Staff Physician

Internal Medicine Above average in Physician rolesNo nightsFull-Time

Listed compensation

$252k-$305k

Listing transparency6 of 6 stated

Pay, setting, call, weekends, nights and benefits are all stated. Confirm details with the employer.

Employment & setting
Full-Time · on-site
Call expectations
Includes call
Weekends
Includes weekends
Posted 30m ago · Verified live

Job Description

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.

Functional Title: Staff Physician Job Title: Physician III Agency: Health & Human Services Comm Department: Physician Services Posting Number: 21774 Closing Date: 12/22/2026 Posting Audience: Internal and External Occupational Category: Personal Care and Services Salary Range: $20,971.00 - $25,432.58 Pay Frequency: MonthlySalary Group: TEXAS-B-35 Shift: Day Additional Shift:  Telework: Not Eligible for Telework Travel: Up to 5% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Richmond State Supported Living Center Job Location City: RICHMOND Job Location Address: 2100 PRESTON Other Locations:  MOS Codes: 210X,42EX,42FX,42NX,44AX,44BX,44DX,44EX,44FX,44GX,44HX,44JX,44KX,44MX,44NX,44OX,44RX,44SX,44TX,44UX 44YX,44ZX,45AX,45BX,45EX,45GX,45NX,45PX,45SX,45UX,48AX,48GX,48OX,48RX,48VX,60A,60B,60C,60D,60H,60J 60K,60L,60N,60P,60S,60T,60V,61E,61F,61G,61H,61J,61K,61L,61M,61N,61P,61Q,61R,61U,61W,61Z,62A,62B,62Z 67F,67G, SEI12 Brief Job Description:

Come work in an environment where we truly value and respect those we serve and believe in the mission that all people can achieve a higher level of wellness and independence.

The state supported living centers serve people with intellectual and developmental disabilities who are medically fragile or who have behavioral problems. The centers provide campus-based direct services and supports at 13 centers located throughout the state. Learn About Our State Supported Living Centers

If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you!

The Staff Physician at the State Supported Living Center (SSLC) performs highly advanced medical work, ensures and oversees the delivery of high quality, integrated medical services to individuals with intellectual disabilities served by HHSC State Supported Living Centers (SSLCs).   Diagnoses and treats individuals with intellectual and developmental disabilities who also have complex medical, psychiatric and/or behavioral health needs.  Provides and monitors medical services for assigned caseload. Develops health care plans with measurable goals, objectives and interventions and oversees and monitors their implementation.  Participates in treatment team process, advocates for the medical needs of individuals served, and collaborates with the individuals’ families, Advanced Practice Registered Nurses (APRNs), Physician Assistant(s) and with consultants and community medical providers in other medical specialty areas.  Provides direction and guidance to the treatment team to solve complex medical issues impacting individuals’ health and wellbeing.  Completes required reports and medical documentation.  Identifies and communicates trends or issues and recommends solutions.  Provides treatment to HHSC employees injured in course and scope of employment. Participates with other members of the medical services department in initiatives to obtain full compliance with the terms of the Department of Justice (DOJ) Settlement Agreement.   Shares on-call duty with other qualified medical staff. Works under the limited supervision of the Medical Director of the SSLC and with considerable latitude for the use of initiative and independent judgment.

Essential Job Functions (EJFs)

Attends work on a regular basis and may be required 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.

[May serve in an on-call status on a rotating schedule as required to meet operational needs of the facility.]

Delivers, and monitors the delivery by others of, high quality medical services to individuals with intellectual disabilities served by SSLCs in accordance with current accepted medical practices.  Diagnoses and treats individuals with intellectual and developmental disabilities who also have complex medical, psychiatric and/or behavioral health needs. Provides direction and guidance to the treatment team in medical issues and ensures health care plans are properly implemented. Monitors the health care trends of individuals and updates treatment strategies and plans as indicated.  Ensures medical treatment is properly integrated.

Oversees and monitors the long-term health status of individuals. Provides chronic care to individuals, which includes a quarterly assessment for individuals with identified chronic health care diagnosis, a review of appropriate treatment specific to the disease process and update or change of medical treatment as warranted and monitoring of the chronic condition. Writes prescriptions and performs medication reviews, within the scope of his/her licensing credentials and training expertise. Reports any significant trends or issues which occur to the supervisor and provides suggestions for action based upon their expertise. Performs or refers out specialized medical treatments and procedures.  Coordinates with specialty clinics and oversees the treatment provided, ensuring integration.

Oversees and ensures the daily health and wellbeing of individuals.  Provides acute care to individuals, including daily assessment for acute health problems or injury in the clinic and/or infirmary and oversees the provision of medical services by other staff such as APRNs, PAs, RNs, and LVNs.   Performs daily routine sick call clinics for assigned units to include evaluation of illness, injury, and abuse/neglect.  Provides direction to nurses providing treatments during sick call as necessary.  Performs required treatment and prescribes medication when indicated.

