Emergency Room Physician

Primarily nights.

POSITION SUMMARY

The Emergency Room Physician is responsible for providing high-quality, patient-centered emergency medical care in a small, CMS-certified emergency department. This role focuses on rapid assessment, stabilization, diagnosis, and treatment of patients presenting with acute illness or injury while ensuring compliance with CMS regulations and hospital policies.

Position Highlights

• Patient Volume & Acuity : 10–12 patients per 24-hour day (low volume, lower-acuity setting with minimal transfers)
• Shift Structure : 12-hour shifts with the flexibility to extend to 24-hour shifts when desired (allowing more consecutive days off)
• Team Support : Collaborative environment with experienced nursing staff and APP support; hospitalist handles all inpatient/observation cases
• Facility : Modern, well-equipped micro-hospital focused on efficient, high-quality emergency and limited inpatient care

Compensation & Benefits

• Competitive Hourly Rate : $185 per hour for full-time clinical hours
• Malpractice Insurance : Fully covered, including tail coverage
• Additional Perks : Texas has  no state income tax , significantly boosting your take-home pay compared to many other states

ESSENTIAL FUNCTIONS

Reasonable Accommodations Statement

To perform this job successfully, an individual must be able to perform each essential function satisfactorily, with or without reasonable accommodation.

Key Responsibilities

• Direct Patient Care: Provide emergency medical evaluation, diagnosis, treatment, and stabilization for patients of all ages presenting with acute and urgent conditions.
• Triage & Prioritization: Rapidly assess patient acuity and prioritize care in a low-volume, high-variability setting.
• Procedures: Perform emergency procedures including but not limited to airway management, intubation, suturing, splinting, central line placement, and cardiac resuscitation.
• Stabilization & Transfer: Stabilize patients requiring higher levels of care and coordinate safe and timely admissions or transfers to appropriate facilities in accordance with EMTALA and CMS guidelines.
• Documentation: Accurately document all patient encounters in the electronic medical record (EMR) in compliance with CMS, billing, and regulatory standards.
• Collaboration: Work closely with nursing staff, ancillary services, hospitalists, EMS, and consulting providers to ensure coordinated patient care.
• Quality & Compliance: Adhere to hospital By-Laws, Policy and Procedures, CMS Conditions of Participation, EMTALA regulations, and quality standards.
• Emergency Preparedness: Participate in emergency preparedness activities and respond to disasters or mass casualty incidents as required.
• On-Call / Coverage: Provide coverage as scheduled, including nights, weekends, and holidays as required for a 24/7 emergency department.

POSITION QUALIFICATIONS

Competency Statements

• Strong clinical decision-making skills in a low-resource environment
• Ability to work independently with limited specialty backup
• Effective communication with patients, families, and healthcare team
• High level of accountability and professionalism
• Ability to manage multiple patients efficiently in a small ER setting
• Adaptability in unpredictable and rapidly changing clinical situations

SKILLS & ABILITIES

Education

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO)

Experience

• Preferred: Experience in Emergency Medicine, Family Medicine, or Internal Medicine with ER experience
• Experience in a acute hospital setting preferred

Requirements

• Board-Certified or Board-Eligible in Emergency Medicine (EM-trained preferred; IM/FM with emergency experience considered for our freestanding-style model). For physicians who are not board certified in Emergency Medicine, ACLS, BLS, and PALS certifications are required; ATLS is preferred.
• Active unrestricted Texas medical license is required
• Passion for high-quality, patient-centered care in a close-knit team environment

Computer Skills

• Proficiency in EMR systems and basic computer applications

PHYSICAL DEMANDS

• Ability to stand, walk, and remain active for extended periods (up to 12-hour shifts)
• Frequent bending, lifting, and assisting patients (up to 75 lbs)
• Manual dexterity for procedures

Emergency Medicine Physician – Full-Time Opportunity Low-Volume Micro-Hospital / Freestanding ER-Style Practice Sugar Land, Texas $185 per hour + Malpractice with Tail Coverage

Escape the high-volume chaos. Practice thoughtful, unhurried emergency medicine in a supportive, low-stress environment.

We are a modern micro-hospital in Sugar Land, Texas—essentially a freestanding emergency room with a small number of inpatient beds. Our daily volume is intentionally kept low at 10–12 patients per day , allowing you to deliver high-quality, personalized care without the burnout common at the three busy hospital EDs nearby. Inpatient admissions and observation patients (only about 20 per month) are fully covered by a dedicated hospitalist team, so your focus remains on emergency care.

This is a full-time position designed for long-term sustainability and excellent work-life balance.

Position Highlights

• Patient Volume & Acuity : 10–12 patients per 24-hour day (low volume, lower-acuity setting with minimal transfers)
• Shift Structure : 12-hour shifts with the flexibility to extend to 24-hour shifts when desired (allowing more consecutive days off)
• Team Support : Collaborative environment with experienced nursing staff and APP support; hospitalist handles all inpatient/observation cases
• Facility : Modern, well-equipped micro-hospital focused on efficient, high-quality emergency and limited inpatient care

Why Physicians Love This Opportunity

Unlike the stressful, high-acuity environments at nearby large hospital EDs, our low daily volume means more time per patient, predictable workflow, and a true sense of work-life balance. Many of our physicians specifically chose us to avoid burnout while still earning a strong, market-competitive income in a physician-friendly setting. This is ideal for someone seeking a sustainable career in emergency medicine without sacrificing quality of life.

Location – Sugar Land, Texas Live and work in one of the Houston area’s most desirable suburbs. Sugar Land offers excellent schools, master-planned communities, beautiful parks, family-friendly amenities, top-rated dining, and easy access to Houston’s cultural scene, airports, and medical centers—without the daily traffic grind. It’s a perfect fit for physicians with families or those looking for a safe, upscale community lifestyle