Behavioral Health Counselor Jobs in Texas
Behavioral health counselor jobs in Texas are among the most active in the country, concentrated in community mental health centers, substance use treatment programs, school districts, and VA and military-affiliated facilities, with openings at every level from unlicensed associate counselors through licensed senior clinicians. The heaviest hiring runs through Houston, Dallas-Fort Worth, and San Antonio, where large employers like the University of Texas Health Science Center, Metrocare Services, and UTMB Health maintain ongoing behavioral health programs. The most in-demand specialties are substance use disorder counseling, trauma-focused therapy, and school-based mental health services. Find a role that fits below and apply directly.
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Showing 5 of 6+ Behavioral Health Counselor jobs
“Sanitas is a global healthcare organization expanding across the United States. Our services include primary care, urgent care, nutrition, lab, diagnostic, health care education and resources for our patients. We strive to attract professionals who believe in our mission, vision and are dedicated to the service of our patients and their families creating a memorable experience through compassion, respect, and kindness.”
Job Summary
Behavioral Health Counselors are core members of the Sanitas medical team and provide hope, empowerment, and psychoeducation in order to promote autonomy and self-management by arranging comprehensive mental health care services in a primary care setting.
Essential Job Functions
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Develop and implement care plans
- Complete and maintain all documentation in a timely and accurate manner according to all federal, state and center guidelines
- Collaborate with a variety of health professionals in the patient’s circle of care including but not limited to primary care providers, care nurses, care coordinators, community health workers, psychiatrists, and other mental health professionals and specialists
- Ensure a comprehensive continuity of care
- Provide individual, family or group educational interventions
- Guide patients in the development of skills and strategies for dealing with their diagnosis
- Assist patients in adjusting to life and making changes
- Participate in regularly scheduled weekly caseload consultation and complex case review meetings
- Facilitate care plan adjusts for patients who are not improving as expected in consultation with the medical providers
- Facilitate referrals to the appropriate provider or in-house intervention program as clinically indicated
- Connect patients and family members with community and social resources
- Guide clinical staff on how to manage common behavioral health situations
- Screen and assess patients for common mental health and substance abuse disorders
- Facilitate patient engagement and follow-up care
- Support psychotropic medication management as prescribed by medical providers, focusing on treatment adherence monitoring, side effects, and effectiveness of treatment
- Promote early detection, accurate diagnosis, personalized treatment, and ongoing support, ultimately leading to improved overall well-being for individuals facing these challenges
- Track treatment response and monitor patients for changes in clinical symptoms and treatment side effects or complications
- Provide or facilitate in-clinic or outside referrals to evidence-based psychosocial as clinically indicated
- Guide clinical staff on how to manage common behavioral health situations
- Resolve emergency problems in crisis situations
- The position includes providing behavioral health services via telehealth, consistent with state and federal guidelines
Supervisory Responsibilities
This position has no supervisory responsibilities.
Required Education
- Master’s degree in counseling or related field (Social work, Mental health counseling, marriage and couples’ therapy) from accredited program.
Required Experience
- Relevant experience 1 year.
Required Licenses and Certifications
- BLS certification.
Required Knowledge, Skills, and Abilities
- Able to establish and maintain effective working relationships with mentally or emotionally disabled persons and their families.
- Flexible schedule weekdays – weekends.
- Good communication and listening skills.
- Ability to show empathy and compassion.
Preferred Qualifications
- Preferably 1 year of experience providing CBT-based interventions with adults with depression and anxiety.
- Registered Mental Health Counselor Interns are preferred.
Financial Responsibilities
- This position does not currently have financial responsibilities.
Budget Responsibilities
- This position does not currently have budget responsibilities.
Languages
- English is required.
- Spanish is preferred.
Travel
- This position requires the ability to travel in the assigned region.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Includes all patient-facing clinical staff ( Medical Assistants, Phlebotomists, Mammography Technologists, Radiologic Technologists, Multi-Specialty staff, Providers) as well as Facilities Technicians. These positions typically require prolonged standing and walking, frequent bending, reaching, lifting, pushing, and pulling of equipment or supplies (up to 50 pounds), manual dexterity, and compliance with infection control and safety protocols. Facilities Technicians may also perform repairs, renovations, remodeling, preventive maintenance, and use tools and equipment to support our medical centers.
Environmental Conditions
Inside: The employee is subject to environmental conditions, protection from weather conditions but not necessarily from temperature changes. The worker is subject to noise; there may be sufficient noise to cause the worker to shout in order to be heard above ambient noise level.
