Registered Behavior Technician (RBT) Nexus Children’s Hospital – Houston Schedule: 12-hour shifts | 8:00 AM - 8:00 PM | PRN About Nexus Children’s Hospital – Houston Nexus Children’s Hospital – Houston provides structured inpatient care for children ages 4 to 18 with Autism Spectrum Disorder (ASD) and other intellectual or developmental disabilities (IDD). Located in Houston’s Westchase District, our bright, home-like environment offers a safe and supportive setting where children can grow, stabilize, and build the skills needed for success. Our program focuses on behavioral stability, communication development, and daily living skills. Our interdisciplinary team works closely with patients and families to reduce aggressive behaviors, improve social functioning, and help each child successfully reintegrate into their community — because at Nexus, we’re mending minds. Position Summary The Registered Behavior Technician (RBT) provides direct behavioral support to children and adolescents with autism and developmental disabilities. Working under the supervision of a Board Certified Behavior Analyst (BCBA) , the RBT implements behavior plans, collects data, and helps maintain the structured environment essential for patient safety and progress. This role requires patience, consistency, and the ability to work with patients who may have behavioral, emotional, or developmental challenges. Key Responsibilities Implement behavior intervention plans under BCBA supervision Provide direct behavioral support during daily routines, therapy, meals, and transitions Collect and document behavioral data accurately Maintain structured environments and follow safety protocols Assist patients with daily living activities when behavioral support is needed Monitor patient behavior and report changes to nursing or clinical staff Respond to behavioral escalations using approved de-escalation techniques Collaborate with nursing, therapy, and education teams Maintain accurate documentation in the electronic medical record Follow Nexus policies, HIPAA standards, and safety procedures Support a therapeutic, structured environment that promotes patient progress Qualifications Active Registered Behavior Technician (RBT) certification required or ability to obtain BLS / CPR certification required De-escalation training required within 30 days of hire High school diploma or equivalent required Associate’s or Bachelor’s degree in Psychology, Education, or related field preferred Experience working with autism, developmental disabilities, or behavioral health patients preferred Hospital, residential, school, or ABA experience preferred Ability to work effectively within a multidisciplinary clinical team Compassionate, patient-centered approach to care Comfort working in a structured behavioral environment Our Core Values: GOPTIC At Nexus, GOPTIC is more than a slogan—it’s the foundation of how we care for children and families. Genuine – We act with honesty, integrity, and empathy in all interactions. Ownership – We take responsibility for our actions and celebrate our shared success. Positivity – We create a hopeful and encouraging environment for every child and family. Teamwork – We work together across disciplines to achieve the best outcomes. Innovation – We constantly seek better, more creative ways to support healing and growth. Compassion – We put our patients first, leading with kindness and understanding. Before You Apply Ask yourself: Have you worked with children or adolescents who have developmental disabilities? Can you commit to the 8:00 AM - 8:00 PM 12-hour shifts ? Are you flexible to work PRN ? Are you passionate about helping children build communication, social, and life skills ? Do you live the GOPTIC values every day? If your answer is YES, we invite you to apply today and join the Houston team within the Nexus network of care — where we’re mending minds and empowering growth every day.
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General overview for this role type — specific duties and requirements vary by employer.
Support roles in senior living — housekeeping, maintenance, activities, and social work — are far more resident-facing than similar positions in other industries. Housekeepers and maintenance staff interact with residents in their personal living spaces daily, which requires discretion, patience, and genuine respect for the people who live there. In Texas, even non-clinical staff must complete facility-specific training on topics like abuse prevention, infection control, and emergency procedures.
Activities coordinators and social workers play a direct role in resident well-being — isolation and depression are significant concerns in senior living, and programming that keeps residents socially engaged has measurable health outcomes. Maintenance staff in senior care need to understand life-safety systems (fire alarms, emergency generators, call systems) and are often the first responders for building emergencies. Background checks are required for all positions, and many facilities prefer candidates who have previous experience working with older adults.
What to Expect in This Role Day-to-Day
Based on typical senior living facilities in the Houston area.
For housekeeping roles, the day follows a room-by-room schedule — cleaning resident rooms, sanitizing common areas, managing laundry, and responding to spill or accident cleanups as they happen. Infection control protocols are more rigorous than in hotels or commercial cleaning, especially during flu season or respiratory illness outbreaks.
Maintenance staff handle a daily work order queue — everything from changing light bulbs and fixing call buttons to HVAC maintenance and plumbing repairs. Life-safety equipment checks (fire extinguishers, exit lighting, generator testing) happen on set schedules. Activities professionals plan and lead group programming — exercise classes, crafts, music sessions, outings — and also provide one-on-one engagement for residents who cannot participate in group settings. Social workers manage care conferences, discharge planning, family mediation, and community resource referrals. Across all these roles, the common thread is that you become a familiar, trusted presence in residents' daily lives.
Houston Area Salary Data
According to the Bureau of Labor Statistics, Home Health and Personal Care Aide positions in the Houston metro area earn a median wage of
$10.97/hr ($22,818/yr).
The typical range is $10.60 – $13.28/hr
(25th–75th percentile).
Entry Level (10th)$20,613/yr
Houston Median$22,818/yr
Experienced (90th)$30,597/yr
vs. National Median-34.6%
Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area).
Salary data provided by Houston Senior Living Guide.