Staff Psychiatrist -State Hospital - Maximum Security Unit (MSU)

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Functional Title: Staff Psychiatrist -State Hospital - Maximum Security Unit (MSU) Job Title: Psychiatrist III Agency: Health & Human Services Comm Department: Adm AcuteCarePsych Psychiatry Posting Number: 19615 Closing Date: 11/05/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Range: $20,971.00 - $23,120.50 Pay Frequency: MonthlySalary Group: TEXAS-B-34 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: Rio Grande State Center Job Location City: HARLINGEN Job Location Address: 1401 S RANGERVILLE RD Other Locations:  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 Psychiatrist performs highly advanced psychiatric assessment work and reports directly to the State Hospital Medical Director. Work involves conducting psychiatric activities, monitoring trends, diagnosing, and treating State Hospital patients.

Administers quality and appropriate specialized psychiatric treatments, assessments, and procedures as needed. Reviews and analyzes system data to ensure recovery plans are individualized and decisions are made in conjunction with the Recovery Team.

Ensures that the recovery plans are implemented as designed by providing consultation or training as needed to direct care staff. Attends weekly/monthly meetings and leads/chairs discussions to inform and create buy-in to necessary changes and follows through on the implementation plans.

Participates in committees of the State Hospital Governing Body and performance improvement activities.

Participates in or directs, as requested, any other clinically related committee that is formed for the State Hospitals to recommend guidelines and standards of care in response to changes in research literature, regulatory environment, or public health as requested by the State Hospital Medical Director or State Hospitals Central Administration Chief of Medical Services.

Plans, assigns, and guides the work of others in the process of the multi-disciplinary approach to patient care. May supervise others depending upon State Hospital structure. Performs other duties relative to the position.

Works under minimal supervision, with extensive latitude for the use of initiative and independent judgment.

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.

This position may also be eligible to earn additional pay for work performed on maximum security locations.

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 State Hospital policies/procedures as deliberated with and agreed upon.

Conducts all required performance improvement reviews with recovery team members as required by The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), Texas Administrative Code (TAC), and State Hospital System policies. Attends and participates in other meetings and committees as requested.

Performs medication reviews and other audits in accordance with policy. Plans, assigns, and guides the work of others in the process of the multi-disciplinary approach to patient care per standards.

Establish physician-patient relationships by direct face-to-face contact or telemedicine. For newly admitted individuals, contact must be established immediately upon admission. Treats each individual with the most effective medication and the most effective dosage. Reviews lab work, modifies recovery plans, and records deliberations and recommendations accurately and timely in the electronic health record.

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 the supports 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.

Reads and analyzes medical records, leads discussions in staff meetings, participates in conference calls concerning clinical psychiatric issues, interacts with and makes recommendations to family members, guardians, and Legally Authorized Representatives (LAR) when requested, and obtains timely medication consents.

Ensures collaboration between psychiatry and neurology for dually diagnosed individuals. Provides Neurologist with necessary information and ensures that psychiatry notes reflect this collaboration.

Consults with other psychiatrists, medical staff, psychologists, and others to collaboratively develop psychiatric interventions, identify environmental factors that may impact psychiatric care, and participate in restraint reduction efforts by coordinating medication and behavior therapy. Manages acute psychiatric care including authorizing emergency restraints and writing orders for the emergency use of medication.

Reviews and monitors system data and trends related to the quality of psychiatric care provided at the State Hospital. 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 hospital performance improvement plans. Participates in desk and onsite audits by reviewing records and applying audit tools.

Maintains open and regular communication with the Medical Director, Superintendent, and other staff to ensure the transfer of needed information for the continuity of services. Participates in various Medical Staff Committees and Sub-committees (Utilization Management, Infection Control, Pharmacy and Therapeutics, etc.) designed to ensure patients are receiving quality care.

Participates in mandatory training per HHSC policies and procedures, HIPAA policies, state and federal rules and regulations, and TJC standards and CMS conditions of participations to provide quality psychiatric services and care to individuals served.

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.

May manage other staff providing regular feedback, conducting performance evaluations, and taking corrective action when needed, depending upon hospital organizational structure.

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.

Knowledge, Skills and Abilities (KSAs)

• Knowledge of methods and procedures in the field of general medicine and general psychiatry
• Knowledge of principles of development, implementation, and documentation of person-centered individualized care and recovery plans
• Knowledge of the principles of psychiatric treatment and ability to collaborate 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 skills in providing services to people with psychi