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Tx-Hhsc-Dshs-Dfps
Harlingen, Texas

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

PsychiatryIncludes callFull-Time

Listed compensation

$204K - $305K

The week · per this posting

Ask the employer about weekend coverage, nights and shift pattern and time off.

Posted 1mo 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-State Hospital - Maximum Security Unit (MSU) Job Title: Physician III Agency: Health & Human Services Comm Department: MedClinic/Prof Medical Svs M Posting Number: 19611 Closing Date: 11/04/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Range: $17,000.00 - $25,432.58 Pay Frequency: MonthlySalary 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: Rio Grande State Center Job Location City: HARLINGEN Job Location Address: 1401 S RANGERVILLE RD 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:

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 Physician III performs highly advanced and/or managerial (senior-level) medical, clinical, or public health work. The Physician III works under the general clinical and administrative supervision of the Medical Director or designee.

Work involves directing medical and infection control activities, monitoring trends and making recommendations for improvement. Responsible for the delivery of high quality general medical evaluation and treatment to patients with psychiatric disorders.

Provides supervision to physicians and nurse practitioners in the medical clinic. Acts as a resource for infection control and consultant to general medical physicians. Provides treatment to state hospital employees injured in the course and scope of employment.

Works under minimal supervision, with extensive latitude for the use of initiative and independent judgement. Must understand that duties, location of work and shift pattern are subject to change as determined by the administration to meet the needs of the hospital.

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.

Leads and supervises Physicians and Advanced Practice Registered Nurses (APRNs) in the general medical clinic. Provides appropriate consultation and collaboration with APRNs in order to establish the Prescriptive Authority Agreement and the Texas Board of Nurse Examiners requirement for APRN practice within the state of Texas.

Requests input from colleagues, when indicated, and demonstrates a cooperative and supportive manner in working with the supervisor, peers, and support staff to facilitate work and information flow.

Performs comprehensive physical assessments and medical history in order to arrive at the most appropriate multi-axial diagnostic impressions and formulations. Orders appropriate laboratory and diagnostic studies as necessary. Monitors the patient’s response to treatment on a continuous basis.

Documents all patient encounters related to assessment, rationale for treatment interventions and other related issues in order to outline the course of hospitalization. Frequency of documentation is appropriate to the level of care the individual requires.

Monitors patient’s response to treatment on an on-going basis. Reviews diagnostic studies, conducts clinical assessments of abnormal results, and follows up or refers patients as appropriate. Documentation is provided, as appropriate, to the level of care the patient requires.

Treatment is consistent with standards of care stablished by The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), the Texas Administrative Code (TAC), and state hospital policies and procedures.

Oversees the implementation of the hospital infection control plan as required by TJC, this includes monitoring the status of infectious diseases of employees and patients, as well as prevention. Data of immunizations of staff and patients as well as incidents of diseases are monitored and plans for improvement are developed in response to outbreaks of infectious diseases. Acts as a resource for infection control and consultant to general medical physicians.

Actively participates in audits and other performance improvement activities. Provides appropriate input to ensure standards of care are met and acceptable level of patient care is maintained. Assists in developing Plans of Correction for deficiencies identified.

Demonstrates respect, compassion, consideration, and responsiveness by practicing in a manner that reflects respect for the patient and family members and is attentive to the needs of other co-workers and their ability to work towards a common goal for the patient.

Provides treatment to state hospital employees injured in the course and scope of employment. Provides initial clinical assessment and basic non-invasive care and stabilization for emergency and non-emergency occupational injuries within the scope of discipline licensure. Provides support to visitors and employees, when indicated, while waiting for transfer to outside facility for assessment and treatment.

Establishes and maintains professional competencies through participation in Continuing Medical Education (CME) programs or activities in order to provide the best level of care to patients as well as maintain state licensure. Provides CME certificates, current licensure and other required documentation for Medical Staff credentialing file.

