Co‐occurring posttraumatic stress disorder (PTSD) negatively impacts employment outcomes for individuals with serious mental health conditions (SMHCs). This study examined how employment might help individuals manage PTSD. Sixty‐eight employed individuals with SMHCs and co‐occurring PTSD responded to two open ‐ended questions focused on how work impacted the management of PTSD symptoms and their perceived need for support from a job coach. Findings revealed themes about benefits of work on PTSD symptom management and types of provider support desired. Study implications are discussed.