Participates in interdisciplinary planning conferences and personal support team meetings for individuals that reside at the State Supported Living Center and provides medical information to parents/guardians as appropriate.  Provides medical diagnosis and the review of the treatment plan at the Individual Service Plan (ISP). Evaluates the efficacy and progress of a patient's treatment plan and makes changes as indicated. Provides direction and guidance to the treatment team to solve complex medical issues impacting individuals’ health and wellbeing.

Develops accurate and timely documentation, which includes annual summaries and pre-procedural histories and physicals, documentation of specialty medical consultation, physical and chemical restrains and all acute and chronic patient care.  Prepares annual medical reports for the residents with complete assessment and yearly objectives and laboratory analysis. Monitors medical trends for individual patients and for the SSLC as a whole and provides leadership to correct deficiencies.

Refers and consults with the admitting physician at the local hospital when necessary.  Reviews documentation for individuals returning from the hospital to ensure continuity of care.  Follows up on any treatment or medication changes made while at the hospital.

Works collaboratively with other members of the medical services department to obtain full compliance with the terms of the Department of Justice (DOJ) Settlement Agreement. Assists in identifying trends and issues. Provides input into improvement plans for SSLC medical services, including improvements to policy and procedures, new forms of treatment and the need for new/advanced equipment.

Provides treatment to HHS employees injured in course and scope of employment when needed.

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 of the principle of the development, implementation, and documentation of individualized care and treatment plans.

Knowledge of medical jurisprudence.

Knowledge of, or ability to learn, ICF-IID standards, certification requirements for the Council on Quality and Leadership, HHSC policies and procedures, and the Department of Justice Settlement Agreement.

Skill in the care and treatment of patients and in the use of medical diagnostic and treatment tools and equipment.

  • Experience in medical work - practicing medicine.
  • Skill to maintain maximum well-being of individuals on campus and in general when hospitalized.
  • Ability to respond to campus medical emergencies as needed and when on-call.
  • Ability to communicate with nurses, direct care staff and interdisciplinary team members.

Ability to communicate effectively orally and in writing, and to work in harmony with individuals, employees, peers, family members, and medical/non-medical professions in the community.

Ability to evaluate patients and implement an effective course of treatment in coordination with other interdisciplinary personnel.

Ability to maintain required continuing medical education hours.

Registrations, Licensure Requirements or Certifications

  • Must be licensed as a medical doctor by the State of Texas.
  • Must have current registration certificates 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

Key Responsibilities

Diagnose and treat individuals with intellectual and developmental disabilities and complex medical, psychiatric, or behavioral health needs, while overseeing acute and chronic care and the implementation of individualized health plans. Collaborate with treatment teams, families, specialists, and community providers; maintain medical records; monitor health trends; and support compliance with the Department of Justice Settlement Agreement.

Requirements

Applicants must graduate from an accredited college of medicine or osteopathic medicine, have clinical experience, and be residency trained; experience leading or supervising others is preferred. A Texas medical license, current DEA registration, and National Provider Identifier are required, along with enrollment as a Medicaid and Medicare Part B provider.

Qualifications

Experience
5+ years of experience

Certifications

DEA License

Key Skills

Patient Diagnosis and TreatmentChronic Care ManagementIndividualized Care PlanningMedication Review and PrescribingInterdisciplinary CollaborationClinical AssessmentMedical Emergency ResponseTreatment Plan EvaluationHealthcare CoordinationMedical Trend AnalysisPatient AdvocacyOral and Written Communication

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Staff Physician at Texas Health & Human Services Commission a 6.1 out of 10 for work-life balance — classified as good. This places the position in the Above average in Physician roles — ranked against 19,195 active Physician roles listings on WeekdayDoc. Contributing factors include no night shifts.

Internal Medicine — Physician Career Context

In Texas, the Internal Medicine weighted monthly median benchmark on WeekdayDoc is ~$289k (21 salary observations; 103 listings), vs ~$265k nationally (361 salary observations; 1,434 listings). Monthly aggregates cover 2025-12-01 through 2026-09-01; these are not the modal's selected comparable-job medians.

Of the 50 active Internal Medicine listings this role was benchmarked against, 6% are remote, 62% have no call, 62% require no weekends.

Internal Medicine pay on WeekdayDoc is down 6.3% vs. the prior quarter (through Aug 2026).

The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$278k midpoint carries the purchasing power of roughly $287k in an average-cost state. 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$278k midpoint, that is roughly $11k–$19k a year versus a typical 4–7% state rate.

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Salary Distribution50 jobs · 36 employers

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Annual compensation range

Benefits & Perks48 jobs · 36 employers

401k / retirement match
92% this job
CME allowance
67% this job
Sign-on bonus
63%
Relocation assistance
50%
Loan repayment
35%

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Work-life snapshot

6.1/ 10
Listing-based score

Above average in Physician roles

  • No nights
  • On-site
  • Includes call
  • Includes weekends

Living in Richmond

Typical 3-bedroom home value
$302k
Typical market rent
$1,798/mo
Residents’ average commute
29 min
State income tax
None
Sources & methodology

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

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

Texas Health & Human Services Commission logo

About Texas Health & Human Services Commission

Government Administration
Austin, TX
1,001-5,000 employees

Benefits & Perks

100% paid employee health insurance
Defined benefit pension plan
Generous time off benefits
Career advancement opportunities