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.
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.
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.
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.
- PAM Health: 25 open roles
- Tenet Healthcare Corporation: 21 open roles
- CHRISTUS Health: 13 open roles
- Baptist Health System Group: 12 open roles
- Sahealth: 12 open roles
- PARS Therapy: 11 open roles
- Adaptive Home Health, LLC: 9 open roles
- TexPTS: 9 open roles
- KidsCare Home Health: 6 open roles
- Vital Therapy: 6 open roles
Where the openings are
- San Antonio: 286
- Live Oak: 5
- Bulverde: 4
- Castle Hills: 3
- Universal City: 3
- Cibolo: 3
- Castroville: 2
- La Vernia: 2
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.
- Hospital and health-system case management (high): This is the clearest local lane because healthcare-related employers make up most observed demand and the top skill asks center on case management, discharge planning, care coordination, and documentation.
- Youth, school-linked, and community mental-health support (moderate): San Antonio ISD appears in local hiring signals, and youth counseling demand is visible through the Boys & Girls Clubs expansion across three clubhouses.
- Nonprofit community services and resource navigation (moderate): Need remains visible through local food-insecurity and family-support work, but nonprofit employers are balancing new grant support against budget pressure and fundraising dependence.
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
- Social and community service manager: It is a natural step-up for nonprofit program managers, lead case managers, and supervisors who already own staff, budgets, or partnerships.
- Patient navigator or utilization review coordinator: This is a strong bridge for candidates who already do discharge planning, care coordination, and documentation-heavy work.
- Public health outreach coordinator: It uses referral, education, and trust-building skills in community-facing programs tied to health equity and access.
- Benefits or eligibility specialist: It is a realistic pivot for career switchers with resource-navigation experience who need a lower-licensure entry point.
What postings ask for
- Case management (table_stakes | immediate): Case management appeared in about 50% of observed local postings, making it the clearest baseline skill in this market. Who: Everyone in this category, especially entry-level and career-switcher candidates.
- Discharge planning (differentiator | immediate): Discharge planning showed up in about 25% of local postings and aligns closely with the hospital-heavy employer mix. Who: Mid-career candidates targeting hospitals, outpatient systems, and managed-care plans.
- Crisis intervention (differentiator | immediate): Crisis intervention appeared in about 25% of local postings, and San Antonio’s SA CORE behavioral-health model signals practical demand for de-escalation and crisis response skills. Who: Candidates coming from youth services, community mental health, homeless services, or corrections-adjacent work.
- Psychosocial assessment and clinical documentation (table_stakes | immediate): Psychosocial assessment and clinical documentation each appeared in about 20% of postings, which tells you employers want people who can both assess and document cleanly. Who: Anyone applying to hospital, outpatient, or supervised clinical-support roles.
- LMSW / LCSW (premium | near-term): Local postings explicitly mention LCSW and LMSW among recurring requirements, which makes licensure one of the clearest separators between generalist and stronger-paying roles. Who: MSW holders and experienced case managers ready to move into higher-responsibility tracks.
- CPR certification (table_stakes | immediate): CPR certification was the most frequently listed certification in the observed local posting mix, appearing in about 10% of postings. Who: Entry-level applicants and anyone targeting hospital, residential, or direct-service settings.
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.
Browse Texas openings by job title
- Project Manager: 521 open roles statewide
- General Manager: 394 open roles statewide
- Senior Manager: 95 open roles statewide
- Branch Manager: 92 open roles statewide
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