Speech-Language Pathologist

Posting ID 20829-Posted 09/01/2026- Health & Human Services Comm - Speech Therapy - Healthcare Support - Mexia State Supported Living Center - Not Eligible for Telework - Additional Shifts available (1) - d. $7000 - $8999 per month

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage .

Functional Title: Speech-Language Pathologist Job Title: Speech-Language Pathologist Agency: Health & Human Services Comm Department: Speech Therapy Posting Number: 20829 Closing Date: 09/15/2026 Posting Audience: Internal and External Occupational Category: Healthcare Support Salary Range: $8,592.89-$11,864.50 Pay Frequency: Monthly Salary Group: TEXAS-B-27 Shift: Day Additional Shift: Days (First) Telework: Not Eligible for Telework Travel: Up to 5% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Mexia State Supported Living Center Job Location City: MEXIA Job Location Address: 540 CHAPEL DRIVE Other Locations: None MOS Codes: 230X,42BX,42NX,42TX,65A,65B,68F,68L,HM,HN,HS,SEI12

Brief Job Description:

Come work in an environment where we truly value and respect those we serve and believe in the mission that all people can achieve a higher level of wellness and independence.

The state supported living centers serve people with intellectual and developmental disabilities who are medically fragile or who have behavioral problems. The centers provide campus-based direct services and supports at 13 centers located throughout the state. Learn About Our State Supported Living Centers

If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you!

Essential Job Functions (EJFs):

Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.

May serve in an on-call status on a rotating schedule as required to meet operational needs of the facility.

Assesses, diagnoses and analyzes individual’s skills and abilities in the areas of speech, language, and cognitive-communication. Performs routine hearing screens and make necessary referrals, as assigned in accordance with local protocols. Administers and interprets assessments related to speech, language and communication skills of individuals. Uses advanced instrumentation and specialized training in the assessment process. Utilizes a framework that includes culturally and linguistically appropriate behavioral observation, standardized and/or criterion-referenced tools, use of instrumentation, informal assessment, review of records, case history, prior test results, interview of the individual and/or family/caregiver to guide decision making, evaluation of body function, structure, activity, participation, within the context of environmental and personal factions. Analyzes data and synthesizes information gathered from evaluation in thorough and individualized written reports.

Assesses, diagnoses and analyzes individual’s skills and abilities related to oral, pharyngeal and esophageal function to identify swallowing impairments. Conducts and/or collaborates in conducting diagnostic assessments related to dysphagia diagnosis and treatment/management, such as modified barium swallow studies, in accordance with local protocols. Collaborates with professionals on the IDT, including radiologists, occupational and physical therapists, and dieticians, to develop and implement treatment plans, such as texture and/or consistency modifications and recommending individualized safe swallowing strategies on the dining plan.

Develops, implements, and oversees therapeutic habilitative and rehabilitative programs, and provides treatment and clinical services for individuals such as treatment to establish a new skill or ability, remediate, or restore an impaired skill. Plans, develops, and implements complex Physical Nutritional Management Programs (PNMP) and treatment protocols to treat, improve, and/or maintain the individual's level of health and function related to dysphagia and communication. This includes diet texture/liquid consistency protocols, and the use of adaptive eating equipment/compensatory strategies to mitigate choking and aspiration risks, as well as recommendations to enhance communication such as designing individualized Augmentative and Alternative Communication (AAC) systems, recommendation for direct therapy services and/or development of individualized communication dictionaries and/or strategies. Collaborates consistently with other disciplines (behavioral health, OT/PT, social services, psychiatry, dental, QIDPs, nursing, medical/PCPs), IDTs, and administration to ensure comprehensive care and continuity of services and to maximize therapeutic efficacy. Submits data for budgets and speech therapy supplies, and assessments materials.

Trains, instructs and/or supervises the work of others in conducting habilitation and rehabilitation activities specific to recommendations and treatment. Develops detailed in-service training specific to an individual’s plan which includes communication instructions/dictionary, AAC systems, diet textures, liquid consistency, individualized dining instructions (dining/feeding/positioning plans), techniques for medication administration, and oral care instructions. Provides education to clinical and nonclinical staff regarding strategies to best facilitate communication (both individualized and general) for non-verbal individuals with dual diagnoses. As needed, provides caregiver training, mentoring, and counseling pertaining to diagnosis and plans for treatment or implementation of individualized equipment/instructions. Develops and/or delivers new employee training on assigned topics such as communication and communication supports, personalized communication gestures, dysphagia, guidelines for improved safety during oral intake, and the PNMP. Delivers campus wide in-services on general topics within the scope of work, as assigned.

Monitors implemented programs/plans for compliance and efficacy to ensure quality of care and patient well-being. Provides real-time feedback to staff and others involved in direct care and rehabilitation programs. Reviews and analyzes progress reports, tracks and trends data pertaining to services. Updates and revises or develops new programs and treatment protocols based on outcomes.

Maintains open and regular communication with allied health professionals, IDTs and administration to ensure the transfer of needed information and continuity of services. Participates in, and collaborates with, the IDT for prevention, treatment planning, development of the Individual Service Plan (ISP) and to recommend individualized communication strategies to support development of behavioral health plans. Collaborates with behavioral health staff and attends weekly Positive Behavioral Support Plan (PBSP) committee, as assigned, to provide input and approval of plans. Collaborates w/ Primary Care Physicians (PCPs) pertaining to beneficial and/or necessary diagnostic referrals. Works in collaboration with wheelchair fabrication shop for development of specialized mounting systems attached to customized wheelchairs to maximize accessibility and utilization of augmentative-alternative communication devices for persons served. Provides, attends