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Orthopedic Cast Tech Jobs in Texas (NOW HIRING)

Cast Tech - Fondren (1255)

Houston, TX ยท On-site

$36K - $46K/yr

Previous experience in an orthopedic or healthcare setting is a plus. * Basic knowledge of anatomy ... In the performance of certain patient care tasks, the Cast Tech may be expected to have sufficient ...

Hand Surgeon

Dallas, TX ยท On-site

$242K - $291K/yr

No general orthopedic or trauma call; call limited to the group's own hand surgery patients * On ... Experienced ancillary team including radiology tech, cast tech, MAs, and front desk staff ...

Orthopedic Technician

San Antonio, TX ยท On-site

$30.57/hr

National Board for Certification of Orthopedic Technologists (NBCOT) Work Schedule: * Monday ... Instruct patients on cast and traction care, as well as the use of orthopedic appliances.

Cast Technician (644)

Dallas, TX ยท On-site

$35K - $44K/yr

Certification as an Orthopedic Technologist (OTC) or Cast Technician preferred. * Minimum of one (1) year of experience in an orthopedic or related clinical setting preferred. * Knowledge of ...

Orthopedic Technician - Days - I

Center, TX ยท On-site

$22.14 - $33.21/hr

Cast removal, cast and splint application * Assistance with casting procedures under fluoroscopy ... Passing the Registered Orthopedic Technologist certification test within 12 months of hire date

ROT - Registered Orthopedic Technologist (ASOP) - American Society of Orthopedic Professionals_PSV ... Cleans/sterilizes instruments used in cast room according to safety standards and protocols.

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Orthopedic Cast Tech information

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How much do orthopedic cast tech jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for orthopedic cast tech in Texas is $17.87, according to ZipRecruiter salary data. Most workers in this role earn between $16.78 and $18.61 per hour, depending on experience, location, and employer.

What is an orthopedic cast tech?

Orthopedic Cast Technicians, also known as orthopedic technologists, are healthcare professionals who specialize in applying and removing casts, splints, and braces for patients with musculoskeletal injuries. They work closely with orthopedic surgeons and other medical staff to ensure proper immobilization of bones and joints during the healing process. Their duties may also include educating patients about cast care, assisting with minor procedures, and maintaining casting equipment. Orthopedic Cast Techs play a vital role in patient recovery and comfort following fractures, sprains, or surgeries.

What are the key skills and qualifications needed to thrive as an orthopedic cast tech?

To thrive as an Orthopedic Cast Tech, you need a solid understanding of human anatomy, orthopedic procedures, and hands-on skills in casting and splinting, often supported by a certificate from an accredited cast technician program. Familiarity with casting tools, digital imaging systems, and infection control protocols is typically required. Attention to detail, manual dexterity, and strong interpersonal communication help ensure patient comfort and effective collaboration with medical teams. These competencies are vital to provide safe, accurate orthopedic care and support patient recovery.

What are some common challenges faced by orthopedic cast techs in their daily work, and how can they be managed?

Orthopedic Cast Techs often encounter challenges such as managing difficult or anxious patients, working efficiently during busy clinic hours, and ensuring casts are applied correctly to avoid complications. Effective communication skills, patience, and attention to detail are essential in addressing these issues. Collaborating closely with physicians, nurses, and other healthcare professionals helps ensure optimal patient outcomes and fosters a supportive work environment.

What is the difference between Orthopedic Cast Tech vs Orthopedic Assistant?

AspectOrthopedic Cast TechOrthopedic Assistant
CertificationsNone required, but certification can enhance job prospectsCertification often preferred or required
Work EnvironmentHospitals, clinics, orthopedic officesHospitals, clinics, orthopedic practices
Job ResponsibilitiesApplying, adjusting, and removing casts; assisting with immobilization devicesAssisting physicians with patient exams, preparing treatment rooms, patient education

Orthopedic Cast Techs focus primarily on casting procedures and immobilization devices, while Orthopedic Assistants have broader clinical duties including patient care and assisting physicians. Both roles work in similar healthcare settings, but their responsibilities and certification requirements differ.

Are orthopedic cast technicians in demand?

Orthopedic cast technicians are in steady demand due to the ongoing need for cast application and removal in hospitals, clinics, and orthopedic practices. Employment opportunities often depend on healthcare facility size and geographic location, with certification and experience enhancing job prospects.

