Why Choose Two Chairs?

• Compensation: Hourly rate of $145–$200hr (determined by experience, qualifications, and place of residence).
• Zone 1: New York City and San Francisco Bay Area – $170–$200/hr
• Zone 2: Portland (OR), Boston, Chicago, DC, NJ, WA, and all other California locations – $160–$185/hr
• Zone 3: Miami, Philadelphia, Denver, Austin, Dallas, and Houston – $150–$175/hr
• Zone 4: All other U.S. locations – $145–$170/hr

• Blended role: Supervise and mentor PMHNPs, contribute to clinical leadership decisions, and see a reduced patient panel to keep your focus on clinical quality.
• True Work-Life Balance: Set a flexible schedule with no on-call obligations.
• Paid Non-Clinical Time: Get paid for supervisory duties, documentation review, consultations, and cross-functional process development.
• Malpractice & Safety: Full malpractice coverage provided at no cost to you, backed by 24/7 crisis support for escalations.
• Additional W-2 advantages you won’t find with 1099 contract work:
• No tax headaches – We handle withholdings and filings, so you don’t have to
• Earn paid sick time – Accrue up to 80 hours per year
• Merit-based raises – Be recognized and rewarded for your contributions
• Retirement benefits – Access an employer-sponsored 401(k) plan 
• Access to state-mandated benefits  –  Like unemployment, disability, and paid leave where available

About You

• Board-certified Psychiatrist (MD or DO) with an active, unrestricted federal DEA registration.
• Active license in one or more states where Two Chairs provides psychiatry services, or active participation/eligibility in the Interstate Medical Licensure Compact (IMLC).
• Proven experience supervising Psychiatric Nurse Practitioners (PMHNPs).
• Knowledgeable in state-specific collaborative practice agreements and multi-state supervision regulations.
• Experience with telemedicine platforms and virtual care delivery.
• Committed to high-quality, measurement-based, collaborative care.
• Willingness and eligibility to obtain additional state licenses and DEA registrations in all utilized states as required for multi-state practice.

About the Role

Supervision & Mentorship

• Supervise and mentor up to 12 PMHNPs (depending on licensure, available hours, and company needs), ensuring adherence to clinical protocols, compliant billing, and brief psychotherapy integration.

• Provide weekly supervision during a new PMHNP’s onboarding period, followed by monthly group supervision.

Clinical Care

• Provide second opinion consultations for higher complexity cases in collaboration with your PMHNPs.

• Prescribe medications responsibly, ethically, and in alignment with measurement-based care.

• Conduct follow-up assessments, manage medications, and offer psychotherapy when clinically appropriate to optimize patient outcomes.

Process Development

• Collaborate with cross-functional teams to design and improve tools, workflows, and care models that elevate psychiatric care.
• Help define and implement treatment guidelines and protocols that exceed industry standards in collaboration with the Medical Director.
  
  

Team Collaboration

• Work alongside therapists, care coordinators, and other clinicians in a collaborative, interdisciplinary care model.
• Contribute to case reviews and clinical discussions.
  
  

About Two Chairs

Two Chairs is setting a new standard in mental health care with seamlessly integrated therapy and psychiatry delivered by highly trained clinicians, powered by smart technology, and measured for real impact. By combining timely access, personalized care, and proven outcomes — we’re creating a system that works — for patients, providers, health plans, and clinicians alike. 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.

Important Notes: 

• If you need a reasonable accommodation, please let your recruiter know so our People Team can assist you.
• 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 
• See our AI Usage Policy for Hiring here