Physical/Environmental Activities
Please confirm for the following questions if these working conditions are encountered Occasionally (1-33% of time on the job), Frequently (34-66% of time on the job), Constantly (67-100% of time on the job), or Not Applicable N/A
- Must be able to travel to multiple locations for work (i.e. travel to attend meetings, events, conferences). Occasionally (1-33% of time on the job)
- May be exposed to outdoor weather conditions of cold, heat, wet, and humidity. N/A
- May be exposed to outdoor or warehouse conditions of loud noises, vibration, fumes, dust, odors, and mists. N/A
- Must be able to ascend and descend ladders, stairs, or other equipment. N/A
- Subject to exposure to hazardous material. N/A
All job requirements listed indicate the minimum level of knowledge, skills, and/or ability deemed necessary to perform the job proficiently. This job description is not to be construed as an exhaustive statement of duties, responsibilities, or requirements. Employees will be responsible for performing all other assigned duties given by their supervisor, subject to reasonable accommodation
“Sanitas is a global healthcare organization expanding across the United States. Our services include primary care, urgent care, nutrition, lab, diagnostic, health care education and resources for our patients. We strive to attract professionals who believe in our mission, vision and are dedicated to the service of our patients and their families creating a memorable experience through compassion, respect, and kindness.”
Job Summary
Behavioral Health Counselors are core members of the Sanitas medical team and provide hope, empowerment, and psychoeducation in order to promote autonomy and self-management by arranging comprehensive mental health care services in a primary care setting.
Essential Job Functions
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Develop and implement care plans
- Complete and maintain all documentation in a timely and accurate manner according to all federal, state and center guidelines
- Collaborate with a variety of health professionals in the patient’s circle of care including but not limited to primary care providers, care nurses, care coordinators, community health workers, psychiatrists, and other mental health professionals and specialists
- Ensure a comprehensive continuity of care
- Provide individual, family or group educational interventions
- Guide patients in the development of skills and strategies for dealing with their diagnosis
- Assist patients in adjusting to life and making changes
- Participate in regularly scheduled weekly caseload consultation and complex case review meetings
- Facilitate care plan adjusts for patients who are not improving as expected in consultation with the medical providers
- Facilitate referrals to the appropriate provider or in-house intervention program as clinically indicated
- Connect patients and family members with community and social resources
- Guide clinical staff on how to manage common behavioral health situations
- Screen and assess patients for common mental health and substance abuse disorders
- Facilitate patient engagement and follow-up care
- Support psychotropic medication management as prescribed by medical providers, focusing on treatment adherence monitoring, side effects, and effectiveness of treatment
- Promote early detection, accurate diagnosis, personalized treatment, and ongoing support, ultimately leading to improved overall well-being for individuals facing these challenges
- Track treatment response and monitor patients for changes in clinical symptoms and treatment side effects or complications
- Provide or facilitate in-clinic or outside referrals to evidence-based psychosocial as clinically indicated
- Guide clinical staff on how to manage common behavioral health situations
- Resolve emergency problems in crisis situations
- The position includes providing behavioral health services via telehealth, consistent with state and federal guidelines
Supervisory Responsibilities
This position has no supervisory responsibilities.
Required Education
- Master’s degree in counseling or related field (Social work, Mental health counseling, marriage and couples’ therapy) from accredited program.
Required Experience
- Relevant experience 1 year.
Required Licenses and Certifications
- BLS certification.
Required Knowledge, Skills, and Abilities
- Able to establish and maintain effective working relationships with mentally or emotionally disabled persons and their families.
- Flexible schedule weekdays – weekends.
- Good communication and listening skills.
- Ability to show empathy and compassion.
Preferred Qualifications
- Preferably 1 year of experience providing CBT-based interventions with adults with depression and anxiety.
- Registered Mental Health Counselor Interns are preferred.
Financial Responsibilities
- This position does not currently have financial responsibilities.
Budget Responsibilities
- This position does not currently have budget responsibilities.
Languages
- English is required.
- Spanish is preferred.
Travel
- This position requires the ability to travel in the assigned region.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Includes all patient-facing clinical staff ( Medical Assistants, Phlebotomists, Mammography Technologists, Radiologic Technologists, Multi-Specialty staff, Providers) as well as Facilities Technicians. These positions typically require prolonged standing and walking, frequent bending, reaching, lifting, pushing, and pulling of equipment or supplies (up to 50 pounds), manual dexterity, and compliance with infection control and safety protocols. Facilities Technicians may also perform repairs, renovations, remodeling, preventive maintenance, and use tools and equipment to support our medical centers.
