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Adelphi Staffing
San Antonio, Texas

Family Medicine / Internal Medicine

Family MedicineIncludes callIncludes weekendsNo nightsContract

Listed compensation

$130-$160/hr

The week · per this posting · Monday – Friday

Weekend work is also flagged as required; confirm which days and how often.

Ask the employer about the work setting and time off.

Posted 2mo ago

Job Description

Adelphi is seeking a licensed Family Medicine or Internal Medicine Physician to provide full-time medical services to adult patients at a facility in San Antonio, Texas. The physician will provide direct medical care to adults with intellectual disabilities and co-occurring mental health needs.

Job Quick Facts

  • Reference #: BD-673-67
  • Profession: Physician
  • Specialty: Family Medicine / Internal Medicine
  • Location: San Antonio, Texas
  • Setting: Residential Care Setting
  • Job Type: Full-Time Contract
  • Contract Length: Minimum of 2 months, with the option to extend
  • Start Date: Immediate, subject to completion of clearance requirements
  • Schedule: Monday–Friday, 40 hours per week
  • Hours: Eight-hour shifts between 8:00 AM and 5:00 PM; schedule may be customized if necessary
  • Patient Panel: Approximately 25 adult long-term care patients across two residential homes
  • On-Call: One weeknight per week and one weekend per month
  • Compensation: $130-$160

Requirements

  • Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree.
  • Completion of residency training in Family Medicine or Internal Medicine.
  • Active Texas medical license in good standing with no sanctions.
  • Must maintain an active Drug Enforcement Administration Registration.
  • Must be credentialed with hospitals utilized by the assignment site.
  • Must hold and maintain current American Heart Association-approved CPR certification
  • Must successfully complete the required drug screening.
  • Must successfully complete the required fingerprinting process.
  • Must complete all required training before beginning the assignment.
  • All licenses and certifications must remain current throughout the assignment.

Responsibilities

  • Provide full medical care to adult long-term care patients with intellectual disabilities.
  • Provide direct patient care, medical assessments, treatment, and face-to-face evaluations.
  • Respond to emergency calls and restraint-related incidents.
  • Respond to patient status changes and post-ER or hospital needs while on call.
  • Provide care to dually diagnosed adult patients with intellectual disabilities & mental health needs.
  • Deliver services onsite in a residential setting.
  • Conduct patient rounds and participate in the morning report by 9:00 AM.
  • Complete all required annual evaluations and quarterly documentation.
  • Participate in annual team meetings as required.
  • Participate in team meetings, referred to as ISPAs, as needed.
  • Provide weekly home-call coverage from 5:00 PM–8:00 AM, averaging 5 calls.
  • Provide monthly weekend home-call coverage from Friday 5:00 PM–Monday 8:00 AM, averaging 25 calls.
  • Maintain all required training throughout the assignment.
  • Comply with all applicable attendance, leave, operational, and clinical policies.
  • Perform duties consistent with those assigned to permanent physicians at the assignment site.
  • Perform other duties as assigned.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Medical AssessmentTreatment PlanningEmergency ResponseIntellectual Disability CareMental Health SupportClinical DocumentationCredentialing

Family Medicine — Physician Career Context

In Texas, the Family Medicine weighted monthly median benchmark on WeekdayDoc is ~$273k (74 salary observations; 384 listings), vs ~$263k nationally (1,908 salary observations; 6,496 listings). Monthly aggregates cover 2025-12-01 through 2026-10-01; these are not the modal's selected comparable-job medians.

The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$145k midpoint carries the purchasing power of roughly $149k in an average-cost state. 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 50 active Family Medicine listings this role was benchmarked against, 4% are remote, 50% have no call, 70% require no weekends.

Family Medicine pay on WeekdayDoc is down 3.2% vs. the prior quarter (through Sep 2026).

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Family Medicine / Internal Medicine at Adelphi Staffing a 7.5 out of 10 for work-life balance — classified as very good. This places the position in the top 25% in Family Medicine — ranked against 2,560 active Family Medicine listings on WeekdayDoc. Contributing factors include no night shifts.

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$145k midpoint, that is roughly $6k–$10k a year versus a typical 4–7% state rate.

Top contract/1099 Family Medicine Jobs

50 matches · ranked by pay

Salary Distribution50 jobs · 37 employers

16
<$325k
8
$325k-350k
17
$350k-375k
6
$375k-400k
3
$400k+

Annual compensation range

Benefits & Perks45 jobs · 37 employers

401k / retirement match
82%
Sign-on bonus
64%
CME allowance
53%
Relocation assistance
38%
Loan repayment
22%

Share of similar jobs offering each benefit

#1

Primary Care Physician

Capital Health (US) · Princeton, Texas

$256k-$484k
#2

Primary Care Physician w/ Managed Care exp (Open comp.)

MASC Medical · Brooksville, Florida

$420k
#3

Primary Care Physician- Arvada

$300k-$400k
#4

Primary Care Physician

$385k-$395k
+ 48 more · ranked by pay

Work-life snapshot

median 6.2this job 7.5
Better work-life than 80% of Family Medicine listings

Listing-based score, 0–10, across 2,560 comparable listings. Shaded area = the share scoring below this one.

  • No nights
  • Includes call
  • Includes weekends

Living in San Antonio

Typical 3-bedroom home value
$226k
Typical market rent
$1,386/mo
Residents’ average commute
25 min
Metro price indexU.S. average = 100
94.7
State income tax
None
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · San Antonio-New Braunfels, TX metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.

Adelphi Staffing logo

About Adelphi Staffing

Staffing and Recruiting
Kennesaw, GA
51-200 employees

Benefits & Perks

Malpractice coverage
CPR certification required