Psychiatrist - Collaborating Physician
Location: Texas
Employment Type: Part-Time
Reports To: Market President
About Peregrine Health
Peregrine Health partners with Federally Qualified Health Centers (FQHCs) to design and operate behavioral health service lines in underserved communities. We're building accessible, high-quality mental health care where it's needed most.
Position Overview
We're seeking a Texas-licensed psychiatrist to serve as a Collaborating Physician for our Advanced Practice Providers (APPs) prescribing controlled substances in our Texas network. This is a hands-on compliance and patient care role with a flexible part-time schedule.
Core Responsibilities
Credentialing & Privileging
- Complete formal credentialing process (education, licensure, DEA registration, work history verification)
- Obtain EMR privileges to authorize and oversee controlled substance prescribing
- Ensure DEA compliance and patient safety protocols
Direct Patient Engagement
- Meet with patients during initial visits to establish physician-patient relationship
- Review and validate initial treatment plans before APP assumes primary management
Legal Delegation & Compliance
- Execute and maintain formal Prescriptive Authority Agreements (PAA) with each APP (APRN or PA)
- Register delegation of prescriptive authority with Texas Medical Board (TMB)
- Ensure DEA registration alignment for controlled substance prescribing
- Conduct and document periodic chart reviews
- Hold required meetings with APPs to ensure safe, legal, and compliant prescribing practices
Required Qualifications
- MD or DO degree
- Active, unrestricted Texas medical license
- Board certified or board eligible in Psychiatry
- Active DEA registration
- Not excluded from federal health care programs
- Strong understanding of Texas prescriptive authority delegation requirements
- Experience with controlled substance prescribing compliance
Preferred Qualifications
- Experience supervising or collaborating with APPs (APRNs, PAs)
- Familiarity with behavioral health EMR systems
- Experience in FQHC, RHC, or community health settings
- Background in addiction psychiatry or integrated behavioral health
Compensation & Benefits
- Position type: 1099 independent contractor
- Rate: $250/hour
- Professional liability insurance provided ($1M/$3M coverage)
- Flexible scheduling
- Remote work options available for chart review and administrative duties
Location & Schedule
- Location: Texas
- Schedule: Flexible part-time, with some required in-person initial patient visits
- Remote work: Chart reviews, meetings, and administrative work can be done remotely
What We Offer
- Meaningful work expanding mental health access in underserved communities
- Flexible, part-time structure compatible with other clinical work
- Administrative support for credentialing, documentation, and compliance
- Collaborative team environment
- Opportunity to mentor and support APPs in their clinical practice
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