DSHS ESH Psychiatrist
Quick facts
- Pay
- $236,184 - $317,652 a year
- Type
- Full-time
- Location
- Spokane, WA
- Industry
- Health and Care — 3087 open jobs
- Visa in listing
- H-1B
- Apply
- Free to apply — never pay anyone for a job offer or visa sponsorship
Job description
Description
DSHS ESH Psychiatrist
Eastern State Hospital (ESH) is hiring a Psychiatrist to join our multi-disciplinary treatment teams dedicated to promoting recovery from behavioral health issues for the people we serve. ESH is a fully accredited, state-owned, 317-bed psychiatric inpatient hospital, where our success is in our ability to collaborate to provide evaluation and inpatient treatment for people who have behavioral health issues.
The Opportunity:
You will provide psychiatric care to people on our three units, Forensic Services Unit, Adult Psychiatric Unit, and Geropsychiatric Unit, and perform comprehensive diagnostic assessments to create individual treatment plans. You will have the opportunity to work on some of the most complex cases and assist people on their road to recovery. Your day-to-day includes certifying the medical necessity of the hospital level of care, prescribing and reviewing appropriate medication and treatment, performing ongoing assessments of the patient's response to treatments, and formulating and reviewing discharge plans or justification for continued inpatient status. We are hiring for on-call or full-time. Opportunities performed on-site at this work location at least three days a week may be eligible for an additional 5% premium pay in addition to the advertised salary.
The successful applicant will have a starting salary of $303,804.
What makes us an employer of choice for Psychiatrists:
The Department of Social and Health Services offers a competitive salary along with 1.25 times regular pay for voluntary on-call, additional monthly pay for board certification, an excellent benefits package, and annual funding for continuing medical education. H1B/J1 visa candidates are encouraged to apply. The below information describes the typical benefits available for full-time employment.
- Offers a competitive salary along with 1.25 times regular pay for voluntary on-call, additional monthly pay for board certification, an excellent benefits package, and annual funding for continuing medical education.
- Relocation assistance
- $10,000 for Board Certification
- $10,000 incentive for psychiatrists newly hired to DSHS
- $6,500 annual allowance for CME courses
- Employee legal representation and/or indemnification
- Tuition reimbursement up to $25,000 for qualifying employees.
What we are looking for:
- Psychiatrists with a valid license, or ability to obtain, to practice medicine and surgery in Washington State and eligibility for certification by the American Board of Psychiatry and Neurology
- A team leader familiar with working, in a collaborative manner, with various disciplines, in a treatment team setting.
The location:
Medical Lake is located near Spokane which presents the ideal place to live, work, play, and be a part of a community. Outdoor activities are especially plentiful given the area's natural beauty and its four seasons. No matter if you love city life or nature, Spokane has it all. As a vibrant city, downtown Spokane is one of the largest cities in Washington state. Exuding urban character and offering a top-notch quality of life, such as affordable cost of living, five ski resorts within 1.5 hours of downtown, dozens of lakes within an hour of downtown, hundreds within 2 hours, five universities, and a lively arts, music, and theater scene.
Interested?
Take a look at the videos below for a virtual tour and employee experience.
Questions? Contact sean.brauner@dshs.wa.gov and reference #04302.
The Department of Social and Health Services’ (DSHS) vision that people find human services to shape their own lives requires that we come together with a sense of belonging, common purpose, shared values, and meaningful work. It is crucial to our agency’s vision that you bring a fairness, access, and social justice commitment to your work with DSHS. We strive to support all Washingtonians, including Black, Indigenous, and People of Color, people with physical, behavioral health, and intellectual disabilities, elders, LGBTQIA+ individuals, immigrants and refugees, and families building financial security.
Supplemental Information
Prior to a new hire, a background check including criminal record history may be conducted. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant’s suitability and competence to perform in the job. This announcement may be used to fill multiple vacancies. Employees driving on state business must have a valid driver's license. Employees driving a privately owned vehicle on state business must have liability insurance on the privately owned vehicle.
