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 Responsibilities Clinical 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.