Green Card Staff Psychiatrist Jobs
Staff Psychiatrist roles qualify for EB-2 and EB-3 green card sponsorship through PERM labor certification, which permanently transfers your medical expertise to a U.S. employer. Hospitals, community mental health centers, and VA facilities routinely sponsor foreign psychiatrists, covering I-140 filing costs as part of recruitment.
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INTRODUCTION
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: Psychiatrist V - Medical Director
Job Title: Psychiatrist V
Agency: Health & Human Services Comm
Department: General Admin
Posting Number: 21226
Closing Date: 11/09/2026
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: Days (First)
Telework: Eligible for Telework
Travel: Up to 10%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Facility Location: Panhandle State Hospital
Job Location City: AMARILLO
Job Location Address: 6610 W AMARILLO BLVD
Other Locations: Amarillo
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-oriented 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 involves 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 centered 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.
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.
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 to those 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.
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Get Access To All JobsTips for Finding Green Card Sponsorship in Staff Psychiatrist
Verify your medical credentials before applying
PERM petitions for psychiatrists require ECFMG certification, a completed U.S. residency, and an unrestricted state medical license. Confirm these are in order before targeting sponsoring employers, since missing any one will stall the labor certification process.
Target employers with established PERM infrastructure
Large hospital systems, federally qualified health centers, and the VA already have immigration counsel and recurring PERM filings. These employers process green card paperwork routinely and are less likely to withdraw sponsorship mid-case compared to smaller private practices.
Search verified sponsoring employers on Migrate Mate
Filter by Staff Psychiatrist roles with active green card sponsorship history. Migrate Mate surfaces employers who have filed PERM applications for this specialty, letting you focus outreach on organizations already equipped to sponsor your permanent residency.
Understand how the prevailing wage affects your offer
Your employer must pay at least the DOL-certified prevailing wage for your specialty and work location. Use the OFLC Wage Search to check the prevailing wage for psychiatrists in your target metro before negotiating, so you can confirm your offer qualifies.
Negotiate who covers PERM and I-140 filing costs
Employers must pay PERM advertising and DOL filing costs by law, but I-140 fees are negotiable. Raise this during the offer stage, not after signing, since some employers split or fully cover attorney and USCIS filing fees as part of recruitment packages.
File I-485 and I-140 concurrently when your priority date is current
Concurrent filing lets you apply for adjustment of status at the same time as the immigrant petition. Check the USCIS Visa Bulletin monthly, and once your EB-2 or EB-3 priority date becomes current, submit both forms together to cut months off your total green card timeline.
Green Card Staff Psychiatrist: Frequently Asked Questions
Do Staff Psychiatrist roles qualify for EB-2 or EB-3 green card sponsorship?
Both categories apply. EB-2 covers psychiatrists with an M.D. and specialization, since the role requires an advanced degree by definition. EB-3 is available for professionals who meet all licensing requirements but whose employer prefers the skilled-worker category. Your employer's immigration counsel typically recommends the category most likely to succeed given your credentials and the job description.
How does green card sponsorship differ from H-1B sponsorship for psychiatrists?
H-1B visa is a temporary work visa with a three-year initial period and annual lottery risk. A PERM-based green card is permanent residency with no annual cap at the EB-3 level for most countries, no renewal requirement, and no employer dependency once you receive your green card. The tradeoff is timeline: PERM labor certification and I-140 approval typically take one to two years before adjustment of status is filed.
Which types of employers sponsor green cards for Staff Psychiatrists most often?
VA medical centers, large hospital systems, federally qualified health centers, and state psychiatric hospitals are the most consistent sponsors. These organizations have legal and HR infrastructure built around recurring PERM filings. Smaller outpatient practices or private groups may be willing to sponsor but often lack established processes, which can lengthen the timeline or increase the risk of the case stalling.
How can I find Staff Psychiatrist jobs that include green card sponsorship?
Standard job boards rarely filter by PERM filing history or green card sponsorship status. Migrate Mate lets you search specifically for Staff Psychiatrist roles at employers who have filed PERM applications for this occupation, so you're applying to organizations that have already demonstrated willingness and capacity to sponsor permanent residency rather than hoping a generic listing includes sponsorship.
What happens to my green card case if I change employers during PERM processing?
If you leave before your I-140 is approved, the entire PERM case is abandoned and your new employer must start the process from scratch. Once your I-140 is approved and you've held that priority date for 180 days, portability rules under AC21 allow you to transfer the case to a new employer in the same or a similar occupation without losing your place in the queue.