Hospital Security Officer jobs San Antonio TX
San Antonio, TX

Find the Latest Hospital Security Officer Jobs in San Antonio

Healthcare security officer positions across San Antonio — University Health (Level I Trauma, county-operated, Magnet nursing), Methodist Healthcare System (SA's 2nd largest employer), Baptist Health System, CHRISTUS Santa Rosa, and San Antonio State Hospital with state employment benefits.

LiveUpdated Feed
San AntonioMetro Coverage
FreeJob Alerts
FAQ

Frequently Asked Questions

What are the major hospital security employers in San Antonio?+
University Health (formerly University Health System) is San Antonio's county-operated hospital — a Level I Trauma Center, the only SA hospital with Magnet nursing designation, and the primary partner of UT Medicine San Antonio. Security officers here are Bexar County employees with county benefits. Methodist Healthcare System is SA's second largest private employer with 10,000-plus employees across 7 hospitals — a 50/50 partnership between Methodist Healthcare Ministries and HCA Healthcare. Average Methodist hospital security pay is $16.67/hr per ZipRecruiter May 2026 data, with the range running $14.76–$17.36/hr depending on role. Baptist Health System operates 7 hospitals under the Tenet Healthcare network including Baptist Medical Center (established 1903), Northeast Baptist, and St. Luke's Baptist. CHRISTUS Santa Rosa Health System covers the Catholic health network across SA.
What does hospital security pay in San Antonio?+
Methodist Healthcare security averages $16.67/hr with most positions running $14.76–$17.36/hr per verified ZipRecruiter May 2026 data. University Health as a Bexar County employer follows county pay scales with county benefits including healthcare and pension access. The Texas Health and Human Services Commission posts Security Officer II at San Antonio State Hospital at $3,100–$4,365.66 per month — equivalent to roughly $18.46–$26/hr — with state employee benefits. Baptist Health and CHRISTUS SA security follows their respective system rates, generally in the $15–$18/hr range. IAHSS Basic certification before applying consistently moves candidates to the top of the applicant pool at all major SA hospital employers.
What is University Health's significance as a hospital security employer?+
University Health is the only Bexar County-operated hospital — which makes security employment there county government employment with county benefits, pension access, and the institutional stability that private health system employment doesn't replicate. It is also the highest-acuity trauma environment in San Antonio: Level I Trauma Center designation means it receives the most complex trauma cases in the region, which means the ER security environment is among the most demanding in South Texas. Officers who build a track record at University Health's trauma center carry credentials recognized across Texas hospital security markets. University Health's Magnet nursing designation — the first and only SA hospital to hold it — reflects an institutional commitment to clinical excellence that shapes the security department's professional standards.
What is San Antonio State Hospital and how does it affect security employment?+
San Antonio State Hospital (SASH), operated by the Texas Health and Human Services Commission at 6711 S. New Braunfels Avenue, is a long-term psychiatric care facility. The HHSC Security Officer II posting (February 2026) lists salary at $3,100–$4,365.66/month with Full Time status across day, evening, and night shifts, with state employee benefits. The posting specifically lists military MOS codes including 0300, 11A, 11B, 11C, 31A, 31B, 31D, and others — a direct signal that the state actively recruits veterans with military law enforcement and infantry backgrounds for this role. State hospital security is a distinct environment from acute care: incidents are less acute but the behavioral complexity of long-term psychiatric care requires sustained de-escalation competence across a resident population.
What IAHSS certification do I need for SA hospital security?+
IAHSS Basic is the standard entry credential for healthcare security in San Antonio — an online course covering the healthcare security environment, patient rights, Joint Commission standards, and clinical de-escalation fundamentals. It's available at iahss.org and costs under $100 for the basic level. All major SA hospital employers — Methodist, University Health, Baptist Health — either require it before hire or expect completion within 90 days of onboarding. Getting IAHSS Basic before applying is the single highest-leverage step a candidate can take to move their SA hospital security application forward. Beyond basic, NCI (Nonviolent Crisis Intervention) or CPI training is expected for psychiatric and ER security roles.
Overview

San Antonio Hospital Security: Four Health Systems, One County Hospital, One State Hospital

San Antonio's healthcare security market is anchored by five distinct institutional employers — University Health (county), Methodist Healthcare (HCA partnership), Baptist Health System (Tenet), CHRISTUS Santa Rosa (Catholic health system), and San Antonio State Hospital (Texas HHSC) — plus contracted security through Allied Universal, GardaWorld, and Securitas at facilities across the network. Together they operate dozens of hospital campuses and outpatient clinics across Bexar County, creating one of the most diversified healthcare security employment markets in any Texas city of San Antonio's size.

University Health's position is unique. County employment, Magnet nursing, Level I Trauma, and the primary teaching hospital for UT Medicine San Antonio — it's the institutional anchor of SA's medical community and the highest-acuity security environment in the city. Methodist's scale — SA's second largest private employer at 10,000-plus employees across 7 hospitals — creates consistent security demand across the metro with career paths that extend across HCA's national network. San Antonio State Hospital adds the state employment tier with the veteran recruitment signal embedded directly in the HHSC posting's MOS code list.

