Medical Director Psychiatry Green Card Jobs
Medical Director Psychiatry roles at U.S. health systems and behavioral health organizations qualify for EB-2 and EB-3 green card sponsorship through PERM labor certification. Employers file on your behalf, certifying the role requires an advanced medical degree. Securing sponsorship in psychiatry leadership typically means navigating credentialing verification, prevailing wage compliance, and I-140 approval before adjustment of status.
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INTRODUCTION
For more than 55 years, Family Health Centers of San Diego’s (FHCSD) mission has been to provide caring, affordable, high-quality health care and supportive services to everyone, with a special commitment to uninsured, low-income and medically underserved persons.
FHCSD is one of the top 10 largest federally qualified health centers (FQHCs) in the country. We operate more than 90 sites across San Diego County, including 29 primary care clinics, 23 behavioral health facilities, 10 physical rehabilitation clinics, nine dental clinics, five vision clinics, four outpatient substance use treatment programs, three mobile medical units, two mobile counseling centers, two urgent care centers, and a pharmacy.
Our staff provides care to over 227,000 patients each year, of whom 91% are low-income and 29% are uninsured. FHCSD provides care to all. Services include, but are not limited to adult care, chronic disease management, pediatrics, comprehensive women’s care including obstetrics, dental, vision, case management, physical rehabilitation, speech therapy for children, vaccinations, infectious diseases, behavioral health, substance use counseling and a host of specialty services including cardiology, podiatry, endocrinology, dermatology, among others. FHCSD also offers supportive services to those who are unsheltered and in need of intensive case management.
The breadth of our clinic locations, services and programs has grown over the last five decades, making us the largest community clinic provider of health care to the uninsured in the county and one of the top 10 largest community clinic organizations in the nation. We are also the largest health care safety-net provider, largest school-based health care provider and the largest mental health provider in the San Diego region.
GENERAL JOB DESCRIPTION
In close collaboration with FHCSD Mental Health Administration, provides psychiatric services including assessment/evaluation, diagnosis and treatment in assigned areas. Additionally assumes medical leadership role for psychiatry services assisting with administrative tasks as well as the development of psychiatric/mental health protocols and best practices. You enjoy leading your provider team to excellence, supervising advanced practice providers and may have the opportunity to teach future generations of providers through organizations psychiatry residency program.
JOB ROLES
- Builds positive relationships, inspires others to perform at a higher level, prepares career development plans and retains an accountable workforce.
- Coaches and counsels staff and administers appropriate disciplinary action in a timely manner.
- Provides oversight and clinical support to other providers, programs and projects.
- Completes all required documentation accurately, in a timely manner, and thoroughly in accordance with department standards; in addition, documentation complies with patients' insurance requirements.
- Maintains satisfactory peer reviews: able to assess medical information including pathophysiology, patient presentation, differential diagnosis, etc., in order to facilitate health promotion and disease prevention.
- Meets clinic site and organization needs in a reliable and flexible manner; prioritizes work and makes an effort to adhere to schedule.
- Participates in continuous improvement activities and ensures appropriate Lean tools (i.e., 5S, A3) are deployed and results are evaluated and/or measured.
- Participates in quality/performance improvement and leadership initiatives as feasible and works closely with both assigned Clinic management and therapists to provide high quality mental health services to patients.
- Performs other duties as assigned.
- Performs psychiatry peer reviews and evaluations; counsels providers on findings when applicable; collaborates with Clinic Director/Manager in provider evaluations.
- Supervises advanced practice providers in a timely and responsive manner.
- Provides comprehensive evaluations, diagnosis and treatment of patients with mental illness, emotional disorders and/or substance abuse. As needed, examines patients to determine presence of physical disease utilizing physical finds, laboratory results and medical history. Maintains the appropriate productivity expectation based on contract, program or clinic assignment.
- Provides/ensures staff receive all new hire and annual trainings on time.
- Researches literature on best practices and develops curriculum, interventions, and protocols to adopt best psychiatry/mental health practices at FHCSD.
