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Spindletop Center is a public, non-profit community health center providing resources and supports in Jefferson, Chambers, Orange Hardin, and Galveston (early childhood intervention programs only) counties, including mental health services, programs for people with intellectual and developmental disabilities, substance use disorder treatment, and early childhood intervention programs. We seek highly qualified candidates for our positions to help us reach our mission of helping people help themselves through our programs and services.

19 Career Opportunities at SPINDLETOP CENTER


Serves as Parent Partner for the Spindletop DIYS/SCOPC teams providing services to children and adolescents. Assists families/caregivers in accessing social support services at Spindletop Center and in the community.

Provides services to children from 0 to 3 years of age with developmental delays. Conducts assessments and provides therapy for children ages 0-3 referred to the First Steps ECI program. Provides consultation in area of expertise to families and other team members. Provides training to staff as needed and supervision of students. Creates strategies to accomplish individualized outcomes for children and families. Is accountable for assigned property as well as submitting documentation for billing purposes.

Provides service coordination for adults and children with intellectual and developmental disabilities, autism, and pervasive developmental disorder to assist them in gaining access to medical, social, educational, vocational, and other needed services. Has responsibility for overall coordination of the Person Directed Plan and desired outcomes, and has responsibility for monitoring progress toward desired outcomes, service delivery, and satisfaction with services. Assesses needs of assigned individuals, and develops and implements social work interventions.

Provides services to adults with intellectual and developmental disabilities. Is responsible for overall program structure and supervision of assigned unit and programs. Performs direct care services, is responsible for unit classroom management and assignment of individuals to staff; monitors and assists staff with documentation; maintains supplies and inventory; conducts performance evaluations as needed. Collects data for program evaluations. Uses Center tools and techniques, principles and practices in conjunction with Person Directed Planning. Operates within the guidelines of the Performance Contract, HCS, and TxHmL Principles and Billing Guidelines.

Substance Use Disorder Counselors (LCDC) provide assessment, counseling and referral services to Spindletop clients who are identified as possibly experiencing difficulties secondary to substance use. Substance use may represent the individual’s primary challenge or may be present with co-occurring physical or mental health disorders. Substance Use Counselors utilize a motivational interviewing paradigm to assess the individual’s readiness to change and tailor interventions to match the readiness to change stage. Substance Use Disorder Counselors coordinate their services with other Spindletop staff and collaborating providers.

JOB PURPOSE: The Clinic Supervisor performs a supervisory role in the designated clinic as assigned. This position assumes responsibility for the operational and ongoing support of health care delivery at a fast paced, innovative clinic working with underserved, indigent and Medicaid/Medicare populations. Must understand that duties are subject to change as determined by director/executive management to meet the needs of the center.

Provides a variety of rehabilitation services to individuals with intellectual and developmental disabilities. Ensures that services are provided in accordance with the Individual's Person Directed Plan (PDP), Individual Plan of Care (IPC) and implementation plan (IP). including: assisting individuals in acquiring, retaining, and improving self-help, socialization, and adaptive skills necessary to reside successfully in the community; providing individuals with age-appropriate activities that enhance self-esteem and maximize functional level; complementing any professional therapies listed in the IPC; reinforcing skills or lessons taught in school, therapy, or other settings; providing training and support activities that promote the individual's integration and participation in the community; providing assistance for an individual who cannot manage personal care needs as required; and providing transportation as necessary for the individual. This position may be required to carry a caseload and to document all services performed.

Provider is responsible for providing skilled mentoring, coaching, paraprofessional aid-and assistance in job placement for adolescents and youth admitted to mental health services, and also responsible for offering opportunities for the youth to practice the skills taught by CLS or TRR at Spindletop Center. This position addresses a consumer’s symptoms-related problems that may interfere with the individual’s functioning, living, working and learning environment. All services should be provided in the home or a community based setting to provide opportunities for consumers to acquire and improve skills needed to function as appropriately and independently as possible. This position works in conjunction with the wraparound facilitator and wraparound treatment team, but will be directly supervised by the Spindletop Center YES Waiver LPC. Hours will be determined based on client need(s) as identified by the Intensive Plan of Care.

In-home respite is provided on a short-term basis because of the absence of, or need for relief for, the legal authorized representative (LAR) or other primary caregiver of a Waiver participant. This service is intended as a one-to-one respite service for a single Waiver participant during a specific time period. In-Home Respite is done inside of the participant’s home or the home of a relative.

Provides registered nursing services as determined by individual needs to children and adults with intellectual and developmental disabilities, autism spectrum disorders, mental health diagnosis or related conditions. Assist in the development of the Individual Plan of Care, and provides services and monitors the activities and delivery of services for licensed and non-licensed nursing personnel in accordance with established TXBON standards of the Nursing Practice Act according to licensure, accepted Medical/Nursing Standards and Associated Standards approved by state and local regulatory agencies. Is responsible for the implementation of current service delivery standards to consumers as established in the Policy and Procedures of Spindletop Center. Responsible for providing training regarding tasks that are delegated to unlicensed persons as well as overseeing this work and ensuring that it is performed correctly. May provide training to other staff, providers, individuals, family members, volunteers and students. Completes documentation relative to work performed.

