Medical Director

FALL CREEK FARM & NURSERY; Terrell (TX); On-site; USD 283,000 - 312,000; Full time

Benefits offered by this job

Health insurance

Pension plan

Paid time off

Career growth

Job summary

Health & Human Services Commission (HHSC) in Texas seeks a Psychiatrist V to provide medical leadership at Terrell State Hospital. The role directs psychiatric and medical treatment, develops recovery plans, and oversees quality assurance within a population requiring complex care.

The incumbent will supervise clinicians, participate in governance, ensure policy adherence, and contribute to disaster response and operational continuity as needed.

Qualifications

• Must be licensed (unrestricted) as a medical doctor by the State of Texas and board certified or board eligible in Psychiatry.
• Must have current DEA registration and a National Provider Identifier (NPI).
• At least five years of experience as a psychiatrist and in treating psychiatric disorders.

Responsibilities

• Directs clinical care and oversees psychiatric and medical treatment at the state hospital.
• Provides strategic direction and leadership to hospital staff.
• Develops recovery plans and oversees quality assurance initiatives.
• Participates in hospital committees and manages contracts.
• Maintains regulatory compliance and participates in disaster response when needed.

Skills

Psychiatry leadership

Regulatory compliance

Education

M.D. (Medical Doctor)

Job description

Career Opportunities: Medical Director (21686)

Posting ID21686-Posted09/22/2026-Health & Human Services Comm-General Admin-Healthcare Support-Terrell State Hospital-Not Eligible for Telework-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: Psychiatrist V
• Agency: Health & Human Services Comm
• Department: General Admin
• Posting Number: 21686
• Closing Date: 11/21/2026
• Posting Audience: Internal and External
• Occupational Category: Healthcare Support
• Salary Range: $25,374.89-$27,975.83
• Pay Frequency: Monthly
• Salary Group: TEXAS-B-36
• Shift: Day
• Additional Shift: None
• 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: Terrell State Hospital
• Job Location City: TERRELL
• Job Location Address: 1200 E BRIN
• Other Locations: None
• 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-orientated 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 Psychiatrist V performs managerial (senior level) work for the State Hospitals. Provides clinical leadership that involves directing, overseeing, and/or coordinating psychiatric, mental, and behavioral health, medical treatment and other clinical activities in the state hospital. Monitors trends, oversees the diagnosing and treatment plans of all patients, and develops policies and procedures to admit, access, and administer specialized psychiatric and medical treatments and determines when patient should be discharged. The Psychiatrist V directs clinical quality assurance and performance improvement projects and initiative at the hospital level and supervises the work of employees at the state hospital. Works under minimal supervision with extensive latitude for the use of initiative and independent judgment. Work involved directing psychiatric activities in the state hospital, monitoring trends and activities, has oversight of subordinate psychiatrists and nurse practitioners who diagnose and treat patients, and administers specialized psychiatric treatments and perform procedures. When required, this position may take on patients as primary doctor such as times when attending doctor is unavailable. Represents clinical services as a member of the hospital governing body, Executive Committee, and other HHSC or agency-wide committees.

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.

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 how recovery plans are person centred 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 time frames 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.

Oversees all the psychiatric and medical treatment provided at the state hospital through direction to the state hospital staff. Provides strategic direction and leadership to the hospital staff, ensuring Patient-Centered Care Initiatives for our patients, resource optimization, and training and professional development.

Oversees the provision of examinations, diagnostic testing, treatment planning, and administration of psychiatric and general medical care through formulation of evidence‑based policies and procedures in accordance with statute, rules, regulations, and hospital or behavioral health accrediting body requirements. At times, must perform as attending doctor.

Consults directly with state hospital clinical staff when patients experience difficult or refractory psychiatric problems and/or when new and investigatory psychiatric medications or treatment techniques become available; renders expert opinions in difficult clinical scenarios.

Monitors trends, oversees the diagnosing and treatment of all patients, and develops policies and procedures to admit, access, and administer specialized psychiatric and medical.

Directs clinical quality assurance and performance improvement projects and initiative at the hospital level and supervises the work of employees at the state hospital.

Directs psychiatric activities in the state hospital, monitoring trends and activities, has oversight of subordinate psychiatrists and advanced practice nurses who diagnose and treat patients, and administers specialized psychiatric treatments and procedures. Performs administrative duties such as oversight of development of Scope of Work for clinical contracts and complex clinical systems, reports.

Maintains open and regular communication with the other Medical Directors, Central Office, 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.

Works as a supervising physician and liaison to resolve issues related to student rotations at the SH by initiating contact with medical schools, attending meetings, and writing statements of work for contracts.

Performs other duties as assigned. Other duties may 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 psychiatric principles and methods
• Knowledge of general medicine methods and procedures
• Knowledge of principles and practices in the development, implementation, and documentation of individualized care and recovery plans
• Knowledge of statutes, regulations, and accreditation standards that apply to hospitals
• Knowledge of quality improvement and patient safety principles
• Skills in the care and treatment of patients
• Skills in the interpretation of regulatory requirements
• Skills in the development of policies and procedures
• Skills in leading and managing committees to accomplish goals
• Skills in conflict management
• Skills in conducting psychiatric research
• Skills in the use of a computer and applicable software
• Skills in the management of large, complex medical systems
• Skills in reading complex documents pertaining to regulation of medicine
• Ability to direct complex psychiatric care activities
• Ability to interpret complex medical, psychiatric, and psychological diagnostic studies and analyses
• Ability to interpret regulatory requirements and develop policies and procedures based upon those requirements
• Ability to develop Statements of Work for clinical contracts
• Ability to communicate effectively both orally and in writing

Registrations, Licensure Requirements or Certifications

Must be licensed (unrestricted) as a medical doctor by the State of Texas and be Board Certified or Board eligible in Psychiatry in the state of Texas.

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

• Residency experience will not be included in the requirements below
• At least five years of experience working as a psychiatrist is required
• At least five years of experience working with people with psychiatric disorders is required
• 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 Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service.

All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco and Terrell Center for Youth applicants must be 21 years of age.

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

Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures.

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 online 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.