Two Chairs is building a new kind of mental health system based on the idea that the status quo isn’t good enough. Industry-best clinician experiences, better client outcomes, groundbreaking innovation, and access to the highest quality care are how we’ll raise the bar for the entire industry. With that, we're excited and honored to have been recognized as a 2025 Great Place to Work and 2025 Fortune's Best Workplaces in Healthcare.

One of our company values is "Embrace Differences" and diversity, equity, inclusion, and belonging are the principles guiding how we build our business and teams. We encourage interested candidates from all backgrounds to apply even if they don't think they meet some expectations of the role.

Why Two Chairs is consistently a Great Place to Work 

• Consistent Pay: Earn an hourly rate of $62-$96 with semi-monthly pay. This is based on clinical experience, place of residence, and overall qualifications. Guaranteed base rate with incentive potential after initial ramp period.
• Truly Flexible Work: Work remotely with a schedule that fits your life: no nights, no weekends, no on-call responsibilities. We also provide paid administrative time so documentation doesn’t follow you home.
• Mission-Driven, Clinician-Led: We’re dedicated to creating a world where everyone has access to exceptional mental healthcare. Clinical decisions are made by clinicians for clinicians, ensuring you’re supported by a team that is focused on centering the client and enabling clinicians to deliver exceptional care.
• Clinical Excellence Comes First: You’ll join a deeply collaborative environment, with access to physician partners, therapists, and crisis support services. Our integrated platform provides tools that enable measurement-based care, clinical decision support, and seamless information sharing.
  
  

What You’ll Do

• Conduct 60-minute psychiatry assessments and 30-minute follow-up sessions remotely.
• Prescribe and manage psychiatric medications in accordance with state and federal regulations.
• Integrate brief psychotherapy when clinically appropriate to support your clients in reaching their goals efficiently and sustainably.
• Collaborate with physicians and clinical leadership for support, escalation, and continued learning.
• Partner with therapists and other providers through integrated care plans, shared treatment insights, and team consultation spaces.
• Use data-informed tools and measurement-based care to tailor treatment plans and improve outcomes.
• Contribute to a growing, diverse community of clinicians committed to redefining mental health care.
  
  

What success looks like

In your first 90 days

You will become comfortable with Two Chairs systems, processes, and teams, supported by an onboarding team and clinical leadership. You will gradually build a caseload and deliver exceptional mental health care. You will collaborate with team members and help refine workflows and care protocols. 

By the end of your first year

You will have established a robust caseload of clients and delivered exceptional care, as evidenced by clinical outcomes. You will have made contributions to our program and to a world where everyone has access to exceptional mental health care.

What We Offer

• Compensation you can count on:
• Competitive Pay: Hourly rate of $62-$96 based on clinical experience, place of residence, and overall qualifications
• Guaranteed Onboarding Support: 100% of hourly rate during your initial 90-day ramp period while you build your caseload
• Sustainable Base + Incentive: Following the ramp period, you’ll receive a guaranteed base (80% of your hourly rate) plus an incentive structure that rewards clinical productivity and the integration of psychotherapy.
• Comprehensive Coverage: we pay for administrative time, clinical consultations, trainings, and no-shows.
• Long-term Growth: Eligibility for annual performance-based merit increases
  
  
• Comprehensive Benefits:
• Sick leave
• Access to 401(k) retirement plan options
• Credentialing and cross-licensing support
• License renewal fee reimbursement
• Free Continuing Medical Education (CME) access
• Technology package including laptop, EHR system, HIPAA compliant video platform, and more
• Malpractice Insurance provided
• Supervising Psychiatrist fees covered
  
  
• Flexible Schedule:
• Part-time, W2 position (up to 8 hours per week) with opportunity for increased hours over time. 
• Expect to spend ~75% of time on direct client care and ~25%  focused on admin/ supervisory work. The balance may vary based on team needs. 
• Build a schedule that works for you within our operating hours of M-F,  8am-8pm.
• Start date: mid-August 2026
  
  
• Clinical Coverage: 
• Backup coverage, so your clients are supported when you’re away
• Dedicated 24/7 crisis line available for immediate risk assessments and arrangement of in-person interventions if needed
  
  

Compensation Ranges

• Zone 1 / New York City and San Francisco | $80-108/hour
• New hires can reasonably expect an offer between $80 and $96/hour

• Zone 2 / Portland, Boston, Chicago, Washington DC, New Jersey, Washington,
  all other CA locations | $70-95/hour
• New hires can reasonably expect an offer between $70 and $86/hour

• Zone 3 / Miami, Philadelphia, Denver, Austin, Dallas, Houston | $67-91/hour
• New hires can reasonably expect an offer between $67 and $81/hour

