Conduct remote psychiatric assessments and follow-up sessions while managing medication and integrating psychotherapy. Collaborate with a multidisciplinary team to deliver measurement-based care and contribute to clinical workflows.
Requirements summary
Must be a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with at least 2 years of experience. Requires an active license to practice in Texas and experience with remote telepsychiatry services.
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 • Competitive Pay
Earn a total hourly rate of $62–$96 (guaranteed base + incentive potential), paid semi-monthly. Base rate determined by clinical experience, place of residence, and overall qualifications.
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
Benefits
Sick leave
401(k) retirement plan
Malpractice insurance
Technology package
License renewal fee reimbursement
Credentialing support
Cross-licensing support
Continuing Medical Education (CME) access
Supervising psychiatrist fees covered
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: Earn 100% of your 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
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)
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.
2+ years of experience providing mental health services as a PMHNP
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
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).
