crisis Outreach Team) Care Coordinator 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.

The Administrative Assistant is a customer service and solution-oriented position that supports staff within the Jail-Based Competency Restoration program. This position will facilitate communication and administrative and/or clerical tasks to support the JBCR Program staff and other programs assigned.

The Inpatient Care Specialist working at the Inpatient Crisis Facilities will support the multidisciplinary teams by ensuring patients’ basic needs are met, providing monitoring of administered medications, meals, hygiene, and sleep. Inpatient Care Specialist will monitor the patient’s behavior and provide support when needed. Inpatient Care Specialist will also provide clear communication of shift reports to the Charge Nurse. 

The Crisis Facility operates 24/7/365.

All MHDD employees commit to our mission TO EMPOWER PEOPLE—FOSTER HOPE—SUPPORT CHOICE—CELEBRATE SUCCESS.

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 Administrative Services Specialist coordinates and provides customer service and administrative support to clients, providers and employees of the clinic or office to which they are assigned. This position represents Hill Country MHDD as an important interface - in person, by phone and electronically - with clients, families, visitors, community partners, and stakeholders. This role provides a welcoming, professional, and person-centered experience through exceptional customer service, effective communication, and responsive support. This employee demonstrates collaborative and proactive problem-solving, multitasking and decision-making that effectively meets client needs and ensures efficient operations.

All MHDD employees commit to our mission TO EMPOWER PEOPLE—FOSTER HOPE—SUPPORT CHOICE—CELEBRATE SUCCESS

The Intensive Services Team (IST) is a team of mental health professionals who provide comprehensive community-based services to adults living with severe and persistent mental illness. The IST team supports individuals in achieving recovery goals, reducing hospitalizations, and improving overall quality of life. The majority of work is performed in the community, meeting clients where they live, work, and engage in daily activities to provide individualized support, care coordination, advocacy, and resource connection.

The IST Supervisor position provides primary supervision to the IST Care Coordinators, providing clinical oversight of services ensuring individuals in services are seen in accordance with their needs and the delivery of best and ethical practices. This position works with all IST staff, MH clinic staff, law enforcement, and other agencies within the community. This position exercises extensive independent judgment and requires flexibility in schedule for after hours. The IST Supervisor may provide mental health services and supports as authorized in Texas Resilience and Recovery guidelines. This position works closely with the Clinic Directors in their communities.

The IST Supervisor is a role model, demonstrating agency mission and values, and excellent person-centered approaches in their care and leadership.

All MHDD employees commit to our mission TO EMPOWER PEOPLE—FOSTER HOPE—SUPPORT CHOICE—CELEBRATE SUCCESS.

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 Coordinated Specialty Care Family Partner role is to provide support to the parent/Legal Authorized Representative (LAR) of the youth. Access to quality family partner support can be instrumental in engaging families as active participants in the youth's care and equal members of the youth's recovery team.

This Psychiatrist position is responsible for providing outpatient psychiatric treatment to adults with severe and persistent mental illness in a community mental health setting. The Psychiatrist works as the outpatient team leader in conjunction with the Clinic Director while under the supervision of the Chief Medical Officer.

All MHDD employees commit to our mission TO EMPOWER PEOPLE—FOSTER HOPE—SUPPORT CHOICE—CELEBRATE SUCCESS.

The Coordinated Specialty Care Peer Support Specialist role is held by someone who has first-hand experience with emotional and/or mental distress (often called mental illness) and who has actively engaged in a process of self-discovery and/or recovery related to those struggles. As an integrated member of the CSC treatment team, peer support services are designed to offer recovery oriented behavioral health services to adults who are experiencing their first episode of psychosis, with a goal of restoring cognitive functioning, strengthen natural supports, stabilizing psychiatric symptoms, and developing a clear path to recovery.

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.

