The Brenham State Supported Living Center (SSLC) is seeking a
Psychiatrist to join an interdisciplinary team of professionals to
provide clinical care to residents of the SSLC. As an SSLC [enter
clinical position], you will work at the SSLC campus with a dynamic
group of staff and professionals who are dedicated to providing
supports and services for individuals with intellectual and
developmental disabilities. This is a team environment where staff
clinicians collaborate to provide comprehensive care and services.
To learn more about the SSLCs, see
The most important characteristic about SSLC employees is that
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. Our vision statement is "Individuals served at State
Supported Living Centers will experience the highest quality of
life, supported through a comprehensive array of services designed
to maximize well-being, dignity, and respect."
The state of Texas offers many benefits to employees, including
competitive salaries, career advancement, health and dental
insurance, and paid vacation and sick leave.
The Psychiatrist performs advanced psychiatric assessment work
and reports directly to the SSLC Medical Director. Work involves
conducting psychiatric activities, monitoring trends, diagnosing,
and treating SSLC residents. Administers quality and appropriate
specialized psychiatric treatments, assessments, and procedures as
needed. Reviews and analyzes system data to ensure treatment plans
are individualized and decisions are made in conjunction with the
Interdisciplinary Team (IDT). Ensures that the treatment plans are
implemented as designed by providing consultation or training as
needed to behavioral health and direct care staff. Attends
weekly/monthly meetings and leads/chairs discussions to inform and
create buy-in to necessary changes, and follows through on the
implementation plans. Participates in Peer Review Committees for
performance improvement as appropriate. Participates in or directs,
as requested, any other clinically related committee that is formed
for the SSLCs 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
state office Medical Services Coordinator. Plans, assigns, and
guides the work of others in the process of the multi-disciplinary
approach to resident care. May supervise others depending upon SSLC
structure. Performs other duties relative to the position. Works
under minimal supervision, with extensive latitude for the use of
initiative and independent judgment.
Essential Job Functions:
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. Serves on-call in a
rotating schedule as needed to respond to emergencies.
Utilizes a multi-disciplinary approach to complete psychiatric
assessments of individuals, and administers
psychiatric treatments and medications within the SSLC
policies/procedures as deliberated with and agreed upon by the IDT.
Conduct all required medication reviews in conjunction with
psychologist and nurse according to Intermediate Care Facility for
Individuals with Intellectual Disabilities (ICF-IID) standards.
Attends and participates in medication reviews and other meetings
as requested by the IDT or administrators. Performs medication
reviews in accordance with policy. Plans, assigns, and guides the
work of others in the process of the multi-disciplinary approach to
resident care per policy and procedures and the Department of
Justice settlement agreement.
Establish physician-patient relationship by direct face-to-face
contact. For newly admitted individuals, face-to-face contact must
be established within 14 calendar days since new admission.
Conducts at least quarterly psychiatric clinics as scheduled,
emergency and follow up psychiatric clinics and psychiatric reviews
as requested by the IDTs or the state office Psychiatric Services
Coordinator. Treats each individual with the most effective
medication and the most effective dosage. Reviews lab work,
modifies treatment plans, and records deliberations and
recommendations accurately and timely in the electronic health
Develops and implements psychiatric treatment plans documenting
how supports and interventions are customized for the individuals'
psychiatric needs as well as their strengths and preferences.
Documents how treatment plans are 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
IDT, behavioral health, and direct care staff while following HHS
and local policies and procedures, state and federal rules and
regulations, and ICF-IID standards.
Reads and analyzes medical records, leads discussions in staff
meetings, participates in conference calls concerning clinical
psychiatric issues, and 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 neurology for
dually diagnosed individuals. Provides Neurologist with necessary
information and ensures that psychiatry notes reflect this
Consults with other psychiatrists, medical staff, behavioral
health specialists and/or psychologists, and others to
collaboratively develop behavioral 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, writing orders for the
emergency use of medication, and coordinating psychiatric
hospitalizations as a last resort when clinically indicated.
Participates in post-chemical restraint assessment not later than
72 hours post chemical restraint.
Reviews and monitors system data and trends related to the
quality of psychiatric care provided at the SSLC at least monthly.
