Company: Texas Health and Human Services
Posted on: April 5, 2021
The Lufkin State Supported Living Center (SSLC) is seeking a Lead
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 Lead Psychiatrist performs highly advanced psychiatric work
under direct supervision of the SSLC 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 SSLC. Monitors trends and activities,
prepares reports, and makes recommendations for operational and
services improvement as appropriate. Serves as an active member of
the patient's Interdisciplinary Team (IDT) and provides guidance to
treatment team members regarding the treatment of the patients
under their care. Reviews patient records and files in conjunction
with the IDT 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 Peer Review Committees for
performance improvement as appropriate. Participate 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. Serves on assigned
committees as required. Works under minimal supervision with
extensive latitude for the use of initiative and independent
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.
Attends and participates in 90-day 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.
Conducts psychiatric clinics as scheduled and psychiatric reviews
as requested by the IDTs or the state office Medical 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
Attends on-site Neurology Clinic routinely. Attends other specialty
clinics (Ear, Nose, and Throat; Gynecological; Psychiatric;
Podiatry; Vision; and Dermatology) as requested and carries out
procedures and recommendations of visiting medical specialists.
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 Intermediate Care Facility for Individuals with
Intellectual Disabilities (ICF-IID) standards.
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
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
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 Medical Director,
facility Director, and other staff to ensure the transfer of needed
information and continuity of services. Participate in various
committees designed to ensure residents are receiving quality care,
such as Medical Services Division, Pharmacy, Therapeutics, and
Participates in the Executive Formulary Committee for SSLCs by
reviewing monographs related to new and old drugs, analyzing system
data, and attending quarterly meetings. Initiates and participates
as requested in 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, and the regulatory
environment. Travels occasionally to other SSLCs to participate in
team reviews to assess compliance with regulations, policies, and
Reviews the work of other Psychiatrists and clinic staff for
appropriateness of care, quality of care, and timeliness of care.
Manages staff within the psychiatric department. Provides regular
feedback (written and oral), performs yearly performance
evaluations in accordance with policy, and takes corrective action
Provides psychiatric coordination, collaboration, and consultation
with the facility Medical Director, the State Office Medical
Services Coordinator, the State Office Psychiatric Coordinator, as
well as the Director of the SSLC in all matters of resident care
services, quality improvement initiatives, Joint Commission
compliance, state Texas Administrative Code, Department of Justice,
and regulatory agency code compliances. Advises the facility
Medical Director, the state office Psychiatric Coordinator, and/or
state office Medical Services Coordinator of unusual or difficult
psychiatric problems experienced at the SSLC.
Stays current with research of psychiatric and behavioral health
treatments. Reviews and makes recommendations to the appropriate
authority for changes in evaluation tools and treatment protocols
used to ensure compliance with the standards for quality of care
concerning psychiatry and behavior health services.
Provides staff guidance and training for new employees,
professional staff, direct contact staff, and families.
Participates in mandatory training per HHS policies and procedures,
HIPAA policies, state and federal rules and regulations, ICF-IID
regulations, and the requirements in the SSLC's Department of
Justice Settlement Agreement in order to provide quality
psychiatric services and care to individuals served.
If the assigned SSLC supports a psychiatric residency program,
serves as the assigned liaison to resolve issues related to student
rotations at the SSLC by initiating contact with medical schools,
attending meetings, and writing statements of work for
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 IDT 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
use of multiple psychotropic medications is necessary.
- Ability to plan, assign, and/or supervise the work of others.
- 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 registration certificate from the
Drug Enforcement Agency (DEA). Must possess a National Provider
Identifier (NPI#) as defined by Medicare Part B Initial Selection
- At least three (3) years' experience working as a psychiatrist is
- Experience working with people with mental illness and
intellectual disabilities is preferred.
- Residency trained.
Req ID 477320
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 hours.
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
process. MOS Code:
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
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. Home Page - FAQ's -
Contact Us: 1-888-894-4747, TTY - 1-866-839-2747, FAX -
1-866-245-3646 or E-mail
Application Mailing Address - P.O. Box 6629, Round Rock, TX
78683-6629, Attn: Staffing and Recruitment
Keywords: Texas Health and Human Services, Tyler , Psychiatrist IV, Healthcare , Pollok, Texas
Didn't find what you're looking for? Search again!