- Works effectively as a member of the multi-disciplinary treatment team. Communicates with providers, physicians, case managers, scheduling staff, referring providers, and with outside agencies and authorities, in a timely and appropriate manner. Coordinates and links psychiatric treatment plan with both FHCSD therapy, case management, primary care "medical home," and with community support systems as appropriate. In integrated behavioral health sites, provides consultation and support to primary care providers in the management of primary care patients with mental health concerns.
- Supervises advanced practice providers in a timely and responsive manner.
- Performs other duties as assigned.
EDUCATION/CERTIFICATIONS/LICENSES/REGISTRATIONS
- Ability and means to travel as needed in a timely manner within San Diego County. DRIVER REQUIREMENTS: Requires an active Class C California driver's license, proof of liability insurance at $100,000, on vehicle used. No more than 2 points in past 12 months; No suspensions in last 2 years for moving violations; No DUI, reckless or felony Driving within 5 years. No license revocation in 7 years.
- Board Certification in Psychiatry plus 2+ years of psychiatry experience in an FQHC or community health center setting.
- Current American Heart Association healthcare provider CPR (BLS), or Advanced Cardiac Life Support, Advanced Trauma Life Support, or Advance Resuscitation Training.
- DEA license.
- Graduate from an accredited school of medicine; completion of a 4 year residency in General Psychiatry.
- Must possess current unrestricted license to practice in the State of California.
EXPERIENCE/SPECIALIZED SKILLS (INCLUDING LANGUAGE)
- Ability to maintain good interpersonal interactions with clients and co-workers as a member of a multi-disciplinary community health team with a diverse multi-cultural population.
- Ability to work effectively with patients from diverse social, cultural and economic groups.
- Ability to work well in both a team-based environment and independently.
- Basic computer literacy ability to comply with department needs and expectations (i.e., electronic medical record documentation, obtaining background information and reports on patients, following up on appointments, etc.).
- Bilingual in Spanish/English preferred.
- Clinical skills appropriate to scope of practice and clinical judgment necessary to implement the treatment plan.
- Demonstrated ability to be culturally sensitive and respect diversity.
- Demonstrated medical/psychiatric knowledge and clinical skills, including ability to assess both medical and psychiatric information including patient presentation, differential diagnosis, and psychopharmacology needs.
- Good written and verbal communication skills, including ability to communicate effectively with patients and family members who speak English as a second language.
- Must possess a demonstrated commitment to community medicine.
COMPENSATION
We are excited to share that the salary range for this position is:
269,588.80 - 423,654.40
Information on our extensive benefits package can be found here: FHCSD Wellness – Employee Hub (gobenefits.net)
FHCSD provides Equal Employment Opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, transfer, leave of absence, compensation, and training.

INTRODUCTION
For more than 55 years, Family Health Centers of San Diego’s (FHCSD) mission has been to provide caring, affordable, high-quality health care and supportive services to everyone, with a special commitment to uninsured, low-income and medically underserved persons.
FHCSD is one of the top 10 largest federally qualified health centers (FQHCs) in the country. We operate more than 90 sites across San Diego County, including 29 primary care clinics, 23 behavioral health facilities, 10 physical rehabilitation clinics, nine dental clinics, five vision clinics, four outpatient substance use treatment programs, three mobile medical units, two mobile counseling centers, two urgent care centers, and a pharmacy.
Our staff provides care to over 227,000 patients each year, of whom 91% are low-income and 29% are uninsured. FHCSD provides care to all. Services include, but are not limited to adult care, chronic disease management, pediatrics, comprehensive women’s care including obstetrics, dental, vision, case management, physical rehabilitation, speech therapy for children, vaccinations, infectious diseases, behavioral health, substance use counseling and a host of specialty services including cardiology, podiatry, endocrinology, dermatology, among others. FHCSD also offers supportive services to those who are unsheltered and in need of intensive case management.
The breadth of our clinic locations, services and programs has grown over the last five decades, making us the largest community clinic provider of health care to the uninsured in the county and one of the top 10 largest community clinic organizations in the nation. We are also the largest health care safety-net provider, largest school-based health care provider and the largest mental health provider in the San Diego region.
