300+ Social Services & Counseling Jobs in San Antonio, TX

Every active opening we track in this market, read alongside the hiring conditions, pay, and employer demand from our September 2026 report.

324 active openings in San Antonio-New Braunfels, TX, published within the last 30 days, across 121 employers. 19 were published in the last 48 hours and 91 in the last 7 days. As of October 17, 2026.

BLS places the broad local occupation family at a $56,670 median and $58,910 mean annual wage in 2025, with a 25th-to-75th percentile range of $45,220 to $68,170. The broader BLS community and social service group also averaged $28.32 per hour in San Antonio versus $29.39 across all local occupations, so this is not a premium-pay field by default. Recent postings look somewhat higher, centering on about $66k to $76k, while Texas new-opening salary offers averaged about $70,793 in September 2026 on a sample of 633 postings.

Full September 2026 market report

Advertised pay

Across the 140 openings that disclose pay, the advertised range midpoint runs $61,796 at the 25th percentile, $87,750 at the median and $104,000 at the 75th. These are advertised ranges, not earned pay.

Active openings as of October 17, 2026

Senior roles | Entry level | Remote | Posted this week

Live from the Callings.ai index of over 13 million postings, refreshed hourly and re-checked here nightly. Roles that close are dropped at the next refresh.

Physical Therapist NICU/Acute Care - Children's

CHRISTUS Health | San Antonio, Texas, United States

Full-time | On-site | Posted 2026-10-16

CHRISTUS Health is a Catholic not-for-profit health care system with over 600 centers providing personalized care.

Provides physical therapy services to patients, including assessment, treatment plan development, and discharge planning while supervising staff and students.

Occupational Therapist

Spectrum of Hope | San Antonio, Texas, United States

Part-time | Hybrid | $70 hourly | Posted 2026-10-16

Spectrum of Hope provides evidence-based Applied Behavior Analysis (ABA) therapy for individuals with autism.

Provide engaging, evidence-based pediatric occupational therapy in-home or hybrid settings.

Physical Therapist

Momentum Physical Therapy | San Antonio, Texas, United States

Full-time | On-site | $75,000 - $85,000 yearly | Posted 2026-10-16

Momentum Physical Therapy is a fast-growing, community-centered clinic delivering personalized physical and hand therapy in San Antonio.

A staff physical therapist role focused on outpatient orthopedic care within a collaborative and patient-centered clinic environment.

Physical Therapist

Usph | San Antonio, Texas, United States

Full-time | On-site | $75,000 - $85,000 yearly | Posted 2026-10-16

Momentum Physical Therapy is a fast-growing, community-centered clinic delivering physical and hand therapy in San Antonio.

A staff physical therapist role focused on outpatient orthopedic care in a collaborative, team-focused environment.

Registered Nurse Case Manager (RN)

Tenet Healthcare Corporation | San Antonio, Texas, United States

Full-time | On-site | $50,000 - $70,000 yearly | Posted 2026-10-16

Tenet Healthcare Corporation is a diversified healthcare services company operating hospitals and outpatient centers.

Facilitate patient care through resource coordination, ensuring appropriate levels of care, safe discharge, and preventing avoidable readmissions.

Physical Therapist, Outpatient - Floater

Confluent Health LLC | San Antonio, Texas, United States

Full-time | On-site | $44 - $48 hourly | Posted 2026-10-16

Confluent Health is a nationwide network of physical and occupational therapy companies.

A physical therapist role involving travel between clinics to assess patients, develop care plans, and deliver therapeutic interventions.

Massage Therapist

Massage Heights | San Antonio, Texas, United States

Full-time | On-site | $65,000 - $90,000 yearly | Posted 2026-10-16

Heights Wellness Retreat is a wellness center offering massage therapy services in San Antonio.

A Licensed Massage Therapist provides massage services to clients in a supportive team environment with opportunities for career advancement.

Orthopedic Physical Therapist

Alanteptw | San Antonio, Texas, United States

Part-time | On-site | Posted 2026-10-16

ALANTE PHYSICAL THERAPY AND WELLNESS is a private practice outpatient clinic in San Antonio, Texas focusing on quality and compassionate car...

Provide direct patient care for individuals with musculoskeletal conditions through evaluations, treatment planning, and therapeutic exercises.

Physical Therapist - Outpatient

PT Solutions | San Antonio, Texas, United States

Full-time | On-site | $78,000 - $98,000 yearly | Posted 2026-10-16

PT Solutions delivers evidence-based physical, occupational, and speech therapy across acute care, inpatient rehab, and outpatient clinics.

