Medical Director

FALL CREEK FARM & NURSERY; Richmond (TX); On-site; USD 257,000 - 312,000; Full time

Job summary

Texas Health and Human Services Commission in Richmond invites applications for Medical Director. You will lead medical services at the Richmond State Supported Living Center, oversee physicians, APRNs, and other medical staff, and ensure high-quality clinical care for residents with complex medical needs.

The role requires Texas medical licensure, strong leadership, and experience with interdisciplinary teams; the position emphasizes compliance with DOJ settlements and HHSC policies, ongoing

Qualifications

• Graduation from an accredited medical college with MD or DO degree.
• Licensed to practice medicine in Texas.
• Experience in leadership/management.
• Clinical experience with intellectually/developmentally disabled populations.
• Knowledge of DOJ Settlement Agreement provisions.

Responsibilities

• Attends work regularly and may be scheduled for specific or rotating shifts.
• Oversees the delivery of high-quality medical services to individuals at Richmond SSLCs.
• Provides leadership, assigns, and supervises daily activities of the medical department.
• Plans, implements, and monitors plans to ensure optimum performance of the medical department.
• Participates on committees and collaborates with executive teams to promote safety and quality.

Skills

Medical knowledge

Medical jurisprudence

ICF-IID standards

Clinical diagnostics

Leadership

Communication skills

Continuing medical education

Education

MD/DO degree

Job description

Career Opportunities: Medical Director (20254)

Posting ID20254-Posted08/19/2026-Health & Human Services Comm-Physician Services-Healthcare Practitioners and Technical-Richmond State Supported Living Center-Not Eligible for Telework- Other Locations (1) -g. $15000+ per month

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: Medical Director

Job Title: Physician IV

Agency: Health & Human Services Comm

Department: Physician Services

Posting Number: 20254

Closing Date: 11/17/2026

Posting Audience: Internal and External

Occupational Category: Healthcare Practitioners and Technical

Salary Range: $23,068.08-$27,975.83

Pay Frequency: Monthly

Salary Group: TEXAS-B-36

Shift: Day

Additional Shift: None

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: Richmond

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!

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.

Ensures the delivery of high-quality medical services to individuals with intellectual disabilities served by SSLCs in accordance with current accepted medical practices. Oversees and directs the diagnoses and treatment of individuals with intellectual and developmental disabilities who also have complex medical, psychiatric and/or behavioral health needs. Provides medical services and care to assigned caseload. Directs the administration of specialized medical treatments and procedures. Coordinates with specialty clinics. Delegates to persons under his/her supervision portions of these duties and sufficient authority for their accomplishment but maintains overall responsibility for the medical care of the individuals at the SSLC.

Provides leadership and plans, assigns and supervises the daily activities of the medical department. Directly supervises medical department staff such as Physicians, Advanced Nurse Practitioners (APRN), Physician Assistant(s), Pharmacist(s), Dentist(s), Psychiatrist(s) and administrative/clerical staff. Supervises other types of staff as needed depending upon SSLC structure. Hires, trains, and promotes professional growth of the employees within the department so that a competent workforce is maintained. Ensures that all departmental staff are compliant in training per agency and facility standards. Conducts performance evaluations of assigned staff to give employees timely feedback on their performance and oversees staff development plans and activities. Acts to improve employee retention and reduce turnover.

Formulates, implements, and monitors plans to ensure optimum performance of the medical department and compliance with the terms of the Department of Justice Settlement Agreement. Participates actively in survey and audit processes. Analyzes data from multiple sources for trends, systemic issues, and areas for improvement. Proactively identifies issues and implements solutions.

Participates on and/or chairs various committees. Serves as a member of the Executive Team, the QA/QI Council, the Incident Management Review Team (IMRT) and Administrative Death Review team. Interfaces with the state office leadership via regular conference calls and face to face meetings. Participates on other work groups as needed to promote collaboration and operational effectiveness.

Participates in interdisciplinary planning conferences and interdisciplinary team meetings for individuals that reside at the SSLC and provides medical information to parents, legally authorized representatives (LAR) and family members as appropriate. Oversees the effective participation of other medical staff in same. Provides consultation to those staff when needed.

Promotes safety and wellbeing of staff at the SSLC. Provides and coordinates treatment to HHS employees injured in course and scope of employment.

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.

Skill in analyzing problems, formulating, and implementing plans of corrections, and successfully leading change as evidenced by positive outcomes.

Ability to plan, assign and supervise the work of others, to direct medical activities, to examine, diagnose and treat physical or mental disorders, to interpret laboratory analyses and x-rays, and to prepare and supervise preparation of case histories and medical records.

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

Ability to successfully manage Medical Services Division and supervise/evaluate assigned personnel.

Ability to effectively communicate both orally and in writing.

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 Part B provider.

Initial Screening Criteria

Graduation from an accredited college of medicine/osteopathic medicine program with a degree as a medical doctor or osteopathic physician.

Leadership or management experience.

Clinical experience.

Residency trained.

Additional Information

Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS List of Excluded Individuals/Entities (LEIE).

Males between the ages of 18 – 25 must be registered with the Selective Service.

All State Supported Living Center Employees are subject to Random Drug Testing.

Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Must be willing to work weekends and holidays.

All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.

Active Duty, Military, Reservists, Guardsmen, and Veterans

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited tothose listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions .

ADA Accommodations

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Pre-Employment Checks and Work Eligibility

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form

Telework Disclaimer

This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.