Behavioral Health Clinician Jobs in Texas
Behavioral Health Clinician jobs in Texas are among the most active in the country, with steady demand in community mental health centers, integrated care systems, school districts, and correctional health settings at every level from entry-level case managers through licensed clinical supervisors. Houston, Dallas-Fort Worth, and San Antonio anchor the largest share of openings, where employers like Integral Care, UT Health, and the Bexar County Behavioral Health department maintain consistent hiring pipelines. Substance use disorder treatment, trauma-informed care, and crisis intervention are the sub-specialties drawing the most consistent demand across the state. Find a role that fits below and apply directly.
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When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
Job Description:
Sign on bonus up to $1500 for independently licensed clinicians (pro-rated for part time)
As an embedded member of the Primary Care (adult/pediatrics) and/or OB/GYN care team, the Behavioral Health Clinician provides diagnostic assessment, clinical triage, and evidence-based behavioral health treatment for patients participating in the Collaborative Care Model (CoCM). The clinician partners closely with referring providers, Behavioral Health Care Managers, and Consulting Psychiatrists to deliver population-based, measurement-guided care for patients experiencing depression, anxiety, PTSD, substance use concerns, and other behavioral health needs. The Behavioral Health Clinician serves as the team's licensed behavioral health expert, providing consultation, risk assessment, treatment planning, and stepped-care interventions for patients with higher levels of acuity or complexity.
Responsibilities:
- Review medical records, behavioral health screenings, history, and referral information prior to patient encounters to perform comprehensive clinical assessments and diagnostic evaluations.
- Conduct diagnostic assessments, determine level of care, assess for behavioral health and substance use disorders, evaluate safety concerns (including suicide risk, self-harm, and intimate partner violence), and develop appropriate treatment and safety plans.
- Deliver brief evidence-based psychotherapies, including:
- Cognitive Behavioral Therapy (CBT)
- Behavioral Activation
- Problem Solving Therapy (PST)
- Motivational Interviewing (MI)
- Solution-Focused Interventions
- Supportive Therapy
- Psychoeducation focused on pregnancy, postpartum adjustment, parenting, and mental health.
- Monitor symptoms using validated behavioral health measures, including:
- PHQ-9
- GAD-7
- EPDS
- Other approved screening and outcome monitoring tools.
- In collaboration with the patient, referring provider, Behavioral Health Care Manager, and consulting psychiatrist, develop and adjust individualized treatment plans using a measurement-based, treatment-to-target approach.
- Prepare and present patients for weekly systematic caseload reviews with the Behavioral Health Clinician and consulting perinatal/reproductive psychiatrist, and facilitate implementation of treatment recommendations.
- Provide clinical leadership and guidance to Behavioral Health Care Managers and other team members regarding patient acuity, treatment planning, safety concerns, care transitions, and escalation needs.
- Support patient, provider, and staff education regarding perinatal mental health conditions, substance use disorders, evidence-based interventions, and integrated behavioral health care.
- Monitor patient progress using validated outcome measures and support population-based care efforts to ensure timely treatment response, remission, or step-up to a higher level of care as indicated.
- Complete all required documentation, treatment plans, registry activities, billing-related activities, and quality reporting within established timeframes and in accordance with organizational, regulatory, and payer requirements.
- Build effective relationships with patients and interdisciplinary team members, protect patient confidentiality, comply with all applicable policies and regulations, and perform other duties as assigned. Maintains productivity and performance standards established by the Collaborative Care program, including timely patient access, completion of required encounters and follow-up contacts, documentation compliance, registry management activities, participation in systematic caseload review, and achievement of quality and outcome measures.
Qualifications Required:
- Master's degree in Social Work, Counseling, Psychology, or related behavioral health discipline.
- Independent Massachusetts and/or New Hampshire licensure depending on the practice: LICSW, LMHC, LMFT, or equivalent independent behavioral health license.
- Ability to exercise good judgment clinically, legally and ethically and to consult with supervisor as needed. Computer literate in standard desktop applications such as Windows, Word, and Excel.
