Reports To: Chief Medical Officer
Location: Caroline Clinic, Cathedral Clinic, Reed Family Clinic, Street Medicine
Overview The Physician delivers high-quality, compassionate, and trauma-informed primary care services to individuals experiencing homelessness or housing instability. Reporting to the Chief Medical Officer, the Physician plays a critical role in both individual patient care and broader public health efforts. The position emphasizes the prevention, diagnosis, and management of disease through a lens of social determinants of health, systemic inequities, and community-driven strategies.
Duties and ResponsibilitiesClinical Responsibilities
- Provide comprehensive, trauma-informed primary care to individuals across the lifespan, including acute, chronic, and preventive care.
- Diagnose and manage complex medical conditions often affected by behavioral health, substance use disorders, and social determinants of health.
- May be required to deliver care in non-traditional settings such as streets, shelters, or mobile units, as applicable.
- Perform comprehensive physical exams for patients of all ages, consistent with training
- Diagnose and treat acute illnesses (e.g., infections, minor injuries)
- Manage chronic conditions such as diabetes, hypertension, asthma, and depression
- Conduct and interpret diagnostic tests (e.g., blood work, EKGs, X-rays)
- Prescribe and manage medications, therapies, and referrals
- Provide preventive care, including vaccinations, screenings, and lifestyle counseling
- Deliver age-appropriate health maintenance (e.g., well-child exams, adult annuals, geriatric care)
Patient Engagement and Support
- Establish trusting, respectful relationships with patients who may have experienced trauma, marginalization, or distrust in healthcare systems.
- Apply harm reduction strategies and meet patients where they are in their stage of readiness.
- Educate patients and caregivers on prevention, treatment adherence, and chronic disease self-management.
Care Coordination and Team-Based Collaboration
- Work collaboratively within a multidisciplinary team, including behavioral health providers, care coordinators, and outreach staff.
- Provide timely and appropriate referrals to specialty care and diagnostics and ensure follow-up.
- Support patients' access to wraparound services including housing, transportation, insurance enrollment, and food assistance.
Documentation and Compliance
- Maintain accurate and timely documentation in the Electronic Health Record (EHR) for all clinical encounters.
- Ensure compliance with Uniform Data System (UDS) reporting requirements and HRSA health center standards.
- Utilize proper billing and coding practices to support reimbursement and reporting.
- Complete grant documentation and other administrative requirements as needed.
Quality Improvement and Program Participation
- Contribute to quality improvement initiatives focused on equity, chronic disease outcomes, and preventive screening, as needed.
- Track and meet performance goals related to HRSA, and other funder-required metrics, as needed.
- Participate in operational site visits (OSVs) and assist with audit preparation and documentation reviews, as needed.
Professional Development and Mission Alignment
- Engage in ongoing training related to trauma-informed care, cultural humility, and health equity.
- Support the education and mentorship of medical students, residents, or fellows rotating through the clinic.
- Actively promote a welcoming, low-barrier, and patient-centered environment.
- Attend and participate in all staff meetings, clinical meetings, case reviews, and organization-wide initiatives aligned with the mission of serving people experiencing homelessness.
Minimum Qualifications
Doctor of Medicine (MD) or Doctor of Osteopathy (DO) from an accredited medical school
Board certified or board eligible in Family Medicine, Internal Medicine, or other primary care discipline
Current license to practice medicine in the State of Texas, in good standing
DEA license and current BLS certification
At least 2 years of post-residency clinical experience preferred
Strong understanding of trauma-informed care, harm reduction, and care for underserved populations
Proficiency in using electronic health records (EPIC preferred)
Strong analytical and problem-solving abilities.
Excellent written and verbal communication skills.
Ability to work effectively with diverse populations and stakeholders.
Preferred Qualifications
Experience working in Federally Qualified Health Centers (FQHCs), street medicine, or supportive housing
Experience with MAT, HIV care and/or integrated behavioral health
Public health or population health training or experience
Familiarity with HRSA, UDS, and FTCA standards
HHH values lived experience as an essential form of expertise. Individuals who have experienced homelessness, housing instability, or other barriers to healthcare access are strongly encouraged to apply.