JOB PURPOSE: Provides nursing services under the supervision and direction of a physician, advanced practice registered nurse, physician assistant, or registered nurse. Focuses on patient safety and is required to function within the parameters of the legal scope of practice and in accordance with federal, state and local regulatory agencies; in accordance with established standards of the Nurse Practice Act, accepted medical/nursing standards, policies and procedures of Spindletop Center. Will be responsible for providing safe, compassionate, and focused nursing care to assigned consumers with predictable health care needs.

Provides complex habilitative and rehabilitative care for individuals with Intellectual and developmental disabilities that are at risk of, or experiencing, a behavioral, mental or physical health crisis.

To conduct group and individual counseling sessions for chemically dependent adult and adolescent consumers and complete the required documentation.

Provides oversight/supervision to Licensed Vocational Nurses and Registered Nurses who provide services to adults and children with intellectual and developmental disabilities. Provides registered nursing services as determined by individual needs to children and adults with intellectual and developmental disabilities, autism spectrum disorders, mental health diagnosis or related conditions. Assist in the development of the Individual Plan of Care, and provides services and monitors the activities and delivery of services for licensed and non-licensed nursing personnel in accordance with established TXBON standards of the Nursing Practice Act according to licensure, accepted Medical/Nursing Standards and Associated Standards approved by state and local regulatory agencies. Is responsible for the implementation of current service delivery standards to consumers as established in the Policy and Procedures of Spindletop Center. Responsible for providing training regarding tasks that are delegated to licensed and unlicensed persons as well as overseeing this work and ensuring that it is performed correctly. May provide training to other staff, providers, individuals, family members, volunteers and students. Completes documentation relative to work performed.

Provides services to individuals, families, and groups in accordance to the most appropriate level of care based upon consumer needs and determined in the uniform assessment. Develop and provide assessment, psychosocial rehabilitation case management and/or follow up transitional services to individuals in accordance with the individual level of care services. Provide intervention services as well as follow up services as determined by risk assessment and consumer needs. Uses information obtained through observation and screening of consumers and provision of service to make changes to treatment/recovery plan for consumer as well as recommends and refers individuals to the most appropriate services as needed. Collaborates with other professionals as needed in conjunction with the treatment plan this may include mental health deputies, nurses, doctors, and other organizations. Completes all documentation necessary to document services performed. May be required to complete community outreach. Demonstrate appropriate responsiveness to all job requirements.

Provides services to children from 0 to 3 years of age with developmental delays. Conducts assessments and provides intervention and service coordination for children ages 0-3 referred to the First Steps ECI program. Provides consultation in area of expertise to families and other team members. Creates strategies to accomplish individualized outcomes for children and families. Is accountable for assigned property as well as submitting documentation for billing purposes.

Provides service coordination for adults and children with intellectual and developmental disabilities, autism, and pervasive developmental disorder to assist them in gaining access to medical, social, educational, vocational, and other needed services. Has responsibility for overall coordination of the Person Directed Plan and desired outcomes, and has responsibility for monitoring progress toward desired outcomes, service delivery, and satisfaction with services. Assesses needs of assigned individuals, and develops and implements social work interventions.

JOB PURPOSE: Utilize your “people skills” and your social science knowledge in combination with extensive on the job training and clinical supervision to provide an array of crisis, care coordination, case management, assessment, recovery planning and skills training services to children, adolescents, adults or families. May participate in initial and ongoing assessments utilizing a “trauma informed care perspective” to identify prior experiences, needs, risks, barriers, goals, objectives, abilities, strengths, supports and preferences, and help facilitate the integration of this information into person and family centered, recovery, crisis, safety or referral plans. Based on these plans, may provide face to face case management and/or care coordination services including making and following up on referrals, identifying and overcoming barriers to accessing needed services and supports, and engaging or coordinating informal and professional supports in the recovery process. Utilizing approved curriculum, may provide psychosocial skills training for children, adolescents, adults and parents. Provides intervention services as determined by risk assessment and consumer needs. Uses all information obtained to guide changes to the recovery plan and refers to the most appropriate services as needed. Collaborates with other professionals as needed including mental health deputies, nurses, doctors, counselors and other health/social service/educational and criminal justice organizations. May conduct community outreach activities. Completes all documentation necessary to document services performed.

Provides a variety of rehabilitation services to individuals with intellectual and developmental disabilities. Ensures that services are provided in accordance with the Individual's Person Directed Plan (PDP), Individual Plan of Care (IPC) and implementation plan (IP). including: assisting individuals in acquiring, retaining, and improving self-help, socialization, and adaptive skills necessary to reside successfully in the community; providing individuals with age-appropriate activities that enhance self-esteem and maximize functional level; complementing any professional therapies listed in the IPC; reinforcing skills or lessons taught in school, therapy, or other settings; providing training and support activities that promote the individual's integration and participation in the community; providing assistance for an individual who cannot manage personal care needs as required; and providing transportation as necessary for the individual. This position may be required to carry a caseload and to document all services performed.