Collaborating (Supervising) Psychiatrist | ~1hr/wk once started

PART\-TIME / CONTRACT / SIDE GIG SUPERVISING PSYCHIATRIST (MD or DO) to support PMHNPs COMPENSATION: $10/encounter \| $500/wk floor during ramp \| 1099 TIME COMMITMENT: \~1 hr\-2hrs/week (when active); 4 to 8 hrs upfront onboarding SCHEDULE: Flexible; no nights, no weekends, no on\-call TYPE: Part\-time, independent contractor ABOUT LEGARA Legara connects California FQHCs (community health centers serving low\-income and uninsured patients) with independent PMHNPs and therapists to dramatically reduce behavioral health wait times. Our model reduced psychiatry wait times from 18 weeks to under 2 at our pilot sites. We handle credentialing, scheduling, EHR logistics, and payment \- so clinicians and supervisors spend time on patients and oversight, not admin. WHAT THIS ROLE ACTUALLY IS This is a side\-gig type role for a California\-licensed psychiatrist (MD or DO) who wants to earn meaningful supplemental income with a genuinely modest ongoing time commitment. You would serve as the supervising/collaborating physician of record for one or more PMHNPs operating within our FQHC partner network. This is not a clinical treating role; you will not see patients. Your responsibilities are: \- Reviewing a percentage of charts (sampled, not every encounter) in NextGen or eClinicalWorks (eCW) on a schedule we agree on. \- A weekly 15 to 20 min check\-in call with each PMHNP you supervise, where they bring specific case or clinical questions to you. \- Being listed as the supervising physician in the standardized procedures / collaborative agreement for each FQHC site. \- Availability by phone during normal business hours for consultation (a second MD is also available for real\-time emergencies, so you would not be expected to be on\-call) We currently have two FQHC client sites (one on eCW, one on NextGen) so the initial engagement involves two EHR credentials and two credentialing packets. We do as much of the legwork on that as possible, but there is a real time investment upfront before you start earning. COMPENSATION \+ EARNINGS POTENTIAL \- $10 per encounter completed by the PMHNP(s) you supervise \- Minimum guaranteed $500/week after first PMHNP renders their first encounter \- A single NP at full ramp (50 enc/wk) \= \~$500/wk \| \~$2,000\+/mo \- California law permits a physician to supervise up to 4 furnishing NPs \- meaning this engagement can grow with you: 4 NPs at ramp \= \~$2,000/wk\+ \- 1099 independent contractor; you set your own schedule around this work \- Upfront onboarding period: paid once encounters begin; we do not pay for credentialing time, though we minimize what's asked of you WHO WE'RE LOOKING FOR \- California\-licensed MD or DO with a psychiatric specialty \- Board\-certified or board\-eligible in psychiatry preferred \- Early\- to mid\-career is fine; this suits someone building a portfolio of income streams alongside a primary position \- Comfortable reviewing charts in a web\-based EHR (NextGen and/or eCW) \- you don't need prior experience in these, but tech\-savviness is a must \- Familiarity with FQHC or safety\-net populations is a plus, not required \- Must be currently practicing in California (for licensing / credentialing) \- No DEA issues, no Medical Board restrictions WHAT TO EXPECT: TIMELINE Week 1 \- 2: Initial call with Legara team; review and sign supervising physician agreement and standardized procedures. Week 2 \- 8: Credentialing at FQHC sites (we drive this; you provide documents) Week 8 \- 12: EHR access granted; PMHNP training begins Month 3\+: Encounters ramp; weekly check\-ins begin; chart review cadence set APPLICATION QUESTIONS Please answer all of the following in your application: 1\. Are you currently licensed and actively practicing in California? If yes, in what setting (private practice, hospital, group, etc.)? 2\. Are you board\-certified or board\-eligible in psychiatry? Please specify your certification body and year if applicable. 3\. Do you have any current Medical Board restrictions, open investigations, or malpractice claims? (A yes is not an automatic disqualifier \- we just need to discuss.) 4\. Have you previously served as a supervising or collaborating physician for an NP or PA in California? If so, briefly describe the arrangement (this is not required). 5\. On a scale of 1–10, how comfortable are you independently navigating web\-based EHR systems (like NextGen or eCW) to review charts? 6\. This role involves an upfront credentialing period of 4–8 weeks with no compensation during that time. We do the heavy lifting, but some document collection and review is required from you. Does that work for you? 7\. What is your current primary employment situation (hospital employee, group practice, solo practice, academics, other)? 8\. At your primary employment, are you currently the supervising physician of record for NPs that you supervise? 9\. At your primarily employment, is there anything about that arrangement that would restrict or complicate a 1099 supervisory agreement? 10\. What draws you to working with underserved FQHC populations\- even in an indirect supervisory capacity? 11\. Are you interested in potentially expanding this arrangement over time to supervise additional PMHNPs (up to 4 total under CA law), as the Legara network grows? 12\. Please confirm: you do not have a conflict\-of\-interest restriction (employer non\-compete or exclusivity clause) that would prohibit this type of independent contractor arrangement, correct? Pay: $26,000\.00 \- $104,000\.00 per year Benefits: Flexible schedule Application Question(s): 3\. Do you have any current Medical Board restrictions, open investigations, or malpractice claims? (A yes is not an automatic disqualifier \- we just need to discuss.) 4\. Have you previously served as a supervising or collaborating physician for an NP or PA in California? If so, briefly describe the arrangement (this is not required). 5\. On a scale of 1–10, how comfortable are you independently navigating web\-based EHR systems (like NextGen or eCW) to review charts? 6\. This role involves an upfront credentialing period of 4–8 weeks with no compensation during that time. We do the heavy lifting, but some document collection and review is required from you. Does that work for you? 7\. What is your current primary employment situation (hospital employee, group practice, solo practice, academics, other)? 8\. At your primary employment, are you currently the supervising physician of record for NPs that you supervise? 9\. At your primarily employment, is there anything about that arrangement that would restrict or complicate a 1099 supervisory agreement? 10\. What draws you to working with underserved FQHC populations\- even in an indirect supervisory capacity? 11\. Are you interested in potentially expanding this arrangement over time to supervise additional PMHNPs (up to 4 total under CA law), as the Legara network grows? 12\. Please confirm: you do not have a conflict\-of\-interest restriction (employer non\-compete or exclusivity clause) that would prohibit this type of independent contractor arrangement, correct? 13\. Tell us about you! What do you like to do when you're not working? License/Certification: MD or DO license in California? (Required) board certification in psychiatry? (Required) Work Location: Remote