GENERAL JOB DESCRIPTION
In close collaboration with FHCSD Mental Health Administration, provides psychiatric services including assessment/evaluation, diagnosis and treatment in assigned areas. Additionally assumes medical leadership role for psychiatry services assisting with administrative tasks as well as the development of psychiatric/mental health protocols and best practices. You enjoy leading your provider team to excellence, supervising advanced practice providers and may have the opportunity to teach future generations of providers through organizations psychiatry residency program.
JOB ROLES
- Builds positive relationships, inspires others to perform at a higher level, prepares career development plans and retains an accountable workforce.
- Coaches and counsels staff and administers appropriate disciplinary action in a timely manner.
- Provides oversight and clinical support to other providers, programs and projects.
- Completes all required documentation accurately, in a timely manner, and thoroughly in accordance with department standards; in addition, documentation complies with patients' insurance requirements.
- Maintains satisfactory peer reviews: able to assess medical information including pathophysiology, patient presentation, differential diagnosis, etc., in order to facilitate health promotion and disease prevention.
- Meets clinic site and organization needs in a reliable and flexible manner; prioritizes work and makes an effort to adhere to schedule.
- Participates in continuous improvement activities and ensures appropriate Lean tools (i.e., 5S, A3) are deployed and results are evaluated and/or measured.
- Participates in quality/performance improvement and leadership initiatives as feasible and works closely with both assigned Clinic management and therapists to provide high quality mental health services to patients.
- Performs other duties as assigned.
- Performs psychiatry peer reviews and evaluations; counsels providers on findings when applicable; collaborates with Clinic Director/Manager in provider evaluations.
- Supervises advanced practice providers in a timely and responsive manner.
- Provides comprehensive evaluations, diagnosis and treatment of patients with mental illness, emotional disorders and/or substance abuse. As needed, examines patients to determine presence of physical disease utilizing physical finds, laboratory results and medical history. Maintains the appropriate productivity expectation based on contract, program or clinic assignment.
- Provides/ensures staff receive all new hire and annual trainings on time.
- Researches literature on best practices and develops curriculum, interventions, and protocols to adopt best psychiatry/mental health practices at FHCSD.
- Works effectively as a member of the multi-disciplinary treatment team. Communicates with providers, physicians, case managers, scheduling staff, referring providers, and with outside agencies and authorities, in a timely and appropriate manner. Coordinates and links psychiatric treatment plan with both FHCSD therapy, case management, primary care "medical home," and with community support systems as appropriate. In integrated behavioral health sites, provides consultation and support to primary care providers in the management of primary care patients with mental health concerns.
- Supervises advanced practice providers in a timely and responsive manner.
- Performs other duties as assigned.
EDUCATION/CERTIFICATIONS/LICENSES/REGISTRATIONS
- Ability and means to travel as needed in a timely manner within San Diego County. DRIVER REQUIREMENTS: Requires an active Class C California driver's license, proof of liability insurance at $100,000, on vehicle used. No more than 2 points in past 12 months; No suspensions in last 2 years for moving violations; No DUI, reckless or felony Driving within 5 years. No license revocation in 7 years.
- Board Certification in Psychiatry plus 2+ years of psychiatry experience in an FQHC or community health center setting.
- Current American Heart Association healthcare provider CPR (BLS), or Advanced Cardiac Life Support, Advanced Trauma Life Support, or Advance Resuscitation Training.
- DEA license.
- Graduate from an accredited school of medicine; completion of a 4 year residency in General Psychiatry.
- Must possess current unrestricted license to practice in the State of California.
EXPERIENCE/SPECIALIZED SKILLS (INCLUDING LANGUAGE)
- Ability to maintain good interpersonal interactions with clients and co-workers as a member of a multi-disciplinary community health team with a diverse multi-cultural population.
- Ability to work effectively with patients from diverse social, cultural and economic groups.
- Ability to work well in both a team-based environment and independently.
- Basic computer literacy ability to comply with department needs and expectations (i.e., electronic medical record documentation, obtaining background information and reports on patients, following up on appointments, etc.).
- Bilingual in Spanish/English preferred.
- Clinical skills appropriate to scope of practice and clinical judgment necessary to implement the treatment plan.
- Demonstrated ability to be culturally sensitive and respect diversity.
- Demonstrated medical/psychiatric knowledge and clinical skills, including ability to assess both medical and psychiatric information including patient presentation, differential diagnosis, and psychopharmacology needs.