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 MCOT Lead position provides primary supervision to the MCOT, overseeing prevention, intervention, and postvention care. This position works with all MCOT staff, MH clinic staff, law enforcement, and other agencies within the community. This position exercises extensive independent judgment and requires flexibility in schedule for after-hours and weekend shifts. This position will monitor hospital admissions and discharge of individuals recommended for inpatient psychiatric care. This position is responsible for coordinating expedited intake services as clinically indicated. The MCOT Lead may provide mental health services and supports as authorized in Texas Resilience and Recovery guidelines. This position works closely with the Clinic Directors in their communities.

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.

The Jail Care Coordinator embedded within the Kimble and Menard County Jail is a dedicated individual in the Mental Health Grant Program for Justice-Involved Individuals (MHGJII). In this role, you will provide crisis intervention services as needed, along with providing planning and case management for inmates with mental health and/or substance use conditions who are eligible for pre- and post-release from the jail. This position would also function as a liaison between the County Jail, HCMHDD Centers, and local community resources to ensure continuity of care for individuals with the intention of reducing recidivism rates related to mental health and substance use conditions.

The Maintenance Supervisor is responsible for overseeing the upkeep, safety, and functionality of all physical facilities within Hill Country MHDD. This role ensures that the environment remains safe, clean, and conducive to mental health treatment and administrative operations. The supervisor will manage routine maintenance tasks, respond to urgent repair needs, and coordinate with external vendors and contractors.

All MHDD employees commit to our mission TO EMPOWER PEOPLE—FOSTER HOPE—SUPPORT CHOICE—CELEBRATE SUCCESS.

The Inpatient Care Specialist (PRN) working at the Inpatient Crisis Facilities will support the multidisciplinary teams by ensuring patients’ basic needs are met, providing monitoring of administered medications, meals, hygiene, and sleep. The Inpatient Care Specialist will monitor the patient’s behavior and provide support when needed. Inpatient Care Specialist will also provide clear communication of shift reports to the Charge Nurse.

All MHDD employees commit to our mission TO EMPOWER PEOPLE—FOSTER HOPE—SUPPORT CHOICE—CELEBRATE SUCCESS.

The MCOT Lead position provides primary supervision to the MCOT, overseeing prevention, intervention, and postvention care. This position works with all MCOT staff, MH clinic staff, law enforcement, and other agencies within the community. This position exercises extensive independent judgment and requires flexibility in schedule for after-hours and weekend shifts. This position will monitor hospital admissions and discharge of individuals recommended for inpatient psychiatric care. This position is responsible for coordinating expedited intake services as clinically indicated. The MCOT Lead may provide mental health services and supports as authorized in Texas Resilience and Recovery guidelines. This position works closely with the Clinic Directors in their communities.

This position is responsible for providing crisis residential psychiatric treatment to adolescents and/or adults with severe and persistent mental illness in a community mental health setting.

All MHDD employees commit to our mission TO EMPOWER PEOPLE—FOSTER HOPE—SUPPORT CHOICE—CELEBRATE SUCCESS.

The Crisis Care Coordinator will provide comprehensive care, from intervention to continuity of care, to individuals experiencing a mental health crisis, in the county clinic as well as surrounding counties within the HCMHDDC catchment. These services may be performed virtually or in-person, in the community, jail, mental health clinic, and/or other locations for adults and children as mental health calls or referrals are received.

The Community Diversion Coordinator is responsible for providing services and supports to individuals living with mental illness who are involved or at risk of being involved with the criminal justice system. This includes individuals who are participating in the Mental Health Court Program or otherwise mandated to participate in mental health services. The Community Diversion Coordinator will assess the individual's strengths and needs and, in collaboration with the individual, develop a person-centered recovery plan.

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 Director of Crisis Residential Services will oversee operations of a designated Crisis Residential Facility, reporting to the Senior Director of Crisis Residential Services. The Director will ensure facility compliance with state and federal regulations, organizational policy and procedures and that licensed personnel follow board standards. The Director will provide oversight of day-to-day operations of the facility and provide guidance for all staff employed at the Crisis Facility. This Director will provide supervision and guidance to the members of the facility’s crisis services team. The Crisis Facility operates 24/7/365.

