Assistant Medical Director (20946)

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Functional Title: Assistant Medical Director 
Job Title: Psychiatrist IV 
Agency: Health & Human Services Comm 
Department: Residential Care Supervisor G 
Posting Number: 20946 
Closing Date: 09/18/2026 
Posting Audience: Internal and External 
Occupational Category: Healthcare Practitioners and Technical 
Salary Range: $23,068.08 - $25,432.58 
Pay Frequency: Monthly
Salary Group: TEXAS-B-35 
Shift: Day 
Additional Shift: Days (First) 
Telework: Not Eligible for Telework 
Travel: Up to 10% 
Regular/Temporary: Regular 
Full Time/Part Time: Full time 
FLSA Exempt/Non-Exempt: Exempt 
Facility Location: San Antonio State Hospital 
Job Location City: SAN ANTONIO 
Job Location Address: 6711 S NEW BRAUNFELS 
Other Locations: San Antonio 
MOS Codes: 210X,44PX,60W,SEI12 
 
 
 

Brief Job Description:

 

Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of ten psychiatric hospitals, two youth residential treatment facilities, and thirteen state supported living centers. Psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below.

 

The Assistant Medical director performs highly advanced psychiatric work under direct supervision of the SH Medical Director and acts as Medical Director in times of absence. Directs, over patients and conducts the examination and diagnoses of patients, and administers psychiatric treatment and medication as needed. Administers specialize in psychiatric treatments and/or procedures. Directs staff and provides leadership to ensure optimal quality psychiatric treatment services for the individuals entrusted to the care of the SH. Monitors trends and activities, prepares reports, and makes recommendations for operational and services improvement as appropriate. Leads the patient’s recovery team and provides guidance on the treatment of the patients under their care.  Reviews patient records and files in conjunction with the recovery team to determine the progress, effectiveness, and appropriateness of treatment services offered. Plans, assigns, and/or supervise the work of others, including other Psychiatrists. Participates in committees of the State Hospital Governing Body and performance improvement activities. Participate in or directs, as requested, any other clinically related committee that is formed for the SHs to recommend guidelines and standards of care in response to changes in research literature, regulatory environment, or public health as requested by the facility Medical Director or central office Chief Medical Officer. Plans, assigns, and guides the work of others in the process of the multi-disciplinary approach to patient care. Works under minimal supervision with extensive latitude for the use of initiative and independent judgment. Performs other duties as assigned.

 

Performs other duties as assigned. Other duties as assigned include actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.

 

Essential Job Functions (EJFs):

 

Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.

 

Utilizes a multi-disciplinary approach to complete psychiatric assessments of individuals and administers    psychiatric treatments and medications within the SH policies/procedures as deliberated with and agreed upon by The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), Texas Administrative Code (TAC), Texas HHSC Executive Formulary Committee, and SH policies. Attends and participates in other meetings and committees as requested. Performs medication reviews in accordance with policy. Plans, assigns, and guides the work of others in the process of the multi-disciplinary approach to patient care per policies and procedures. 15%

 

Conducts psychiatric clinics as scheduled and psychiatric reviews as requested by the review team or the central office Chief Medical Officer. Treats each individual with the most effective medication and the most effective dosage. Reviews lab work modifies recovery plans, and records deliberations and treatments accurately and       timely in the electronic health record. 15%

 

Develops and implements psychiatric recovery plans documenting how supports and interventions are customized  for the individuals’ psychiatric needs as well as their strengths and preferences. Documents on how recovery plans are person centered and least-restrictive interventions based on risk vs. benefit analysis and treatment history, and    how psychiatric supports and interventions are integrated with support and interventions from other disciplines. Develops and organizes implementation timeframes and provides guidance to the recovery team, and direct care staff while following HHSC and local policies and procedures, TJC standards, CMS conditions of participation, TAC, and other state statutes.  10%

 

Stays current with research of psychiatric and behavioral health treatments.  Reviews and makes recommendations to the appropriate authority for changes in evaluation tools and treatment protocols used to ensure compliance with the standards for quality of care concerning psychiatry and behavioral health services. Provides staff guidance and training for new employees, professional staff, direct contact staff, and families. Participates in mandatory training per HHS policies and procedures, HIPAA policies, state and federal rules and regulations, to provide quality psychiatric services and care to individuals served. 10%

 

Develops, implements, organizes, and provides leadership in the area of Psychiatric Services following HHSC policies and procedures, state and federal rules and regulations, and TJC standards and CMS conditions of participation in order to provide quality psychiatric services and care to individuals served. Reviews the work of other Psychiatrists and clinic staff for appropriateness of care, quality of care, and timeliness of care. May manage staff within the psychiatric department. 10%

