Compensation: Hourly rate of $62–$96/hr (determined by experience, qualifications, and place of residence).
90-day ramp period: 100% full rate while you build your caseload.
Post-ramp: 80% guaranteed base rate + productivity incentive
AI-Assisted Documentation: Spend less time on administrative notes and more time on client care with our optional built-in AI documentation tools.
True Work-Life Balance: Set your own schedule up to 8 hours/week (with the potential to increase) within M-F, 8am-8pm. No late nights, no weekends, no on-call obligations.
Paid Non-Clinical Time: Get paid for administrative tasks, clinical team consultations, required training, and client no-shows.
Safety & Coverage: Enjoy 24/7 crisis line support for client risk assessments and seamless coverage support when you take time off.
Additional W-2 advantages you won't find with 1099 contract work:
No tax headaches – We handle withholdings and filings, so you don't have to
Earn paid sick time – Accrue up to 80 hours per year
Merit-based raises – Be recognized and rewarded for your contributions
Retirement benefits – Access an employer-sponsored 401(k) plan
Malpractice insurance provided – Full coverage at no cost to you
Access to state-mandated benefits – Like unemployment, disability, and paid leave where available
About You
A board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) licensed to practice in North Carolina with an active DEA license in North Carolina.
Additional PMHNP licensure in New York, Washington DC, Maryland, Virginia, Florida, Washington, or California.
Willing and committed to becoming licensed in other states. We'll cover the entire cost.
2+ years of experience providing mental health services as a PMHNP, including remote, outpatient telepsychiatry with adults.
Passionate about high-quality, measurement-based, collaborative care.
Eager to collaborate with a dedicated psychiatric team to build upon and refine our care delivery systems.
Preferred: Able to start November 2026
About the Role
Conduct remote 55-minute psychiatry assessments and 25-minute follow-up sessions designed for combined medication management and brief psychotherapeutic support.
Prescribe and manage psychiatric medications, including controlled substances, in accordance with state and federal regulations.
Integrate brief psychotherapy when clinically appropriate to support your clients in reaching their goals efficiently and sustainably.
Partner closely with therapists in a true integrated care model, through our shared EHR system and consultation spaces.
Collaborate with physicians and clinical leadership, sharing direct feedback that shapes how our clinical care is delivered.
Use data-informed tools and measurement-based care to tailor treatment plans and improve outcomes.
About Two Chairs
Two Chairs is setting a new standard in mental health care with seamlessly integrated therapy and psychiatry delivered by highly trained clinicians, powered by smart technology, and measured for real impact. By combining timely access, personalized care, and proven outcomes — we're creating a system that works — for patients, providers, health plans, and clinicians alike. With that, we're excited and honored to have been recognized as a 2025 Great Place to Work and 2025 Fortune's Best Workplaces in Healthcare.
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.
Important Notes:
If you need a reasonable accommodation, please let your recruiter know so our People Team can assist you.