Conduct comprehensive evaluations and treatments for patients with orthopedic and musculoskeletal conditions while designing personalized, evidence-based treatment plans.

Physical Therapist Assistant (PTA) PRN

Vital Therapy | San Antonio, Texas, United States

Prn | $20 hourly | Posted 2026-10-16

Vital Therapy is a network of over 80 skilled nursing and post-acute rehabilitation facilities.

Join a stable in-house therapy team to deliver care to patients and residents while developing programs in balance, gait, and mobility.

Physical Therapist (PT) FT

Vital Therapy | San Antonio, Texas, United States

Full-time | On-site | $45,000 - $65,000 yearly | Posted 2026-10-16

Vital Therapy is a network of skilled nursing and post-acute rehabilitation facilities.

Join a stable in-house therapy team to deliver care and develop programs in balance, mobility, and functional maintenance.

Social Worker MSW - MCC

uthscsa.edu | San Antonio, Texas, United States

Full-time | On-site | Posted 2026-10-15

UT Health San Antonio is a top-tier public research university focused on biomedical discovery, healthcare, and advancing public health.

A role involving psychosocial assessments, case management, clinical research, and providing supportive counseling and referrals to patients.

Social Worker

Baptist Health System Group | San Antonio, Texas, United States

Internship | On-site | Posted 2026-10-15

Baptist Health System is a recognized leader in healthcare in San Antonio and South Texas.

Facilitate patient care through resource coordination, transition planning, and psychosocial assessment to ensure optimal health and appropriate discharge.

Registered Nurse Case Manager (RN) PRN

Baptist Health System Group | San Antonio, Texas, United States

Prn | On-site | Posted 2026-10-15

Baptist Health System is a recognized leader in healthcare in San Antonio and South Texas.

Facilitate patient care through resource coordination, ensuring appropriate levels of care, transition management, and compliance with regulatory standards.

Hospital Case Manager

Gonzaba Medical Group | San Antonio, Texas, United States

Full-time | On-site | Posted 2026-10-15

Gonzaba Medical Group is a physician-led medical group providing innovative medical care with a focus on patient-centered service.

A role focused on concurrent review of patients, monitoring admissions and stays for medical appropriateness, and developing discharge plans in coordination with physicians and families.

Physical Therapist (PT) - FT Days | San Antonio Med Center Rehab

PAM Health | San Antonio, Texas, United States

Full-time | On-site | Posted 2026-10-15

PAM Health is a leading national healthcare provider specializing in post-acute care, operating long-term acute care and inpatient rehabilit...

A Physical Therapist is responsible for patient care, management, and supervision of care delivery in an inpatient rehabilitation setting.

TDCJ - Substance Abuse Counselor I,II - Substance

Texas Department of Criminal Justice | San Antonio, Texas, United States

Internship | On-site | Posted 2026-10-15

The Texas Department of Criminal Justice manages state prisons, jails, and private correctional facilities while supervising offenders on pa...

Provide substance use counseling, facilitate rehabilitation programming, and support inmate reentry planning within a correctional facility.

Licensed Mental Health Counselor for Diverse Populations - Remote Opportunity

Jonah Cooper Jr, LLC | San Antonio, Texas, United States

Full-time | Remote | Posted 2026-10-15

Core Life Counseling Services provides culturally sensitive mental health care for diverse communities.

A licensed professional conducts culturally sensitive mental health assessments and delivers evidence-based therapies remotely.

Home Health Occupational Therapist

PARS Therapy | San Antonio, Texas, United States

Part-time | On-site | Posted 2026-10-15

PARS Therapy provides compassionate, patient-centered therapy services.

To evaluate patient conditions, create treatment plans, and implement therapeutic strategies to improve daily living and motor skills in home health settings.

Case Manager RN

Sahealth | San Antonio, Texas, United States

Full-time | On-site | Posted 2026-10-15

Methodist Healthcare System is a 50-50 co-ownership between Methodist Healthcare Ministries and HCA Healthcare, providing comprehensive heal...

Support patients and families through their care journey by coordinating services, connecting resources, and developing individualized treatment plans.

Compassionate Full-Time Licensed Mental Health Therapist for Diverse Populations

Jonah Cooper Jr, LLC | San Antonio, Texas, United States

Full-time | Remote | $70,000 - $100,000 yearly | Posted 2026-10-15

New Hope Counseling Services provides mental health therapy in a remote community clinic setting.

Provide high-quality mental health care and conduct culturally sensitive assessments for diverse populations.