• Zone 4 / All other locations | $62-87/hour
• New hires can reasonably expect an offer between $62 and $76/hour
  
  

Who You Are

• A board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC)
• 2+ years of experience providing mental health services as a PMHNP
• Licensed to practice in Texas as a PMHNP (additional licensure a plus!)
• Open to obtaining additional state licenses to support company expansion. Two Chairs covers all costs and provides full administrative support for the cross-licensing process.
• Experienced in delivering remote telepsychiatry services
• Passionate about high-quality, measurement-based, collaborative care
• Eager to join a community of clinicians who are driven by purpose and help us build upon our psychiatry program to improve our services and systems continually
• Able to start in mid-August 2026

Please stay alert for job scams: All communication will come from official Two Chairs email domains (@twochairs.com or @twochairscareers.com). See tips from the FTC to avoid job scams: https://www.consumeraffairs.com/news/ftc-offers-tips-on-avoiding-job-scams-041321.html 

#LI-REMOTE 

*** Psychiatrist with interest in APN supervision at 500/APN

Company Overview:

BlueSky Telepsych, LLC is a clinician-led, patient-centered behavioral health company dedicated to delivering high-quality mental health care through evidence-based practices. We strive to enhance access to care by offering telehealth consultations that prioritize privacy, security, and convenience for all individuals seeking mental health services.

Role Overview:

BlueSky Telepsych, LLC is seeking a Psychiatrist for a part-time or full-time remote role. You will provide psychiatric care to adolescents and adults via telepsychiatry. Licensure is required or must be obtained in one or more of the following states: Alaska, Arizona, Colorado, Illinois, Iowa, Maryland, Massachusetts, Minnesota, North Carolina, Ohio, Oregon, Texas, or Washington. The role includes diagnosing and treating mental health conditions using evidence-based approaches, with optional supervision opportunities.

At BlueSky, we pride ourselves on delivering high-quality, evidence-based care while fostering a culture of support and growth for our clinicians. We invest in our providers, ensuring you have the resources, collaboration, and flexibility needed to excel in patient care.

Clinical Responsibilities:

• Provide psychiatric care through telehealth for adolescent and adult patients
• Diagnose and treat a range of mental health conditions using evidence-based practices
• Collaborate with a multidisciplinary care team to ensure optimal patient outcomes
• Optionally supervise or mentor based on interest

Qualifications:

• MD or DO degree from an accredited institution
• Board certified in Psychiatry
• Licensed or eligible for licensure in one or more of the listed states
• Telepsychiatry experience preferred
• Strong clinical judgment and ability to work independently within a remote care team

At BlueSky Telepsych, we are dedicated to providing exceptional mental health care while supporting our providers with a flexible and collaborative environment. We empower our clinicians to focus on what matters most—delivering quality, patient-centered care without administrative burdens.

Benefits:

• 401(k)
• Dental insurance
• Flexible schedule
• Health insurance

Schedule:

• Choose your own hours
• Day shift
• Evening shift

License/Certification:

• Medical License (Required)

*** Psychiatrist with interest in APN supervision at 300/APN

About BlueSky: 

We are a clinician-led, patient-centered, collaborative behavioral health company of mental health professionals committed to improving access to very high-quality mental health care! Each clinician is dedicated to evidence-based care and a conservative controlled substance prescribing style. Our objective is to make our services more available to those in need of high-quality mental health care. We aim to serve not only those in rural areas but be available to all regions for those who would prefer to make use of the privacy, security, and convenience of a telehealth consultation.

• Enjoy the autonomy of practicing in the best interest of the patient without corporate administrative interference!
• Up to 240/hour clinical medication management, reimbursement organized per code, choice of 30 min or 20 min follow-up appointments.
• Option to supervise clinician-selected, evidence-based Nurse Practitioners at 300/APN/mo.
• We are growing in the form of teams composed of multiple therapists and a prescriber.
• We emphasize regular staffing with your collaborating therapists, at least monthly, to discuss patient cases or clinical topics.
• Clinical work is performed from home, and days and hours are per the clinician's choosing. Clinical team meetings are also virtual.
• Compensation is per patient and per code billed, there is a medical, dental, vision, and short-term disability insurance benefit for full-time clinicians.
• Seeking someone excited to collaborate actively in a team-based format to ensure coordination between our Psychiatric and therapist providers.

Job Requirements:

• Must have a clean and unrestricted medical license 
• Must demonstrate a positive, non-judgmental, and accepting attitude toward our patient population.
• Excellent verbal and written communication, organizational, and time management skills.
• Excellent patient-relation skills 
• Significant experience as a Psychiatrist is preferred but not required