Preferred:
- Experience conducting diagnostic assessments and risk evaluations.
- Experience working with pregnant and postpartum individuals. Experience in integrated care, Collaborative Care Model, women's health, OB/GYN, Pediatrics, or primary care settings.
Schedule: Part-time, 20 hours per week. Benefit eligible.
Location: Shared between practices in Newburyport and Lynn.
Pay Range:
$35.00 - $56.00The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.
More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.
Equal Opportunity Employer/Veterans/Disabled
See All 12 Behavioral Health Clinician Jobs in Texas
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Find JobsBehavioral Health Clinician Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
Behavioral Health Clinician Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring



Top Industries Hiring
- Insurance
- Healthcare & Medical Services
What Texas Employers Look For
The qualifications that appear most often in behavioral health clinician jobs across Texas.
- Active LPC, LCSW, or LMFT license issued or recognized by the Texas State Board of Examiners
- Master's degree in counseling, social work, psychology, or a closely related behavioral health field
- Experience delivering individual and group therapy in a clinical or community setting
- Proficiency with electronic health record systems such as Epic, Cerner, or Credible
- Ability to conduct mental health assessments and develop individualized treatment plans
- Familiarity with Medicaid documentation standards and managed care compliance requirements in Texas
Behavioral Health Clinician Jobs in Texas: Frequently Asked Questions
How do you become a behavioral health clinician in Texas?
Becoming a behavioral health clinician in Texas requires completing a master's degree in counseling, social work, or psychology, followed by supervised clinical hours and a licensure exam. The Texas State Board of Examiners of Professional Counselors oversees LPC licensure, the Texas State Board of Social Worker Examiners governs LCSW credentials, and the Texas State Board of Examiners of Marriage and Family Therapists handles LMFT licensing. Each board sets its own supervised hour requirements before you sit for the national exam.
Which companies hire behavioral health clinicians in Texas?
Employers hiring behavioral health clinicians in Texas right now include Texas Children's Hospital, CommUnityCare Health Centers, and Jewish Family Service of Dallas, based on current listings on Migrate Mate as of October 2026. Texas's large public mental health authority network, anchored by local mental health authorities across the state's regions, also represents a consistent source of full-time openings alongside private health systems and nonprofit community providers.
Which Texas cities have the most behavioral health clinician jobs?
Dallas, Houston, and Waco have the most behavioral health clinician openings in Texas. Houston and Dallas-Fort Worth dominate because of their dense concentration of hospital systems, community mental health centers, and integrated outpatient networks, while San Antonio's large military population and extensive VA and SAMHSA-funded infrastructure drive steady demand there as well.
Are there remote behavioral health clinician jobs in Texas?
Yes, and more than many clinical fields. About 0% of behavioral health clinician openings tied to Texas are remote or hybrid as of October 2026, reflecting how well telehealth has taken hold in outpatient therapy and care coordination. Individual therapy, case management, and utilization review are the functions most likely to appear as fully remote positions, while crisis stabilization and residential roles remain on-site.
How can I get hired as a behavioral health clinician in Texas with little or no experience?
The most realistic entry path is a licensed master's intern or associate counselor role, where you accumulate the supervised hours Texas requires before full licensure. Large Texas community mental health authorities, such as Integral Care in Austin and the Harris Center for Mental Health and IDD in Houston, regularly hire provisionally licensed clinicians and structured associate-level staff. Lateral moves from case manager, peer support specialist, or psychiatric technician positions within the same organizations are another common door in, and having your LPC-Associate or LMSW credential active before applying gives your application a concrete advantage.
Where can I find and apply to behavioral health clinician jobs in Texas?
You can find and apply to behavioral health clinician jobs in Texas on Migrate Mate, which lists current Texas openings across health systems, community mental health centers, school districts, and other employers. Find the roles that fit your license level and preferred setting and apply directly.
See All 12 Behavioral Health Clinician Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
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