Physical Therapist, Outpatient - Orthopedics & Sports Medicine

TexPTS | San Antonio, Texas, United States

Full-time | On-site | $80,000 - $99,000 yearly | Posted 2026-10-15

Texas Physical Therapy Specialists is a Texas-based, private physical therapy practice group and a member of the Confluent Health family.

A physical therapist role focused on outpatient care for athletes and active individuals, involving clinical assessment, treatment planning, and intervention delivery.

Physical Therapist, Outpatient - Orthopedics & Sports Medicine

TexPTS | San Antonio, Texas, United States

Full-time | On-site | $80,000 - $99,000 yearly | Posted 2026-10-15

Texas Physical Therapy Specialists is a Texas-based, private physical therapy practice group and a member of the Confluent Health family.

A physical therapist role focused on outpatient care for orthopedics and sports medicine, involving patient assessment, treatment planning, and intervention delivery.

Physical Therapist, Outpatient - Orthopedics

TexPTS | San Antonio, Texas, United States

Full-time | On-site | $80,000 - $99,000 yearly | Posted 2026-10-15

Texas Physical Therapy Specialists is a Texas-based physical therapy practice group and member of the Confluent Health family.

A licensed physical therapist delivers outpatient orthopedic care, manages patient caseloads, and collaborates with clinical leaders in a supportive environment.

Physical Therapist, Outpatient - Floater

TexPTS | San Antonio, Texas, United States

Full-time | Hybrid | $44 - $48 hourly | Posted 2026-10-15

Texas Physical Therapy Specialists is a Texas-based physical therapy practice group and member of the Confluent Health family.

A physical therapist role involving travel between clinics to assess patients, develop care plans, and deliver therapeutic interventions.

Private Duty COTA - Certified Occupational Therapist Assistant - Home Health

Beyond Faith Homecare | San Antonio, Texas, United States

Part-time | On-site | Posted 2026-10-15

Beyondfaith Homecare & Rehab provides hospital and health care services.

A Certified Occupational Therapist Assistant treats patients under the guidance of an occupational therapist and physician in home health settings.

Private Duty: Therapists (PT, OT, ST)

Lifecare Home Health Family | San Antonio, Texas, United States

Full-time | On-site | Posted 2026-10-15

LifeCare Home Health Family provides skilled home health and hospice care services.

Provide skilled therapy services to patients in their homes by developing and implementing individualized treatment plans.

Physical Therapist (PT) - Home Health - Full Time

Enhabit, Inc. | San Antonio, Texas, United States

Full-time | On-site | Posted 2026-10-15

Enhabit Home Health & Hospice is a national leader in home-based care providers.

To examine and treat patients with physical impairments to improve mobility and function in a home setting.

Occupational Therapist (OT)

Adaptive Home Health, LLC | Fair Oaks Ranch, Texas, United States

Full-time | On-site | $5 hourly | Posted 2026-10-15

Adaptive Home Health is a Medicare-certified home health agency delivering skilled care directly in patients' homes.

A field-based role focused on restoring patient function, building safe routines, and reducing decline through in-home evaluations and care planning.

Outpatient Physical Therapist (PT) - FT Days | Westover Hills Rehab

PAM Health | San Antonio, Texas, United States

Full-time | On-site | Posted 2026-10-15

PAM Health is a leading national healthcare provider specializing in post-acute care, operating long-term acute care and inpatient rehabilit...

A Physical Therapist is responsible for patient management, delivery, direction, and supervision of care in an outpatient setting.

Showing 30 of 250+ openings.

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What our analysts see this month

Balanced market | next 3-6 months

This is a balanced-but-selective market for the next 3-6 months. San Antonio showed more than 75 recent postings across more than 50 companies, and hiring was fragmented rather than concentrated in one employer. But the local education and health services sector was down -1.9576% year-over-year in August 2026, and Texas-wide postings for this occupation family were down 5.9% year-over-year even as employment in the field edged up 0.9%. Pay is workable rather than standout, with the local occupational-family median at $56,670 and recent posted ranges centered on about $66k to $76k.

Best positioned: Candidates with recent hospital or managed-care case management experience, strong discharge planning and clinical documentation skills, and an active LMSW or LCSW have the clearest edge right now.

Main caution: Do not assume “community” means remote or nonprofit-only work; about 90% of observed postings were on-site, and healthcare-related employers made up most of the local mix.

From the September 2026 market report

Who is hiring here

Counted across all 324 openings in this market. 10 of the employers below are hiring for more than one role right now.