- Good written and verbal communication skills, including ability to communicate effectively with patients and family members who speak English as a second language.
- Must possess a demonstrated commitment to community medicine.
COMPENSATION
We are excited to share that the salary range for this position is:
269,588.80 - 423,654.40
Information on our extensive benefits package can be found here: FHCSD Wellness – Employee Hub (gobenefits.net)
FHCSD provides Equal Employment Opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, transfer, leave of absence, compensation, and training.
See all 23+ Medical Director Psychiatry jobs
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Get Access To All JobsTips for Finding Green Card Sponsorship in Medical Director Psychiatry
Verify your psychiatric credentials transfer cleanly
Foreign medical degrees must be evaluated for U.S. equivalency before PERM filing begins. Confirm your psychiatry board certification or residency completion will satisfy the DOL's stated minimum requirements for the role, not just the employer's internal standards.
Target health systems with active PERM histories
Academic medical centers, large behavioral health networks, and VA-affiliated hospitals file PERM applications regularly for psychiatry leadership. Use Migrate Mate to filter Medical Director roles by employers with documented green card sponsorship activity before you apply.
Understand the prevailing wage before negotiating
PERM requires your offered salary to meet the DOL-certified prevailing wage for Medical Directors in your metro area. Run the OFLC Wage Search for SOC code 11-9111 before entering salary discussions so you know the floor your employer must clear.
Distinguish EB-2 from EB-3 for your situation
A Medical Director role with an MD and psychiatric subspecialty typically supports EB-2 as an advanced-degree professional. If your credentials include a foreign fellowship not yet evaluated, EB-3 may be the safer filing path while credential review is pending.
Ask employers about concurrent I-140 and I-485 filing
Once PERM is certified, employers can file the I-140 petition with USCIS. If your priority date is current, concurrent I-485 filing shortens your path to permanent residency. Confirm whether your prospective employer's immigration counsel supports concurrent filing as standard practice.
Prepare for the PERM recruitment documentation phase
DOL requires employers to run specific recruitment steps before PERM is filed, including job postings and documentation that no qualified U.S. worker was available. Delays often come from incomplete recruitment records, not the application itself, so confirm your employer's process is thorough.
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Find Medical Director Psychiatry JobsMedical Director Psychiatry Green Card Sponsorship: Frequently Asked Questions
Do Medical Director Psychiatry roles qualify for EB-2 or EB-3 green card sponsorship?
Most Medical Director Psychiatry positions qualify for EB-2 because they require an MD or DO plus psychiatric training, which meets the advanced-degree threshold. EB-3 remains available if credentialing complications prevent an EB-2 filing. The sponsoring employer determines the category based on the position's stated minimum requirements, not your personal qualifications alone.
How does PERM green card sponsorship differ from H-1B sponsorship for this role?
H-1B grants temporary status in two- or three-year increments with annual cap exposure, while PERM-based sponsorship leads to permanent residency with no recurring cap lottery. The PERM process is employer-driven and more document-intensive, but once your I-140 is approved your priority date is locked regardless of how long adjustment of status takes.
How long does the PERM process typically take for a Medical Director Psychiatry position?
DOL analyst review for PERM applications has ranged from several months to over a year depending on audit rates and workload. After PERM certification, USCIS I-140 adjudication adds additional time. Applicants from countries without significant EB-2 or EB-3 backlogs, such as most of Europe and Australia, can reach adjustment of status faster than applicants from India or China.
What should I look for when evaluating whether a psychiatry employer will actually sponsor a green card?
Search for employers with a documented history of PERM filings in psychiatry or healthcare leadership. Migrate Mate surfaces Medical Director Psychiatry roles specifically from employers with active green card sponsorship records, so you can focus your applications on organizations that have completed the process before rather than those offering informal commitments.
Can I switch employers during the PERM or green card process without losing my place?
Portability rules under AC21 allow you to change to a same or similar occupational role after your I-485 has been pending for 180 days without restarting the process. Before that threshold, changing employers generally requires a new PERM filing. Medical Director roles across different health systems often qualify as similar occupations under USCIS guidelines, but confirm with your immigration counsel before any transition.
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