The Lead Care Coordinator (Lead CC) is responsible for providing person-centered, trauma-informed care through screenings, assessments, case management, crisis intervention, skills training, and coordination of services for individuals experiencing mental health challenges. This position participates in the clinic area on-call schedule, providing critical crisis intervention and postvention support, with 24-hour availability when scheduled. The Lead CC provides support to the Clinic Director by coordinating communications, scheduling, training, coaching, skills development and service quality of all clinic Care Coordinators.

All MHDD employees commit to our mission TO EMPOWER PEOPLE—FOSTER HOPE—SUPPORT CHOICE—CELEBRATE SUCCESS.

The Therapist/Licensed Professionals of the Healing Arts are responsible for providing comprehensive clinical services as their license allows. The Therapist/LPHA will provide short term, time limited, therapy services to adults diagnosed with severe or persistent mental illness, and/or substance use disorder.

Primary responsibilities will vary based on the assigned client population/location. Assignments may include OP clinics, ESC (Emotional Support Center), home visits and others.

All MHDD employees commit to our mission TO EMPOWER PEOPLE—FOSTER HOPE—SUPPORT CHOICE—CELEBRATE SUCCESS.

The MCOT (Mobile Crisis Outreach Team) Care Coordinator 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.

The Therapist is an integral member of the multidisciplinary team providing inpatient treatment services to adults admitted to the Crisis Stabilization Unit (CSU). Essential functions include: (a) providing individual and group therapy using Cognitive Behavioral Therapy (CBT), Trauma-Focused CBT (TF-CBT), and Cognitive Processing Therapy (CPT); (b) participating in the development and review of person-centered recovery plans; (c) completing adjunctive assessments to inform the treatment process; (d) documenting treatment interventions, client response, and progress through timely completion of progress notes; (e) attending and actively participating in staff meetings and interdisciplinary treatment team meetings; (f) maintaining compliance with organizational and licensure requirements, including required training, continuing education, professional licensure, and credentialing; and (g) providing staff training, milieu management, and program development to promote a therapeutic, recovery-oriented treatment environment. The Therapist also supports continuity of care and discharge planning as needed. The Crisis Facility operates 24/7/365. 

All MHDD employees commit to our mission TO EMPOWER PEOPLE—FOSTER HOPE—SUPPORT CHOICE—CELEBRATE SUCCESS.

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 part-time JBCR Peer Support Specialist will meet with individuals in the competency restoration program, 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.

The Administrative Services Specialist coordinates and provides customer service and administrative support to clients, providers and employees of the clinic or office to which they are assigned. This position represents Hill Country MHDD as an important interface - in person, by phone and electronically - with clients, families, visitors, community partners, and stakeholders. This role provides a welcoming, professional, and person-centered experience through exceptional customer service, effective communication, and responsive support. This employee demonstrates collaborative and proactive problem-solving, multitasking and decision-making that effectively meets client needs and ensures efficient operations. 

The Crisis Facility operates 24/7/365.

All MHDD employees commit to our mission TO EMPOWER PEOPLE—FOSTER HOPE—SUPPORT CHOICE—CELEBRATE SUCCESS

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. This compassionate, caring, and supportive team member will contribute to the overall lifetime potential success of an individual living with intellectual and/or development disabilities and their state of wellbeing.

The Youth Peer Recovery Support Specialist (PRSS) is a valued member of our Substance Use Services (SUS) team, using lived experience to support and inspire individuals on their recovery journey. Working under the guidance of the SUS Program Director, the PRSS builds meaningful connections between program participants and clinical staff while advocating for the participants' needs and goals. It is imperative that a Peer Recovery Support Specialist be active in their own recovery.

The Mobile Certified Peer Recovery Support Specialist (PRSS) provides recovery-oriented support services to individuals or a group, to assist in the creation of skills to promote the value of self-help, peer support, engagement, accountability, and personal empowerment to foster long-term, sustainable recovery. It is imperative that a Peer Recovery Support Specialist be active in their own recovery.

The Registered Nurse (RN) performs various nursing functions to provide care, treatment, and welfare of clients in our services. This includes medication administration, transcription, observation, and reporting of patients' physical and mental status, and documentation of patient care services.