  1. PAM Health: 25 open roles
  2. Tenet Healthcare Corporation: 21 open roles
  3. CHRISTUS Health: 13 open roles
  4. Baptist Health System Group: 12 open roles
  5. Sahealth: 12 open roles
  6. PARS Therapy: 11 open roles
  7. Adaptive Home Health, LLC: 9 open roles
  8. TexPTS: 9 open roles
  9. KidsCare Home Health: 6 open roles
  10. Vital Therapy: 6 open roles

Where the openings are

Work arrangement

on-site 291 (94%), hybrid 10 (3%), remote 10 (3%)

Where the demand is

Real opportunity is concentrated in healthcare-connected settings. In the recent local sample, about 45% of postings came from healthcare, about 25% from hospitals and health care, and about 10% from health care services & hospitals. That matches the named local organizations showing up in current hiring signals—University Health, CenterWell, Methodist Healthcare, and San Antonio ISD—and it also matches the skill mix employers ask for. The skill pattern is operational, not just relational. Case management appeared in about 50% of postings, with discharge planning and crisis intervention each around 25%, and care coordination, psychosocial assessment, and clinical documentation each around 20%. If your resume reads like general community support but not measurable care movement, documentation, or triage, you will look weaker than candidates coming from hospitals, managed care, or high-acuity nonprofits. There is a smaller second lane in youth and community-response work. San Antonio Boys & Girls Clubs reported free after-school counseling across three clubhouses, SA CORE pairs a police officer, paramedic, and licensed clinician on behavioral-health calls, and local groups say about 20% of Bexar County families face food insecurity. That creates openings for candidates strong in outreach, de-escalation, referrals, and family resource navigation, but these roles can be more funding-sensitive than hospital-track jobs.

Where to focus: Focus first on hospital and managed-care case management roles, then on youth and community programs if your background is stronger in outreach than in clinical documentation.

Roles worth searching next

What postings ask for

Questions about this market

What do Social Services, Counseling & Community roles pay in San Antonio-New Braunfels, TX?

BLS places the broad local occupation family at a $56,670 median and $58,910 mean annual wage in 2025, with a 25th-to-75th percentile range of $45,220 to $68,170. The broader BLS community and social service group also averaged $28.32 per hour in San Antonio versus $29.39 across all local occupations, so this is not a premium-pay field by default. Recent postings look somewhat higher, centering on about $66k to $76k, while Texas new-opening salary offers averaged about $70,793 in September 2026 on a sample of 633 postings. This usually means livable pay rather than outsized upside. San Antonio’s cost-of-living index sits around 91.5, roughly 8.5% below the national average, which helps, but local wages still sit near or a bit below broad national benchmarks for social workers and counselors.

Where is demand for Social Services, Counseling & Community roles in San Antonio-New Braunfels, TX concentrated?

Real opportunity is concentrated in healthcare-connected settings. In the recent local sample, about 45% of postings came from healthcare, about 25% from hospitals and health care, and about 10% from health care services & hospitals. That matches the named local organizations showing up in current hiring signals—University Health, CenterWell, Methodist Healthcare, and San Antonio ISD—and it also matches the skill mix employers ask for. The skill pattern is operational, not just relational. Case management appeared in about 50% of postings, with discharge planning and crisis intervention each around 25%, and care coordination, psychosocial assessment, and clinical documentation each around 20%. If your resume reads like general community support but not measurable care movement, documentation, or triage, you will look weaker than candidates coming from hospitals, managed care, or high-acuity nonprofits. There is a smaller second lane in youth and community-response work. San Antonio Boys & Girls Clubs reported free after-school counseling across three clubhouses, SA CORE pairs a police officer, paramedic, and licensed clinician on behavioral-health calls, and local groups say about 20% of Bexar County families face food insecurity. That creates openings for candidates strong in outreach, de-escalation, referrals, and family resource navigation, but these roles can be more funding-sensitive than hospital-track jobs.

Which employers are hiring the most Social Services, Counseling & Community talent in San Antonio-New Braunfels, TX?

Recent postings show the most activity from Sahealth (10 postings), SSWR, incorporated (5 postings), Optum (5 postings). See the full market report for the complete employer landscape.

Can Social Services, Counseling & Community roles in San Antonio-New Braunfels, TX be done remotely?

Of recent postings, 4% are remote and 5% hybrid, with 90% on-site. Use the Remote filter above to see only remote openings.

How current are these listings?

Openings come from the Callings.ai live index of over 13 million jobs, refreshed hourly. This page searches postings from the last 30 days; run the search yourself to filter by anything else in plain language.

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Read the full Social Services, Counseling & Community market report for San Antonio-New Braunfels, TX