 

Reviews and monitors system data and trends related to the quality of psychiatric care provided at the SH.  Addresses issues identified through monitoring of data and presents changes to the recovery plan.  Attends meetings and chairs discussions to inform and create buy-in to necessary changes and follows through on SH performance improvement plans.  Participates in desk and on-site audits by reviewing records and applying audit tools. 10%

 

Leads the Advanced Practice Registered Nurse (APRN) IIIs by providing clinical guidance and consultation to  maintain safe, effective, and evidence-based patient care. Evaluates clinical practices, ensures adherence to scope of practice and regulatory requirements, and collaborates with nursing and medical leadership to address complex clinical issues and improve service delivery. 10%

 

Manages psychiatric residency program and internship program. Serves as a supervising physician and liaison to resolve issues related to student rotations at the SH by initiating contact with medical schools, attending meetings, and writing statements of work for contracts. Coordinates training placements for interns, providing clinical supervision, and ensuring compliance with academic, licensure, and facility requirements. Supports intern professional development through mentorship, evaluation, and feedback while ensuring that services provided meet ethical standards, best practices, and organizational expectations. 5%

 

Provides psychiatric coordination, collaboration, and consultation with the facility Medical Director, the central office Chief Medical Officer, central office Chief of Forensic Medicine, central office Director of Facility Operations, and central office Associate Commissioner in all matters of patient care services, quality improvement initiatives, TJC compliance, state TAC, and regulatory agency code compliances.   Advises the facility Medical Director, the central office Chief Medical Officer, and central office Chief of Forensic Medicine of unusual or difficult psychiatric problems experienced at the SH. 5%

 

Reads and analyzes medical records, leads discussions in staff meetings, participates in conference calls concerning clinical psychiatric issues, reviews the clinical practice of providers in peer review proceedings, and provides written opinions and recommendations as appropriate on all matters raised in these venues. Interacts with and makes recommendations to family members, guardians, and legally authorized representatives (LAR)   when requested, and obtains timely medication consents. 5%

 

Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. 5%

 

Knowledge, Skills and Abilities (KSAs):

 

Knowledge of methods and procedures in the field of general medicine and general psychiatry.

 

Knowledge of principles of the development, implementation, and documentation of person-centered individualized care and recovery plans.    

 

Knowledge of the principles of behavior treatment and ability to work collaboratively with staff. 

 

Knowledge of the state formulary guidelines for maximum doses, and if exceeded, provides detailed documentation of exception, ensuring efficacy, safety, and tolerance.       

 

Knowledge and skill in providing services to people with psychiatric disorders in an in-patient hospital setting.

 

Knowledge and skill in effectively using an electronic healthcare system and Microsoft office products.

 

Skill in the care and treatment of patients; in the use of medical and psychiatric diagnostic and treatment tools       and equipment; and in conducing psychiatric research when necessary.    

 

Skill in oversight, management and directing other medical practitioners.             

 

Ability to assess, diagnoses, and prescribe/supervise treatment to assigned patients while conforming to local policy, Texas Administrative Code, and applicable laws to decrease psychiatric symptoms/disorders.      

 

Ability to direct psychiatric activities; to examine, diagnose, and treat mental disorders; to interpret psychological diagnoses and analyses; develop policies and procedures; and to prepare and supervise the preparation of case histories and medical records.    

 

Ability to solve medically difficult issues by considering opinions of consultants and/or appropriate literature including accepted guidelines.

 

Registrations, Licensure Requirements or Certifications:

 

Must be licensed (unrestricted) as a medical doctor by the State of Texas and be Board Certified or Board eligible in Psychiatry in the state of Texas.

 

Must have current registration certificate from the Drug Enforcement Agency (DEA).

 

Must possess a National Provider Identifier (NPI#) as defined by Medicare Part B and enroll as a Medicaid and Medicare Part B provider.

 

Initial Screening Criteria:

 

At least four (4) years of experience working as a psychiatrist is required.

 

At least four (4) years of experience working with people with psychiatric disorders is required.

 

Additional Information:

 

Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service.

 

All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco and Terrell Center for Youth applicants must be 21 years of age.

 

Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.

 

Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures.

Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.

 

Active Duty, Military, Reservists, Guardsmen, and Veterans:

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.

 

ADA Accommodations:

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

 

Pre-Employment Checks and Work Eligibility:

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

 

HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form

Telework Disclaimer:

This position may be eligible for telework.  Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.