Texas Psychiatric-Mental Health Nurse Practitioner (PMHNP)

TEXAS REMOTE PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER (PMHNP)

Initiating Visit & Supervising Practitioner : Principal Illness Navigation, Peer Support (PIN-PS)

Independent Contractor (1099) | Telehealth/ Remote position | You Are Accountable

ABOUT THE ROLE

You Are Accountable operates behavioral health programs built around Principal Illness Navigation – Peer Support (PIN-PS), a Medicare care-navigation benefit in which certified peer support specialists walk alongside patients living with serious behavioral health conditions. Every patient's navigation episode must begin with a qualifying initiating visit furnished by a billing practitioner, and the ongoing peer navigation is billed incident to that practitioner's services under general supervision. That practitioner is you.

This is a flexible, telehealth-based contractor role with meaningful clinical leverage: you conduct the psychiatric evaluation that opens each patient's episode, set the plan of care the peer team supports, and remain available as the supervising clinician while peer specialists deliver month-to-month navigation. You control your own schedule, and compensation scales directly with the work you personally perform.

WHAT YOU'LL DO

• Conduct initiating visits (e.g., psychiatric diagnostic evaluations, CPT 90791, or E/M visits) via telehealth for patients entering PIN-PS programs, establishing the diagnosis, medical necessity, and plan of care the navigation services will support.
• Document each visit in our EHR within 48 hours to clean, billable standards, including patient consent to navigation services where required.
• Serve as the billing practitioner of record for enrolled patients and provide general supervision of the certified peer support specialists furnishing navigation incident to your services.
• Furnish follow-up visits for your enrolled patients where clinically indicated and mutually agreed.
• Cooperate with quality, audit, and payer-compliance activities relating to your patients.

WHAT WE'RE LOOKING FOR

• Active, unrestricted APRN/NP licensure in one or more of: Texas, Florida, North Carolina,  Tennessee, Pennsylvania, New Jersey, or New York (multi-state licensure a plus). State credential titles vary (APRN, CRNP, APN, NP) — all are welcome.
• National board certification as a Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC).
• Any physician collaboration, supervision, or protocol arrangement required by your state (e.g., prescriptive authority agreement in TX; collaborative agreement in PA; joint protocol in NJ; practice agreement or NP Modernization Act qualification in NY; supervisory protocol in FL) — we can discuss support here.  We also have physicians that we work with that can provide this.
• Active NPI; eligibility to enroll with and reassign benefits to our professional entities for Medicare and Medicaid; never excluded from any federal or state health care program.
• Comfort with telehealth care for adults with serious behavioral health conditions, and an appreciation for peer support as part of the care team.

COMPENSATION

• Professional services: 80% of net collections for each service you personally furnish, paid within 30 days after the month we receive payment from the funding source, with full per-service reporting.
• Supervision stipend: $5.00 per supervised patient per month for each month billable navigation services are furnished to that patient under your supervision.
• Malpractice coverage: professional liability coverage for your services under this engagement provided at our expense ($1M per claim / $3M aggregate).

ENGAGEMENT DETAILS

1099 independent contractor; you keep full independent clinical judgment and set your own schedule around agreed availability. The role is non-exclusive — most of our practitioners maintain other practices. Because each patient's navigation episode depends on continuity with their billing practitioner, the agreement includes a 12-month notice period for termination without cause, which ends early automatically once your enrolled patients have been transitioned to a successor practitioner with continuity of care maintained; after giving notice you are never obligated to take on new patients.

You Are Accountable is an equal opportunity organization. All engagements are subject to credentialing, exclusion screening, and payer enrollment.