32-Hour Full-Time. Hybrid Flexibility. A Sign-On That Reflects Your Value.

SIHC began as a satellite operation of the Indian Health Council in Pauma Valley. In the beginning, we operated out of trailers on the Sycuan reservation, offering outreach and referral services to southern San Diego tribes. In November, 1982, we incorporated as a nonprofit, public benefit corporation, and moved to the Barona reservation shortly thereafter.

SIHC has undergone tremendous growth over the years. Today, we serve a seven-member tribal consortium which includes Barona, Campo, Ewiiaapaayp, Jamul, La Posta, Manzanita, and Viejas. We are an accredited and Federally-Qualified Health Center operating out of a modern facility set on 10 acres of pristine countryside. 

                                                                            Staff Psychiatrist

Southern California | Tribal Community Health | 32-Hour Full-Time

Practice Psychiatry with Purpose in One of Southern California’s Most Naturally Beautiful Regions.

Join a long-established, federally supported community health organization serving a culturally rich population in the foothills and mountain communities of San Diego County. This is an opportunity to practice meaningful, relationship-based psychiatry in a model built on quality, not quotas.

If you’re seeking sustainable medicine, cultural depth, and long-term impact- this is worth a closer look.

The Role

• 100% outpatient psychiatry
• 32-hour full-time schedule (8:00 AM – 4:30 PM)
• Approximately 20 patients per week
• 7–8 patients daily on average (11 considered full capacity)
• 60-minute new evaluations
• 20–40-minute follow-ups
• Built-in documentation time
• No inpatient coverage
• No formal call
• 60% telehealth model with hybrid flexibility after onboarding

You’ll treat patients across the lifespan, commonly addressing ADHD, anxiety, depression, trauma, domestic violence-related mental health concerns, and substance use disorders.

Practice Environment

• Integrated primary care and behavioral health model
• Weekly interdisciplinary treatment planning
• Modern EMR with AI-assisted documentation
• Emphasis on trauma-informed care
• Encouragement of culturally aligned and holistic treatment approaches
• True quality-over-production philosophy
• This is not an RVU-driven environment.

What We’re Looking For

• Board Certified Psychiatrist
• Active, unrestricted California license
• Community-minded and culturally sensitive
• Open to holistic and integrative perspectives
• Relationship-driven and patient-centered
• Seeking long-term stability- not short-term placement

Compensation & Incentives

• Competitive compensation aligned with experience
• Generous sign-on package
• Relocation assistance
• Quarterly performance incentives
• 32-hour full-time benefits structure

Why Southern California’s Foothill Communities?

• Scenic mountain and open-land living within reach of San Diego
• Lower-density lifestyle with metropolitan access
• Year-round outdoor recreation
• Strong community connection
• Easy access to major airports and coastal amenities

Live where others vacation- without sacrificing career depth.

If you're looking for a psychiatry role that offers balance, autonomy, cultural impact, and modern flexibility- this is a rare opportunity in Southern California.