Tele-Psychiatrist Part-Time Flexible Schedule Work from Anywhere Rural Texas Position Overview The Rural Health Hub (RHH) is seeking a Tele-Psychiatrist to provide high-quality psychiatric care to adults in rural and medically underserved Texas communities. This flexible, part-time role allows the psychiatrist to work remotely while trained clinical staff are physically present with the patient when appropriate. The physician will evaluate and manage a broad range of psychiatric conditions, provide longitudinal medication management and psychiatric care, and collaborate closely with primary care clinicians, therapists, hospitals, social workers, and other specialists. The goal is to give rural patients reliable access to psychiatric expertise without requiring repeated long-distance travel to major medical centers. The Rural Health Hub Model RHH uses a hybrid-telehealth model that combines remote psychiatric expertise with local clinical support and care coordination. Local medical assistants, nurses, advanced practice providers, behavioral health clinicians, or other trained personnel may assist with: Medical and psychiatric history gathering Medication reconciliation Vital signs and relevant physical measurements Standardized behavioral and mental health screening Coordination of laboratory testing when indicated Medication monitoring Substance use screening Coordination with therapists and primary care clinicians Safety planning and escalation of urgent concerns Referrals, follow-up care, and communication with the local care team This model allows psychiatrists to provide meaningful longitudinal psychiatric care while maintaining strong connections with the clinicians and community resources surrounding the patient.
Key Responsibilities:
Conduct initial and follow-up psychiatric evaluations by telehealth Diagnose and manage common adult psychiatric conditions Develop individualized treatment plans Provide psychopharmacologic management when appropriate Review medication response, side effects, laboratory results, and prior medical records Perform psychiatric diagnostic assessments and mental status examinations Evaluate mood, anxiety, behavioral, cognitive, and functional concerns Educate patients and families regarding diagnoses and treatment options Collaborate with therapists, counselors, psychologists, primary care clinicians, and other specialists Provide guidance to local clinicians managing complex behavioral health conditions Monitor patients receiving psychiatric medications Identify patients requiring urgent, emergency, or higher-acuity psychiatric evaluation Develop appropriate safety plans and escalation pathways Coordinate referrals for psychotherapy, psychological testing, inpatient care, intensive outpatient programs, partial hospitalization, substance use treatment, or other behavioral health services Complete timely documentation and clinical follow-up Clinical Scope Patients may include adults with: Major depressive disorder Generalized anxiety disorder Panic disorder Social anxiety disorder Bipolar disorder Obsessive-compulsive disorder Post-traumatic stress disorder Trauma- and stressor-related disorders Adjustment disorders Insomnia and sleep-related psychiatric concerns Attention-deficit/hyperactivity disorder in adults Psychotic disorders Schizophrenia and schizoaffective disorder Mood instability Grief-related psychiatric concerns Substance use disorders in coordination with appropriate treatment resources Alcohol use disorder Medication-related psychiatric or behavioral concerns Psychiatric symptoms associated with chronic medical illness Perinatal and postpartum psychiatric conditions Complex psychiatric medication management Self-harm behaviors Suicidal thoughts requiring psychiatric assessment and safety planning Diagnostic uncertainty requiring psychiatric evaluation Patients requiring emergency psychiatric intervention, inpatient hospitalization, detoxification, intensive treatment, or other higher-acuity behavioral health services would be coordinated with appropriate local or regional resources. Collaborative Care Psychiatric care is often most effective when it is integrated with the patient's broader healthcare team. RHH supports close collaboration between the psychiatrist and the patient's local care team, which may include: Family physicians Internal medicine physicians Advanced practice providers Therapists and counselors Psychologists Social workers Addiction medicine clinicians Neurologists Pain management specialists Hospitals and emergency departments Community behavioral health organizations The psychiatrist can provide both direct patient care and specialty guidance to the local clinicians who continue caring for the patient between psychiatric visits. Medication Management and Longitudinal Care For patients receiving psychiatric medications, the psychiatrist can provide ongoing monitoring and adjustment while local clinicians assist with physical measurements and testing when needed. This may include: Monitoring medication effectiveness Reviewing adverse effects Tracking blood pressure, weight, metabolic parameters, and other relevant measures Ordering or reviewing appropriate laboratory testing Evaluating adherence and medication interactions Adjusting psychiatric medications when clinically appropriate Monitoring antipsychotic, mood-stabilizing, antidepressant, and other psychiatric therapies Coordinating medication plans with the patient's primary care clinician The goal is to create consistent, longitudinal psychiatric care rather than episodic telemedicine encounters. Safety and Higher-Acuity Care RHH's local clinical presence provides an important layer of support for behavioral healthcare. When significant safety concerns are identified, the psychiatrist works with the local care team and patient to determine the appropriate level of intervention. This may include: Immediate safety assessment Suicide risk evaluation Safety planning Family or caregiver involvement when appropriate Coordination with local emergency departments Referral for urgent psychiatric assessment Inpatient psychiatric hospitalization when indicated Intensive outpatient or partial hospitalization services Coordination with local behavioral health and crisis resources The telepsychiatry role is designed to complement not replace local emergency and crisis services.
Ideal Candidate:
This position is well suited for a psychiatrist who values longitudinal relationships, collaborative care, and expanding access to patients who may otherwise wait months or travel hours for psychiatric treatment. The ideal physician may be: Seeking a flexible part-time telehealth role Interested in complementing an existing clinical or academic practice Passionate about improving access to psychiatric care Comfortable managing both diagnostic complexity and longitudinal medication treatment Interested in working collaboratively with rural primary care clinicians Experienced in caring for patients with complex psychiatric and medical needs Interested in helping build sustainable behavioral health services in underserved communities An experienced psychiatrist seeking a reduced or more flexible clinical schedule Experienced psychiatrists, academic physicians, and clinicians transitioning toward part-time or semi-retirement practice are encouraged to apply.
Qualifications:
MD or DO degree Board certified or board eligible in Psychiatry Active Texas medical license or eligibility to obtain one Strong adult psychiatric diagnostic and treatment skills Experience with psychopharmacology Ability to practice effectively through telehealth Strong communication skills with patients and families Strong collaboration skills with primary care and behavioral health teams Commitment to rural and underserved populations Experience in telepsychiatry, rural healthcare, collaborative care, addiction psychiatry, integrated behavioral health, or community psychiatry is welcomed but not required. Schedule and Work Arrangement Part-time, flexible telehealth schedule Recurring weekly clinic blocks available Work remotely with no relocation required Local clinical personnel available to support patient care Scheduling, technology, and care-coordination support provided Opportunity to expand hours as the network grows Why Join Rural Health Hub? Bring psychiatric care to communities with limited or no local specialist access Help patients receive treatment before symptoms escalate to crisis Reduce specialty care delays and long-distance travel Work remotely while maintaining meaningful longitudinal patient relationships. click apply for full job details