Environmental Conditions
Inside: The employee is subject to environmental conditions, protection from weather conditions but not necessarily from temperature changes. The worker is subject to noise; there may be sufficient noise to cause the worker to shout in order to be heard above ambient noise level.
Physical/Environmental Activities
Please confirm for the following questions if these working conditions are encountered Occasionally (1-33% of time on the job), Frequently (34-66% of time on the job), Constantly (67-100% of time on the job), or Not Applicable N/A
- Must be able to travel to multiple locations for work (i.e. travel to attend meetings, events, conferences). Occasionally (1-33% of time on the job)
- May be exposed to outdoor weather conditions of cold, heat, wet, and humidity. N/A
- May be exposed to outdoor or warehouse conditions of loud noises, vibration, fumes, dust, odors, and mists. N/A
- Must be able to ascend and descend ladders, stairs, or other equipment. N/A
- Subject to exposure to hazardous material. N/A
All job requirements listed indicate the minimum level of knowledge, skills, and/or ability deemed necessary to perform the job proficiently. This job description is not to be construed as an exhaustive statement of duties, responsibilities, or requirements. Employees will be responsible for performing all other assigned duties given by their supervisor, subject to reasonable accommodation
See All 6 Behavioral Health Counselor Jobs in Texas
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Find JobsBehavioral Health Counselor Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
Behavioral Health Counselor Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
What Texas Employers Look For
The qualifications that appear most often in behavioral health counselor jobs across Texas.
- Active LPC Associate or Licensed Professional Counselor license issued by the Texas State Board of Examiners of Professional Counselors
- Master's degree in counseling, psychology, social work, or a related clinical field
- Experience providing individual, group, or family therapy in a clinical or community setting
- Proficiency with electronic health record systems such as Epic, Cerner, or comparable platforms
- Ability to complete required Texas-mandated documentation and comply with HIPAA privacy standards
- Bilingual Spanish-English communication skills preferred for many Texas community health and school-based roles
Behavioral Health Counselor Jobs in Texas: Frequently Asked Questions
How do you become a behavioral health counselor in Texas?
To become a licensed behavioral health counselor in Texas, you must earn a master's degree in counseling or a closely related field, then register with the Texas State Board of Examiners of Professional Counselors as an LPC Associate. As an associate, you complete supervised clinical hours under a board-approved supervisor before sitting for the National Counselor Examination and applying for full Licensed Professional Counselor licensure. Many entry-level roles in Texas accept candidates who are actively working toward licensure as an LPC Associate.
Which companies hire behavioral health counselors in Texas?
Employers hiring behavioral health counselors in Texas right now include Signet Health, Central Health, and BasePoint Academy, based on current listings on Migrate Mate as of October 2026. Texas's large hospital systems, county-funded community mental health centers, and school district contractors account for a significant share of ongoing openings across the state.
Which Texas cities have the most behavioral health counselor jobs?
Katy, Austin, and Dallas have the most behavioral health counselor openings in Texas. Houston and Dallas-Fort Worth lead because of their large hospital systems, veteran-focused programs, and dense community mental health networks, while San Antonio's concentration of military installations and associated behavioral health contracts drives consistent demand there as well.
Are there remote behavioral health counselor jobs in Texas?
Yes, and more than most clinical fields, because telehealth has been widely adopted for outpatient counseling. About 0% of behavioral health counselor openings tied to Texas are remote or hybrid as of October 2026, reflecting the growth of virtual therapy platforms and telepsychiatry programs. Individual and group therapy delivered via secure video platforms accounts for most of the remote work available in this role.
How can I get hired as a behavioral health counselor in Texas with little or no experience?
The most realistic entry path is registering as an LPC Associate with the Texas State Board of Examiners of Professional Counselors, which allows you to work in supervised clinical roles while you accumulate required hours. Large Texas employers such as community mental health authorities, school district contracted providers, and state-funded substance use treatment facilities routinely hire LPC Associates and case managers as a pipeline into full counselor roles. Adjacent positions like mental health technician, peer support specialist, or case manager can also open the door, and completing a Texas-recognized supervised practicum placement during graduate school strengthens any application.
Where can I find and apply to behavioral health counselor jobs in Texas?
You can find and apply to behavioral health counselor jobs in Texas on Migrate Mate, which lists current openings from Texas employers. Find roles that match your license level, specialty, and preferred city, then apply directly to each employer through the listing.
See All 6 Behavioral Health Counselor Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
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