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Direct Care Assistant Jobs in Texas (NOW HIRING)

DIRECT CARE STAFF

Keller, TX · On-site

$14.25 - $17.25/hr

For staffing purposes, Direct Care Staff include Certified Nursing Assistants, Nursing Assistants, EMT's, Patient Care Technicians and individuals with experience in caring for children with medical ...

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Direct Care Worker

Spring, TX · On-site

$13 - $15/hr

What You'll Do: âś… Assist with daily living activities (bathing, dressing, hygiene) âś… Light ... direct care experience preferred âś” Excellent communication and a caring attitude âś” Must pass ...

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Direct Care Worker

Sugar Land, TX · On-site

$12.50 - $16/hr

  • Medical

  • Dental

  • Vision

  • Life

  • PTO

Provide direct patient care and assistance with daily activities * Assist with medication administration as directed * Support personal hygiene and grooming needs * Accurately document care and ...

Signing bonus

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Direct Care Worker

Sugar Land, TX · On-site

$12.50 - $16/hr

  • Medical

  • Dental

  • Vision

  • Life

  • PTO

Provide direct patient care and assistance with daily activities * Assist with medication administration as directed * Support personal hygiene and grooming needs * Accurately document care and ...

Signing bonus

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Direct Care Staff

Fort Worth, TX · On-site

$11 - $13/hr

  • Life

  • PTO

CNA a plus but not required, all training provided by our RN. Direct care staff will assist our special needs clients with activities of daily living, such as bathing, feeding, cleaning and ...

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Direct Care Staff

Fort Worth, TX · On-site

$11 - $13/hr

  • Life

  • PTO

CNA a plus but not required, all training provided by our RN. Direct care staff will assist our special needs clients with activities of daily living, such as bathing, feeding, cleaning and ...

DIRECT CARE STAFF

San Antonio, TX · On-site

$16 - $19/hr

The Direct Care Staff serve as an assistant to the RN or LPN by performing regular assignments and responsibilities as assigned under the direction of the nurse. This team member is responsible for ...

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Direct Care Worker

Prosper, TX · On-site

$13.50 - $15/hr

The Direct Care Worker plays a vital role in supporting the daily living and well-being of patients ... Offer emotional support and encouragement to patients * Assist with patient mobility and transfers

Direct Care Staff

Houston, TX · On-site

$14 - $16/hr

Provide direct care supervision to residents during all shifts. * Support daily routines including ... necessary * Assist with activities, group programming, morning, evening and weekend schedules

Provide direct care supervision to residents during all shifts. * Support daily routines including ... necessary * Assist with activities, group programming, morning, evening and weekend schedules

Direct Care Staff

Houston, TX · On-site

$14 - $16/hr

  • Retirement

Provide direct care supervision to residents during all shifts. * Support daily routines including ... necessary * Assist with activities, group programming, morning, evening and weekend schedules

Direct Care Staff

Spring, TX · On-site

$10 - $12/hr

Residential Treatment Center seeking Direct Care Staff to service "At-Risk" Youth (Male ... This position requires that you handle and assist with daily routines/chores, problem solving ...

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Showing results 1-20

Direct Care Assistant information

See Texas salary details

$11

$19

$26

How much do direct care assistant jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for direct care assistant in Texas is $19.19, according to ZipRecruiter salary data. Most workers in this role earn between $14.57 and $23.08 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a direct care assistant?

To thrive as a Direct Care Assistant, you need a high school diploma or equivalent, basic healthcare knowledge, and often completion of a certified nursing assistant (CNA) program. Familiarity with patient care documentation systems, mobility aids, and basic first aid is typically required. Compassion, patience, and strong interpersonal communication help build trust and rapport with clients. These skills are crucial to ensure the safety, comfort, and well-being of individuals receiving direct care.

What is the difference between Direct Care Assistant vs Personal Care Aide?

AspectDirect Care AssistantPersonal Care Aide
CertificationsMay require CPR, First Aid, or state-specific certificationsOften requires similar certifications, depending on state
Work EnvironmentAssists clients in homes, facilities, or community settingsProvides personal care mainly in home or facility settings
Employer & IndustryHealthcare facilities, home care agencies, assisted livingHome health agencies, nursing homes, private residences

Both roles involve assisting individuals with daily activities, often requiring similar certifications and working in comparable environments. The main difference lies in terminology used by employers and regions, with 'Direct Care Assistant' often emphasizing a broader scope of support, while 'Personal Care Aide' focuses more on personal and daily living assistance.

What is a direct care assistant?

Direct Care Assistants are professionals who provide essential support and care to individuals who may have physical, mental, or developmental disabilities. They assist clients with daily living activities such as bathing, dressing, meal preparation, and medication reminders. Direct Care Assistants often work in settings like group homes, assisted living facilities, or private residences, helping clients maintain their independence and quality of life. They also monitor clients’ well-being and may report any changes or concerns to healthcare professionals.

What do you need to be a direct care assistant?