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 APRN scope of practice and understanding of collaborative agreement for APRNs and Physicians
  • Knowledge and skills necessary to provide care and treatment appropriate to the age-related needs of patients served.
  • Knowledge of the principles of public health practices

Knowledge of Disease Management and Risk Analysis

  • Skills in the care and treatment of patients, and in the use of medical diagnostic and treatment tools and equipment
  • Skills in the use of a computer and applicable software
  • Skills in developing, describing, and communicating medical or public health plans and procedures.
  • Skills in project management, prioritization, and program evaluation
  • Skills in problem identification, analysis, and resolution
  • Skills in process facilitation techniques, team building, negotiation, conflict resolution, and strategic planning
  • Ability to examine, diagnose and treat physical disorders.
  • Ability to interpret laboratory analyses and X-Rays.
  • Ability to direct medical activities.
  • Ability to evaluate the age-specific needs of patients and implement an effective course of treatment in coordination with other disciplines.
  • Ability to interact effectively and professionally with persons from all backgrounds and income levels.
  • Ability to foster partnerships and agreements with individuals and entities on a national, state, and local level
  • Ability to communicate effectively both verbally and in writing.
  • Ability to plan, assign, and/or supervise the work of others.

Registrations, Licensure Requirements or Certifications

Must be licensed as a Doctor by the State of Texas Medical Board. 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

Graduation fr

Key Responsibilities

The Physician III provides advanced medical evaluation and treatment to patients with psychiatric disorders while supervising medical staff and nurse practitioners. They are also responsible for overseeing hospital infection control activities and providing occupational injury care to employees.

Requirements

Candidates must be a licensed medical doctor in Texas with a current DEA registration and NPI number. The role requires completion of an accredited residency program and at least three years of clinical or public health experience, including two years in a psychiatric hospital setting.

Qualifications

Education
Professional certificate or licensure
Experience
5+ years of experience

Certifications

DEA License

Key Skills

Clinical supervisionDiagnostic assessmentTreatment planningMedical documentationStaff supervision

Psychiatry — Physician Career Context

In Texas, the Psychiatry weighted monthly median benchmark on WeekdayDoc is ~$341k (10 salary observations; 51 listings), vs ~$337k nationally (279 salary observations; 714 listings). Monthly aggregates cover 2025-11-01 through 2026-09-01; these are not the modal's selected comparable-job medians.

Of the 50 active Psychiatry listings this role was benchmarked against, 62% are remote, 50% have no call, 72% require no weekends.

Psychiatry pay on WeekdayDoc is down 4.1% 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 ~$255k midpoint carries the purchasing power of roughly $262k 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 ~$255k midpoint, that is roughly $10k–$18k a year versus a typical 4–7% state rate.

Top Psychiatrist Jobs

41 matches · ranked by pay

Salary Distribution41 jobs · 15 employers

8
<$370k
4
$370k-415k
20
$415k-460k
8
$460k-505k
1
$541k

Annual compensation range

Benefits & Perks41 jobs · 15 employers

401k / retirement match
90% this job
Sign-on bonus
73%
CME allowance
34% this job
Visa sponsorship
10%
Loan repayment
7% this job

Share of similar jobs offering each benefit

#1

Child & Adolescent Psychiatrist

Pacific Neuropsychiatric Specialists · Orange, California

$360k-$541k
#2

Clinical Psychiatrist - Child Adolescent or Adult

LifeStance Health · Des Moines, Iowa

$320k-$500k
#3

Outpatient Psychiatrist

$500k
#4

Psychiatrist Full Time

$300k-$500k
+ 39 more · ranked by pay

Work-life snapshot

median 6.5this job 3.0
Better work-life than 20% of Psychiatry listings

Listing-based score, 0–10, across 1,760 comparable listings. Shaded area = the share scoring below this one.

  • On-site
  • Includes call

Living in Harlingen

Typical 3-bedroom home value
$219k≈ 1.1× annual pay
Typical market rent
$1,158/mo≈ 7% of gross pay
Residents’ average commute
18 min
Metro price indexU.S. average = 100
86.0
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 · Brownsville-Harlingen, TX metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.

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About Tx-Hhsc-Dshs-Dfps

Government Administration
Austin, TX
10,000+ employees

Benefits & Perks

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