Addresses issues identified through monitoring of data and presents
changes to the IDT. Attends meetings and chairs discussions to
inform and create buy-in to necessary changes, and follows through
on the individualized implementation plans. Participates in desk
and onsite audits by reading records and applying audit tools.
Maintains open and regular communication with the Lead
Psychiatrist, Medical Director, Facility Director, and other staff
to ensure the transfer of needed information and continuity of
services. Participates in various committees designed to ensure
residents are receiving quality care, such as Medical Services
Division, Pharmacy, Therapeutics, Clinical Death Review,
Administrative Death Review, Root Cause Analysis, and Admission
Participate in mandatory training per HHS policies and
procedures, HIPAA policies, state and federal rules and
regulations, and ICF-IID regulations, and the requirements in the
SSLC's Department of Justice Settlement Agreement to provide
quality psychiatric services and care to individuals served.
Develops, implements, organizes, and provides leadership in the
area of Psychiatric Services following HHS policies and procedures,
state and federal rules and regulations, and ICF-IID standards in
order to provide quality psychiatric services and care to
May manage staff within the psychiatric department providing
regular feedback, conducting performance evaluations, and taking
corrective action when needed, depending upon facility
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 Abilities:
- Knowledge of methods and procedures in the field of general
medicine and general psychiatry; and of principles of the
development, implementation, and documentation of individualized
care and treatment plans.
- Knowledge of the principles of behavior treatment and ability
to work collaboratively with the behavioral health staff.
- Knowledge of the state formulary guidelines for maximum doses,
and if exceeded, provides detailed documentation of exception,
ensuring efficacy, safety, and tolerance.
- Knowledge and skills in providing services to people with
intellectual and developmental disabilities in a large residential
- Skill in the care and treatment of patients; in the use of
medical and psychiatric diagnostic and treatment tools and
equipment; and in conducing psychiatric research when
- Knowledge and skill in effectively using an electronic
healthcare system and Microsoft Office products.
- Ability to assess, diagnoses, and prescribe/supervise treatment
to assigned patients while conforming to local policy, Texas
Administrative Code, and applicable laws to decrease psychiatric
- Ability to direct psychiatric activities; to examine, diagnose,
and treat mental disorders; to interpret psychological diagnoses
and analyses; develop policies and procedures; and to prepare and
supervise the preparation of case histories and medical
- Ability to solve medically difficult issues by considering
opinions of consultants and/or appropriate literature including
- Ability to work with the Interdisciplinary Team by facilitating
a unified, effective team approach using the expertise of all team
members in order to assure high quality patient care.
- Ability to participate with other psychiatric staff to provide
continuous quality improvement and to promote quality care by
adhering to the plan of improvement and state initiatives.
- Ability to manage "polypharmacy" and to justify and document
when the use of multiple psychotropic medications is
- Ability to plan, assign, and/or supervise the work of
- Ability to work independently using good judgement and advanced
time management skills.
- Ability to participate in annual training as well as any other
required specific training in order to assure up to date skills and
knowledge in required areas such as CPR, Safe Use of Restraints,
- Ability to organize and present information effectively, both
orally and in writing.
Registration or Licensure Requirements:
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 unrestricted registration
certificate from the Drug Enforcement Agency (DEA). Must possess a
National Provider Identifier (NPI#) as defined by Medicare Part B.
Initial Selection Criteria:
- Residency trained.
- At least three years experience working as a psychiatrist is
- Experience working with people with mental illness and
intellectual disabilities is preferred.
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 OIG List of
Excluded Individuals/ Entities. 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.
This position may be required to work overtime and/or extended
All applicants must be at least 18 years of age to be considered
for employment at a state-operated facility.
All new hire candidates will be required to receive COVID-19
medical screening (nasal test) as part of the due diligence
Military occupation(s) that relate to the initial selection
criteria and registration or licensure requirements for this
position may include: 60U, 60W, 210X, 92, MED10, 44PX. All active
duty military, reservists, guardsmen, and veterans are encouraged
to apply if qualified to fill this position. For more information
see the Texas State Auditor's Military Crosswalk at http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx
HHS agencies use E-Verify. You must bring your I-9 documentation
with you on your first day of work.
I-9 Form - Click here to download the I-9 form.
In compliance with the Americans with Disabilities Act (ADA),
HHS 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.