Collaborating Psychiatrist (Supervising Physician) — Texas, USA, Remote, Part-Time, MD or DO at Legion Health

We’re rebuilding psychiatry from the ground up—AI-native, insurance-covered, and engineered to scale.

Legion Health is a high-quality psychiatry network where patients get care from licensed clinicians, fast and affordably. Under the hood, our LLM agents and orchestration layer automate operations, reduce admin, and enable truly great care.

Most startups bolt AI onto broken workflows. We’re replacing the workflows—and the system underneath.

If you’ve ever wanted to use AI to actually fix something that matters, this is your shot.

[We show compassion to heal minds.]

About Legion Health:

Legion is a pioneering, tech-enabled psychiatry network focused on delivering world-class outpatient care. Our providers—the most talented psychiatric providers in the country—are passionate about expanding mental health care access for those with insurance.

Our innovative model combines the stability of a traditional hospital position with the flexibility of a private practice. We prioritize our clinicians' well-being and professional growth, offering a competitive compensation package and fostering a vibrant, collaborative culture.

Quality and patient experience are paramount to us. This means recruiting exceptional providers, championing evidence-based protocols, and displaying compassion in every patient interaction. Our exceptional team operates with clinical autonomy, supported by experienced psychiatrists.

Our vision is to pioneer a new era of mental health by delivering world-class psychiatry. We believe in a future where every patient can access the compassionate psychiatric care they need, regardless of the insurance they have.

About the role:

We are seeking a clinically excellent, patient-centered psychiatrist to join Legion Health. The ideal candidate will embrace our vision of expanding access to world-class psychiatric care through technology and serving patients across all insurance types.

This role involves collaborating with and supervising Legion's APPs, focusing on high-quality treatment of anxiety, depression, ADHD, PTSD, and insomnia/sleep disorders through secure telemedicine visits. We need a forward-thinking psychiatrist passionate about using technology to improve access to mental health services.

Benefits:

• Flexibility: Set your own schedule for optimal work-life balance.
• Work from Home: Collaborate with PMHNPs from the comfort of your home via telehealth.
• Clinical Autonomy: We hire the most skilled collaborating psychiatrists and trust them to support PMHNPs effectively.
• PMHNP Acquisition: We handle the recruitment and onboarding of PMHNPs, ensuring you have qualified professionals to supervise.
• Competitive Pay: We offer market-leading compensation, reflecting your experience and performance.
• Monthly Pay: We pay our providers every month for immediate financial benefit and planning ease.
• Legal Protection: We provide full malpractice insurance coverage.
• Technical Support: We provide and cover the costs for best-in-class EHR and communication tools.
• Licensure Coverage: We’ll reimburse you for all fees associated with getting licensed in other states as required by Legion.
• Significant Administrative Support: Focus on supervising and mentoring PMHNPs, not on scheduling, insurance verification, billing, prior authorizations, pharmacy coordination, etc.
• Adequate Visit Lengths: Psychiatric intakes are 1 hour, and follow-ups are 30 minutes (as they should be).
• Tools for Responsible Prescribing: We have rigorous, evidence-based protocols and provide objective diagnostic tools to ensure responsible and ethical prescriptions of controlled substances.
• Community of Clinical Excellence: You will work alongside the most talented PMHNPs and psychiatrists in the world. Our PMHNPs undergo a thorough vetting process, with fewer than 5% of applicants selected. They have trained at top institutions such as Vanderbilt, UT Austin, Johns Hopkins, Columbia, NYU, and UTHealth Houston.
• Well-Defined Clinical Scope: We focus on treating mild to moderate acuity patients, ensuring effective screening and appropriate care for our patient population.
• Clinical Resources: We provide our providers and collaborating psychiatrists premium subscriptions to resources such as UpToDate and Carlat.
• Exclusive Events: Engage with your colleagues through exclusive in-person and virtual events.
• Collaborative Care : Collaborate with highly-experienced, highly-trained, and compassionate PMHNPs who treat low- and medium-risk psychiatry patients using evidence-based treatments.
• Clinical Supervision : Conduct regular chart reviews and provide guidance on clinical decisions and patient care.
• Prescription Management : Approve and send prescriptions through our EMR & eRX system.
• Mentorship : Mentor other psychiatric providers to ensure that each patient is getting the highest-quality care possible.
• Accessibility Mission : Directly contribute to Legion's vision of making world-class psychiatric care much more accessible to patients, regardless of insurance.
• Active, unrestricted license as a physician (MD or DO) in Texas.
• Active, unrestricted DEA license in Texas.
• Board certification or board eligibility as a psychiatrist.
• Primary residence in Texas.
• Comfort remotely supervising nurse practitioners, conducting chart reviews, and answering questions at monthly meetings
• Comfort signing off on prescriptions, including controlled substances, per state and federal regulations, and Legion Health’s rigorous clinical protocols
• Availability by phone during PMHNPs' working hours and at the end of their shift to review medications, as required by state medical board rules
• Commitment to a minimum 1-year tenure with our team.
• Strong clinical assessment, diagnostic, and medication management skills.
• Excellent communication and interpersonal skills.
• Comfort using technology and electronic health record systems.
• Passion for improving access to high-quality care for vulnerable populations.
• Commitment to providing patient-centered, compassionate care. Location:

This role is predominantly remote, complemented by occasional in-person events with colleagues.

Job type:

Part-time, Contract, Fully Remote.

Salary:

Compensation for supervising Legion's PMHNPs is as follows: $1,000 per month for each full-time PMHNP (25+ hours/week) and $500 per month for each part-time PMHNP (<25 hours/week). In Texas, a physician can supervise up to 7 full-time or 14 part-time NPs, equating to 7 full-time equivalents (FTEs). Thus, the total potential compensation for this role can reach up to $7,000 per month, depending on the mix of full-time and part-time PMHNPs supervised.

Members of our clinical and business advisory board include:

• Madhukar Trivedi, M.D. [Psychiatrist; Professor of Psychiatry and Distinguished Chair in Mental Health at UT Southwestern]

• Alexander Ruvalcaba, M.D. [Psychiatrist; Physician Executive at MultiCare Behavioral Health Network]

• Jon Kole, M.D. [Psychiatrist; Medical Director at Headspace]

• Liberty Eberly, D.O. [Psychiatrist; Co-Founder and Former Chief Medical Officer at innovaTel Telepsychiatry]

• John Lusins, MD [Psychiatrist; Founder and President at South Texas Mental Health Associates]

• Samir Malik [ex-Founder at Genoa Telepsychiatry, Founder at firsthand]

• Andrew Thompson [National COO at Pediatric Associates] We are revolutionizing telepsychiatry through a core AI infrastructure that enables a vastly improved patient experience and quality of mental health care. We are actively improving our services in ingesting, chunking, embedding, caching, and searching to achieve this goal. Our technical goals include:

• Enhanced processing: Implement robust data structures and caching mechanisms to handle increasing volumes of language data spanning every facet of patients’ care while minimizing latency and maximizing system responsiveness.

• System scalability: Ensure our systems can scale effectively to support growth from one million to hundreds of millions of data points.

• Securing sensitive data: Uphold the highest standards of data security and privacy in compliance with HIPAA guidelines. ##Stack TypeScript, Node.js, PostgreSQL, Redis, Supabase, Azure, Google Cloud, AWS, LangChain, PostHog, Retool