The

Coordinated Specialty Care (CSC) Care Coordinator for First Episode Psychosis is an early intensive intervention program for adolescents and young adults (ages 15-30) who have been recently diagnosed with a mental health condition which includes psychosis. The program goals include reducing the duration of untreated symptoms, and improving outcomes such as the ability to work, go to school, and live independently and have enjoyable relationships.

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 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 Habilitation Coordinator is responsible for assessing, evaluating, and identifying the needs and goals of people with intellectual and developmental disabilities relating to personal outcomes, including recommendations for interventions and support services. Arranges and collaborates with service providers and agencies to link people with outcome-focused services.

The JBCR Care Coordinator assists with daily curriculum, provides case-management services, and interacts with people enrolled in the Jail-Based Competency Restoration (JBCR) program. Assists with administrative and communication with court and jail staff.

The Receptionist will support counselors, physicians, staff, and individuals in the Mental Health Center Clinic. This person will work with the Office Coordinator to cover in person customer services of reception area and all telephone traffic including receiving and routing phone calls and messages appropriately. 

Licensed Chemical Dependency Counselor (LCDC) of Co-occurring Psychiatric and Substance Use Disorder (COPSD). The LCDC is responsible for providing services and support to individuals with co-occurring needs to assist the individual in reaching their vision of recovery. The LCDC will assess the individual's strengths and needs and, in collaboration with the individual, develop a person-centered recovery plan.

The Assisted Outpatient Treatment (AOT) Team Lead is responsible for screening, assessment and intervention for participants in the Assisted Outpatient Treatment Program. This position will directly supervise the AOT team and will act as a liaison with the AOT Court representatives. The AOT Team Lead will provide intake assessments, counseling and coordination of care for AOT participants and will provide clinical case consultation with program stakeholders.

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 ESC Therapist provides evidence-based therapeutic services while helping individuals strengthen resilience, develop healthy coping strategies, and connect with community resources. This position serves clients across the continuum of care through individual counseling, brief interventions, psychoeducation, support groups, crisis intervention, wellness programming, and community outreach. The therapist collaborates with community partners and the multidisciplinary ESC team to ensure individuals receive the most appropriate level of care.

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

The Administrative Specialist is responsible for managing the day-to-day administrative operations of the mental health clinic while delivering exceptional customer service in a person-centered environment. This role requires a compassionate, customer-focused professional who responds to client needs promptly and professionally, ensuring a positive experience with every interaction.

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 Care Coordinator assists with daily curriculum, provides case management services, and interacts with people enrolled in the Jail-Based Competency Restoration (JBCR) program. Assists with administrative and communication with court and jail staff. The Care Coordinator will provide forensic instructional programming, document individuals' progress, and monitor individual progress toward competency restoration, transition services, and discharge planning.

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 Administrative Specialist serves an essential role, providing person-centered, short-term inpatient psychiatric treatment services for people in service at the CSU. The 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.

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

The YES Waiver Intensive Case Manager/Wraparound Facilitator supports high-need youth and their families through intensive care coordination, Wraparound facilitation, and individualized service planning. This position works closely with families and supports teams to identify goals, monitor progress, and promote long-term success. Flexible scheduling, evening hours, and travel required.

The Receptionist is an Administrative Support Professional who serves in an essential role in the organization's mission to provide person-centered, short-term inpatient psychiatric treatment services for people in crisis. Under the direction of the Director of Inpatient Care at one of the Crisis Residential Facilities, the Receptionist works with all staff and providers, as well as crisis workers, law enforcement, community hospital staff, patients, and families/visitors/vendors. The Receptionist is the first point of contact when entering the facility, so a friendly demeanor is a must, along with excellent customer service skills. The facility operates 24 hours a day, seven days a week, with no closures for holidays. Ability to work a set schedule consisting of evenings, weekends, and some holidays is required.

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.

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.

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 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 Preadmission Screening and Resident Review (PASRR) Evaluator is responsible for completing accurate and timely PASRR Evaluations (PEs) within their assigned region. The PASRR Evaluator collaborates with the PASRR Team to meet all PE timelines and requirements, including frequent in-person travel to nursing facilities.

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

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 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 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.

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 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 ESC Services & Data Specialist coordinates the daily administrative operations of the Emotional Support Center while providing exceptional customer service, maintaining program data, supporting clinic operations, and ensuring a welcoming, trauma-informed environment for individuals seeking services.

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

The Certified 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.

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.

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 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 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.

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.