How much do orthopedic cast technicians make in the US?

Orthopedic cast technicians in the US typically earn an average annual salary of around $35,000 to $45,000, depending on experience, location, and workplace setting. They often work in hospitals, clinics, or orthopedic offices, and certification can enhance job prospects and pay scale.
Infographic showing various Orthopedic Cast Tech job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 14% Part Time, 10% Contract, and 1% Nights. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $37,161 per year, or $17.9 per hour.

Cast Tech - Fondren (1255)

ORTHOLONESTAR

Houston, TX โ€ข On-site

$36K - $46K/yr

Full-time

Re-posted 27 days ago


Job description

Position Summary

The Cast Technician is responsible for applying, maintaining, and removing casts for patients with fractures or orthopedic conditions under the supervision of a physician or orthopedic specialist. This role also involves educating patients on proper cast care and ensuring a safe, hygienic environment for all procedures.

Essential Duties & Responsibilities

  • Apply and remove casts for patients based on physician orders, ensuring proper technique and alignment.
  • Prepare materials and tools needed for casting procedures, including plaster, fiberglass, and bandages.
  • Monitor patients during the casting process to ensure comfort and safety.
  • Provide patient education on proper care of casts, including keeping the cast dry, managing skin irritation, and recognizing complications such as infections or circulation issues.
  • Assist in taking patient history and performing pre-procedure assessments.
  • Remove old or damaged casts and assist with the application of new ones.
  • Perform basic wound care as needed under the supervision of a physician.
  • Assist with the preparation and setup of orthopedic tools and equipment for examinations or surgeries.
  • Maintain accurate patient records and ensure proper documentation of all casting procedures.
  • Ensure the cleanliness and sterilization of equipment and supplies.
  • Follow all safety protocols and infection control practices.
  • Assist physicians or other medical professionals during exams or procedures as needed.
  • Other duties as assigned.

Qualifications

EDUCATION AND EXPERIENCE

  • High school diploma or equivalent (required).
  • Certification as a Cast Technician (preferred).
  • Previous experience in an orthopedic or healthcare setting is a plus.
  • Basic knowledge of anatomy and orthopedic conditions.
  • Strong attention to detail and the ability to follow instructions carefully.
  • Excellent communication skills and ability to interact effectively with patients and medical staff.
  • Physical stamina to stand for long periods and assist with patient mobility.

COMPUTER SKILLS

  • Proficient computer skills in Microsoft Office including Office 365, Excel and Word
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Knowledge, Skills, Abilities

  • Safety and Confidentiality - Follows OSHA regulations and the safety guidelines of the Practice. Follows HIPAA policies and procedures. Respects and maintains patient confidentiality.
  • Organization โ€” Uses time efficiently by prioritizing and planning work activities; is methodical and efficient in structuring tasks to be accomplished.
  • Professional Maturity โ€” The ability to separate emotional feelings from the real issues at hand. The ability to legitimately and objectively challenge the substance of our beliefs and biases of our observations.
  • Time Management โ€” Managing one's own time and the time of others; the ability to shift back and forth between two or more activities or sources of information (such as speech, sounds, touch, or other sources).
  • Active Listening โ€” Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
  • Interpersonal Communication โ€” Writes and speaks effectively based on the psychological, relational, situation, environmental and cultural dynamics within the situation
  • Communication โ€” The ability to write and speak effectively using appropriate convention based on the situation; actively listens to others, asks questions to verify understanding, and uses tact and consideration when delivering feedback to others.ย 

Physical Demands

Physical Demands: Anticipate lifting 20-25 pounds in any given day. Lifting up to 40-50 pounds may occasionally be required, depending on the specific style or type of care provided. In the performance of certain patient care tasks, the Cast Tech may be expected to have sufficient manual dexterity in order to safely perform various skills and techniques. Tasks and expectations may vary by clinical site and medical practice. May be exposed to acutely ill patients, communicable diseases or blood borne pathogens.

Work Environment

Well-lighted, heated and/or air-conditioned indoor office setting with adequate ventilation; Moderate noise (examples: business office with computers and printers, light traffic). Typical schedule is Monday through Friday with regular working hours; travel to other local clinics will be required.