To become a direct care assistant, you typically need a high school diploma or equivalent, basic caregiving skills, and sometimes certification in first aid or CPR. Some employers may require background checks and training specific to the care setting, such as patient handling or medication administration.

What are some common challenges faced by direct care assistants, and how can they be managed effectively?

Direct Care Assistants often encounter challenges such as managing clients with diverse needs, handling emotionally demanding situations, and maintaining clear communication with healthcare teams. To manage these effectively, it's important to build strong rapport with clients, remain patient and adaptable, and seek guidance from supervisors or colleagues when needed. Regular training and self-care practices can also help Direct Care Assistants stay resilient and provide high-quality support.

What are the most commonly searched types of Direct Care jobs in Texas?

The most popular types of Direct Care jobs in Texas are:

What cities in Texas are hiring for Direct Care Assistant jobs?

Cities in Texas with the most Direct Care Assistant job openings:

Infographic showing various Direct Care Assistant job openings in Texas as of August 2026, with employment types broken down into 2% As Needed, 74% Full Time, 18% Part Time, and 6% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $39,908 per year, or $19.2 per hour.

DIRECT CARE STAFF

HEALTHCARE FOR KIDS INC

Keller, TX • On-site

$14.25 - $17.25/hr

Full-time

Re-posted 19 days ago


Job description

Healthcare for Kids Inc. provides services for children while receiving ongoing care that cannot easily be provided due to family and friends scheduling limitations. Why will you LOVE working for us….

We provide an environment where you are encouraged to grow and advance professionally with a healthy work/life balance! You are our biggest asset, and we believe in rewarding and recognizing the work you perform by promoting from within.

General Purpose of Position:

The Direct Care Staff shall work under the supervision of the RN or LVN and is responsible for providing direct care to the children in the PPEC / PDHC setting. All care is provided within the scope of practice for DCS. For staffing purposes, Direct Care Staff include Certified Nursing Assistants, Nursing Assistants, EMT’s, Patient Care Technicians and individuals with experience in caring for children with medical needs.

Primary Responsibilities:

  • Responsible for a variety of ADL tasks including but not limited to hygiene, bathing, diapering, toileting, dressing, grooming, feeding, transferring, repositioning and ambulation.
  • Adheres to the posted classroom schedule.
  • Assists the nursing care team in the delivery of routine childcare activities in a medical model childcare setting.
  • Reports to Registered Nurse any change in child’s condition, social/ family concerns, complaints, accidents, or incident.
  • Provide positive reinforcement to children and recommend measures to control behavior in accordance with the center's policies and procedures.
  • Assist in preparing food for children, serve meals and snacks to children and assists with feedings as directed by RN.
  • Hold, rock, and comfort children as needed.
  • Hold and bottle feed infants as ordered by Plan of Care.
  • Assists with transferring and lifting of children.
  • Read to children/individuals, and teach them simple painting, drawing, crafts, and songs.
  • Help children/individuals to other areas of the facility, secure in equipment, such as chairs, prone standers, AFO's, etc.; uses therapy equipment as directed by physical, occupational or speech therapists.
  • Incorporates developmental therapy goals into daily child-based activities.
  • Monitor children/individuals and call for assistance as needed.
  • Accompany children/individuals on any field trips or outings.
  • Observe and monitor children/individual's play activities.
  • Clean room, linens, cribs, cots, equipment, or other materials as needed and required.
  • Organize and store toys and materials to ensure order in activity areas.
  • Disinfect toys and equipment according to Infection Control policy.
  • Support children/individual's emotional and social development, encouraging understanding of others and positive self-concepts.
  • Identify any signs of emotional or developmental problems in children/individuals and bring them to the attention of the nurse or Administrator in charge.
  • Never leave a child/individual unattended
  • Maintains confidentiality of the children and families.
  • Participates in the loading and unloading of children from the bus.
  • Serves as a transport escort when assigned to the Transportation Vehicle.
  • Participates in monthly Fire/Evacuation/Disaster Drills.
  • Attends staff/communication meetings.
  • Adheres to established dress code policy.
  • Adheres to time and attendance policy.
  • Completes all Mandatory Educational Requirements upon hire, monthly and annually.
  • Reports to Registered Nurse any safety concerns noted throughout the Center or the transportation vehicle.
  • Performs other duties as assigned by the Registered Nurse within scope of practice.
  • Must maintain required and assigned continuing education.
  • Performs other duties as assigned.

Education, Skills, and Experience Requirements:

  • 18 years of age or older.
  • High school diploma or a general equivalency degree.
  • One of the following:
    • One year of experience employed in a healthcare setting providing direct care to minors who are medically or technologically dependent.
    • Two years of experience employed in a health care, childcare, or school setting providing direct care to minors who are medically or technologically dependent.
    • Two years of experience employed in a health care setting providing direct care to adults; or
    • Sufficient skills to meet competency and training requirements.
  • Must be certified by the American Heart Association (AHA) CPR/BLS with AED and First Aid