Lead Psychiatrist

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: Lead Psychiatrist Job Title: Psychiatrist IV Agency: Health & Human Services Comm Department: PsychSecurity Psychiatry Posting Number: 19926 Closing Date: 09/11/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Range: $23,068.08 - $25,432.58 Pay Frequency: MonthlySalary Group: TEXAS-B-35 Shift: Day Additional Shift: Days (First) Telework: Eligible for Telework Travel: Up to 10% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Rusk State Hospital Job Location City: RUSK Job Location Address: 805 N DICKINSON DR Other Locations: Rusk 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 state of Texas offers many benefits to employees. HHSC is a qualifying organization for the Federal Public Service Loan Forgiveness Program, which forgives the remaining balance on college student Direct Loans after making 120 qualifying monthly payments. We also offer excellent health benefits, a lifetime monthly retirement annuity as well as 401(k) and 457 Programs under the Employees Retirement System of Texas.

The Lead Psychiatrist performs highly advanced psychiatric work under direct supervision of the SH Medical Director. Directs, oversees, and/or conducts the examination and diagnoses of patients, and administers psychiatric treatment and medication as needed.

Administers specialized 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 supervises 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. 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.

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 or on-duty status on a rotating schedule to meet operational needs of the facility.

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 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.

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.

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, 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.

Ensures collaboration between psychiatry and other medical disciplines for dually diagnosed individuals. Provides other medical specialist 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 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 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 and 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. Travels occasionally to other SHs to participate in team reviews to assess compliance with regulations, policies, and standards.

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 participations in order to provide quality psychiatric services and care to individuals served.

May review 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.

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,