Washington State Department of Social and Health Services is an equal opportunity employer and does not discriminate in any area of employment, its programs or services on the basis of age, sex, sexual orientation, gender, gender identity/expression, marital status, race, creed, color, national origin, religion or beliefs, political affiliation, military status, honorably discharged veteran, Vietnam Era, recently separated or other protected veteran status, the presence of any sensory, mental, physical disability or the use of a trained dog guide or service animal by a person with a disability, equal pay or genetic information. Persons requiring accommodation in the application process or this job announcement in an alternative format may contact the Recruiter at (360) 725-5810. Applicants who are deaf or hard of hearing may call through Washington Relay Service by dialing 7-1-1 or 1-800-833-6384.
Relationship and Reporting Structure (Nepotism) Disclosure: If you are selected for hire, you must disclose whether you have a relative, household member, close friend, or romantic partner within your potential supervisory chain of command. DSHS has a Relationships and the Reporting Structure policy that prohibits nepotism and can be reviewed https://www.dshs.wa.gov/sites/default/files/rpau/ap/DSHS-AP-18-17-Internet-Official-Housekeeping-2024.pdf. Applicants whose appointment would result in a prohibited reporting relationship are not eligible for appointment to that position.
E-Verify® is a registered trademark of the U.S. Department of Homeland Security
Visa sponsorship record
No public sponsorship records foundWe didn't find H-1B, H-1B1, E-3 or green card (PERM) filings under the name Washington State Liquor And Cannabis Board in the Department of Labor and USCIS data. That doesn't mean the job can't be sponsored — the company may file under a different legal name, be new to sponsorship, or sponsor a visa that isn't in these datasets (for example H-2B or J-1).
Tip: ask the recruiter early, in writing, which visa they sponsor and whether they cover the legal and filing fees.
Which visas can work for this job
Occupation: Physicians, All Other (SOC 29-1229) — estimated from the job title.
- Mentioned in the listing
H-1B
- H-1B cap-exempt employer
Regular cap-subject employer — a new H-1B needs to win the lottery in March (unless you already hold cap-counted H-1B status).
- TN (citizens of Canada and Mexico)
This kind of role may fit the USMCA profession “Physician (teaching or research only)” — it depends on the actual duties. No lottery, no cap; you need the matching degree or license.
- E-3 (Australia) and H-1B1 (Chile, Singapore)
Same degree requirement as H-1B, but no lottery and a separate quota that is rarely filled.
- O-1 (extraordinary ability)
For candidates with awards, publications, press, a high salary or critical roles at distinguished organizations. No cap, no lottery; the employer files a petition.
Salary vs prevailing wage
Level II (qualified)Physicians, All Other · Washington (state median of areas). Annual prevailing wages set by the Department of Labor (OFLC).
| Level | Prevailing wage | H-1B lottery odds* |
|---|---|---|
| Level I | $112,528 | ~15% |
| Level II | $178,006 | ~31% |
| Level III | $254,936 | ~46% |
| Level IV | $314,964 | ~61% |
This job pays $236,184–$317,652 a year — that's Level II (qualified). In the wage-weighted H-1B lottery a Level II registration gets 2 entries; estimated selection chance about 31%.
* Odds are DHS projections for the FY2027 wage-weighted lottery (actual results vary by year and employer). Since the FY2027 cap season the H-1B lottery is weighted by wage level: Level I = 1 entry, II = 2, III = 3, IV = 4. The level is set by the offered wage against the prevailing wage for the occupation and worksite. Separately, a $100,000 fee for new H-1B petitions for workers outside the US was announced in 2025; as of September 2026 a federal court ruling keeps it unenforceable while appeals continue — check the current status.
Sources: U.S. Department of Labor OFLC disclosure data (H-1B/H-1B1/E-3 LCA, PERM), OFLC prevailing wage data, USCIS H-1B Employer Data Hub, E-Verify participating employers. Data loaded: LCA FY2024–FY2026, PERM, USCIS Data Hub, OFLC wages; updated 2026-10-03. Employers are matched by name, so records of companies with similar names can occasionally be mixed up. This is general information, not legal advice — talk to an immigration attorney about your case.