Psychiatrist – Intake & Clinical Escalations

This is a fully remote position, open to applicants in Texas.

📋 Description

• Perform thorough psychiatric intake evaluations that include assessing symptoms, psychiatric and medical history, treatment responses, medication history, substance use, psychosocial factors, mental status, and safety risks.

• Establish or clarify diagnoses and create personalized, evidence-based treatment strategies.

• Assess when patients are ready to transition to PMHNP-led care and ensure comprehensive and timely clinical handoffs.

• Manage a small psychiatrist-led follow-up caseload for patients who are complex, high-acuity, high-risk, or resistant to treatment.

• Collaborate with APPs on inquiries related to diagnostics, medications, safety, treatment responses, and acuity levels.

• Prescribe medications via telehealth, including Schedule II and Schedule IV controlled substances as appropriate and legally allowed.

• Offer clinical guidance, feedback, mentorship, and case-based assistance to PMHNPs and other APPs.

• Work in partnership with clinicians, operations, patient support, pharmacy coordination, and interdisciplinary teams.

• Ensure accurate and prompt clinical documentation is completed.

• Engage in case reviews and clinical discussions to enhance care pathways, prescribing protocols, and quality standards.

⛳️ Requirements

• M.D. or D.O. degree.

• Completion of a residency program in psychiatry accredited by the relevant authorities.

• An active and unrestricted medical license in Texas.

• Board certification or eligibility in psychiatry.

• Active and unrestricted DEA registration along with state-controlled substance registrations as required.

• Professional experience in providing psychiatric care through telehealth services.

• Background in community mental health settings.

• Experience in working with diverse, underserved, or clinically complicated patient populations.

• Experience in managing, supervising, mentoring, or leading APPs clinically.

• Proven experience in collaborating with interdisciplinary clinical and operational teams.

• Strong skills in psychiatric assessment, diagnosis, risk evaluation, and medication management.

• Experience with prescribing Schedule II and Schedule IV controlled substances via telehealth in compliance with relevant laws and regulations.

• Capacity to formulate clear, evidence-based treatment plans.

• Sound judgment in determining transitions between psychiatrist-led and APP-led care.

• Excellent written, verbal, and interpersonal communication abilities.

• Proficiency in using telehealth platforms, technology, and electronic health record systems.

• Willingness to obtain and maintain additional state licenses as requested by Legion.

• Commitment to evidence-based, patient-centered care and responsible prescribing practices.

• Interest in AI and enthusiasm for technology-enhanced clinical care.

• Comfort in a fast-paced startup environment.

• Required qualifications include an active, unrestricted Texas PMHNP license, active, unrestricted Texas DEA license, and ANCC PMHNP board certification.

🏝️ Benefits

• Establish a schedule that promotes a healthy work-life balance.

• Provide care remotely using Legion’s telehealth platform.

• Receive substantial administrative support, including assistance with scheduling, insurance verification, billing, prior authorizations, and pharmacy coordination.

• Enjoy clinical autonomy with evidence-based pathways, objective tools, and peer consultation.

• Benefit from patient acquisition support, eliminating the need to market or build a private-practice referral network.

• Work within a collaborative clinical team.

• Conduct one-hour psychiatric intake sessions and 30-minute follow-up consultations.

• Have malpractice insurance coverage provided.

• Utilize high-quality EHR and electronic prescribing resources.

• Gain credentialing assistance with participating commercial, ACA, and government insurance plans.

• Access evidence-based prescribing pathways and objective diagnostic tools.

• Utilize resources like UpToDate and Carlat.

• Experience professional growth through APP development, case reviews, provider education, care-model design, and future opportunities in clinical leadership.

• Reimbursement for fees related to obtaining additional state licenses requested by Legion.

• Participate in virtual and in-person clinical and company events.