Role Overview

What Hospital Security Officers Do in San Antonio

Hospital security in San Antonio means different things at different institutions. At University Health's Level I Trauma ER, it means managing the most acute behavioral health, trauma, and crisis incidents in South Texas — the full spectrum of Bexar County's population arrives at the city's only Level I Trauma Center. Officers who develop incident command, de-escalation, and documentation discipline in that environment build the strongest credentials in SA hospital security.

At San Antonio State Hospital, it means sustained behavioral health security in a long-term psychiatric care setting. Incidents are less acute than a trauma ER but residents have complex mental health profiles requiring consistent, professional behavioral management. The HHSC's active recruitment of veterans for this role — evidenced by the MOS code list in the posting — reflects the institutional recognition that military composure and situational control translate directly to psychiatric security competence.

Duties

Common Duties & Responsibilities

  • Hospital patrol and visitor management at University Health, Methodist, Baptist Health, and CHRISTUS SA campuses
  • Emergency response to behavioral health incidents in ER and psychiatric units — de-escalation protocol first
  • Patient escort, 1-to-1 behavioral health watch, and clinical staff safety support
  • Security Officer II at San Antonio State Hospital — 24/7 long-term psychiatric care campus patrol
  • South Texas Medical Center corridor patrol across multiple health system campuses
  • Monitor CCTV and access control systems at hospital security consoles
  • Write incident reports per Joint Commission standards and hospital incident management protocols
  • Coordinate with SAPD and BCSO on incidents requiring law enforcement
Compensation

Typical Pay in San Antonio, TX

SA hospital security: Methodist $16.67/hr average ($14.76–$17.36/hr range, ZipRecruiter May 2026). University Health county employment with county benefits and pension. State Hospital Security Officer II $3,100–$4,365.66/month ($18.46–$26/hr equiv.) with state benefits. IAHSS Basic before applying is the top differentiator.

Entry Level
$15–17/hr
~$31k–35k/yr + benefits
Experienced
$17–19/hr
~$35k–40k/yr + benefits
Lead / Senior
$19–26/hr
~$40k–54k/yr + state/county benefits

University Health county employment with pension. Methodist Healthcare 7-hospital network. State Hospital $18–$26/hr with state benefits — veterans with MOS background are the target hire. Get IAHSS Basic before applying, it's the top differentiator.

See More Jobs →
Requirements

What You Need

  • Valid Texas Level 2 Non-Commissioned Security Officer license
  • IAHSS Basic certification — required or expected within 90 days at all major SA hospital employers; complete before applying
  • NCI/CPI (Nonviolent Crisis Intervention) training preferred for ER and psychiatric unit assignments
  • BLS (Basic Life Support) certification preferred at most SA hospital accounts
  • Military veterans preferred at San Antonio State Hospital — HHSC posting lists specific MOS codes for infantry and military law enforcement backgrounds
  • Bilingual Spanish strongly preferred — SA's majority-Hispanic patient population across all health systems
  • Level 3 for armed ER and psychiatric unit posts at University Health and Methodist campuses
Schedules

Typical Schedules & Environments

  • 3x12 rotation standard at University Health and Methodist — rotating day/swing/overnight, three 12-hour shifts per week
  • Overnight 3rd shift highest demand — ER behavioral health peaks overnight, hardest shift to fill across all SA hospital systems
  • San Antonio State Hospital all shifts — day, evening, and night as listed in HHSC posting
  • Weekend rotation included — hospitals run 7 days; all positions include weekend coverage
  • IAHSS and NCI orientation period first 30–90 days at all major SA hospital employers
Related Roles

More Security Jobs in San Antonio

👮 Unarmed Security — San Antonio→ 🌙 Overnight Security — San Antonio→ 🛡️ Armed Security — San Antonio→ 📍 Hospital Security — DFW→ 📍 Hospital Security — Houston→ 📍 San Antonio Security Jobs Hub→

Don't See The Right Security Job Yet?

New openings posted regularly across San Antonio, TX. Get notified the moment something matches.

📍
📱
✉️
No spam. Unsubscribe anytime.

By submitting I agree to receive SMS and email updates regarding jobs from BlackBarJobs. Msg & data rates may apply. Reply STOP to unsubscribe.

More SA Security Jobs by Area
📍 River Walk→ 📍 Military Bases→ 🏥 Medical Center→ 🏨 Hotel Security→ ✈️ Airport→ 🎓 University→ 🏗️ Construction→ 🏪 Retail→
San Antonio Security Jobs by Type
👮 Unarmed Security→ 🛡️ Armed Security→ 🌙 Overnight Security→ 🎟️ Event Security→ 🔍 Loss Prevention→ ✈️ Airport Security→ 🚗 Mobile Patrol→ 🗺️ SA Security Hub→