Part-Time Contract Psychiatrist, Principal Illness Navigator (Peer Support)

Role Overview

Accountable is hiring part-time, remote psychiatrists as 1099 independent contractors. Candidates may be licensed in one or more of the following states:

• Texas
• North Carolina
• Florida
• Tennessee

Candidates may be licensed in one state or multiple states. Multi-state licensure is preferred but not required.

This is a flexible contract role focused on clinical initiation, medical necessity documentation, care plan oversight, supervision of peer support services, and clinical escalation when needed. This is not a traditional high-volume medication management position.

Key Responsibilities

• Perform telehealth initiating visits for eligible members
• Assess and document serious high-risk behavioral health or substance use conditions
• Determine clinical appropriateness and medical necessity for Principal Illness Navigation - Peer Support services
• Create, approve, or update member-specific care/navigation plans
• Supervise peer support and care navigation services delivered by Accountable team members
• Review documentation to support quality, compliance, and medical necessity
• Be available for clinical consultation and escalation when needed
• Participate in case reviews, audits, protocol development, payer meetings, or quality improvement work as requested
• Collaborate with Accountable’s operations, compliance, billing, and peer support teams
• Maintain timely, accurate, payer-appropriate documentation
• Support a compassionate, recovery-oriented, human-centered care model

Required Qualifications

• MD or DO with board certification or board eligibility in Psychiatry
• Active, unrestricted medical license in at least one of the following states: TX, NC, FL, or TN
• Ability to provide telehealth services to members in the state or states where licensed
• Medicare enrollment eligibility, with no sanctions, exclusions, or restrictions
• Experience treating substance use disorders, serious mental illness, or co-occurring behavioral health conditions
• Comfort working with peer support specialists, recovery coaches, care navigators, or similar team members
• Strong documentation and communication skills
• Ability to work independently in a remote, team-based care model
• Commitment to ethical, compliant, patient-centered care

Preferred Qualifications

• Active licenses in multiple target states
• Addiction psychiatry or addiction medicine experience
• Experience with Medicare, care management, behavioral health integration, or peer support programs
• Experience supervising interdisciplinary behavioral health teams
• Familiarity with telehealth, payer-facing clinical programs, or value-based care
• Experience working with individuals in recovery from substance use disorders
• Interest in helping build and refine a scalable clinical program

Compensation

• $1,000 minimum monthly retainer
• $125 per completed initiating visit
• $10 per active member per month for supervision and chart review
• $250 per hour for escalation calls, protocol work, audits, payer meetings, or case reviews

Time Commitment

This is a flexible, part-time 1099 contract role. The time commitment will depend on member volume in the psychiatrist’s licensed state or states.

Work Location

Remote, telehealth-based.

Candidates must be licensed in at least one of the following states:

• Texas
• North Carolina
• Florida
• Tennessee