Psychiatrist — Intake & Clinical Escalations (Remote, Texas)

About Legion Health

At Legion Health, we believe everyone deserves fast, affordable, and world‑class health care, and we’re building the AI infrastructure to deliver it at scale.

Legion is building autonomous medical care, starting with psychiatry. Our AI‑native care‑delivery platform automates much of the administrative work involved in delivering direct patient care, freeing clinicians to focus on diagnosis, treatment, and their relationships with patients.

We combine rich clinical data, production AI, doctors in the loop, and end‑to‑end care operations to deliver measurably better care to a clinically complex patient population. Our model gives clinicians the support and stability of an established organization with the flexibility and autonomy of modern telemedicine practice.

Role Logistics

• Location: Remote — Texas


• Job Type: Part‑time or Full‑time


• Department: Patient‑Facing (Clinical)


• Required License: Active, unrestricted Texas medical license


• Additional Licensure: Multi‑state licensure is a plus; willingness to obtain additional licenses as Legion expands is required


• Clinical Mix: Primarily psychiatric intake visits, plus a small follow‑up caseload and clinical escalations


• Start Date: ASAP

The Opportunity

Legion Health is looking for a clinically excellent, patient‑centered psychiatrist to establish the clinical foundation for each patient’s care.

The majority of your work will consist of comprehensive psychiatric intake evaluations. You will clarify diagnoses, assess risk and clinical complexity, and develop clear, practical, evidence‑based treatment plans.

When a patient does not require continued psychiatrist‑level care, you will transition ongoing management to one of Legion’s psychiatric mental health nurse practitioners through a complete, clinically actionable handoff. You will retain a small follow‑up caseload for patients whose complexity, risk profile, or treatment needs benefit from continued psychiatrist involvement.

You will also serve as a trusted consultation and escalation resource for our advanced practice providers and broader interdisciplinary care team. The ideal candidate has experience managing or clinically leading APPs and enjoys helping other clinicians deliver excellent care.

This position is designed for someone who finds the speed and ambition of a startup energizing. You should welcome the opportunity to work differently from a traditional psychiatry job, move quickly, contribute beyond a narrowly defined clinical role, and help build a better model of care.

You do not need to be an AI expert. You should, however, approach AI with an open mind and a sense of optimism about how thoughtfully designed technology can improve clinical care, clinician experience, and patient access.

Responsibilities and Deliverables

• Comprehensive Psychiatric Evaluations: Conduct detailed intake assessments covering presenting symptoms, psychiatric and medical history, treatment response, medication history, substance use, psychosocial factors, mental status, and safety risks.


• Diagnosis and Initial Care Planning: Establish or clarify diagnoses and develop practical, individualized treatment plans grounded in safe, evidence‑based clinical pathways.


• Collaborative Transitions to Ongoing Care: Determine when a patient can appropriately transition to PMHNP‑led care and provide a complete, timely handoff that supports continuity.


• Focused Psychiatrist‑Led Follow‑Up: Maintain a small caseload of patients whose complexity, acuity, risk, or treatment resistance warrants continued psychiatrist involvement.


• Clinical Consultation and Escalations: Partner with APPs on complex diagnostic, medication, safety, treatment‑response, and acuity questions, with renewed psychiatrist involvement when clinically appropriate.


• Responsible Telehealth Prescribing: Prescribe medications through telehealth—including Schedule II and Schedule IV controlled substances when clinically appropriate and legally permitted—in accordance with federal and state law, DEA requirements, applicable telemedicine regulations, and Legion’s evidence‑based clinical pathways.


• APP Leadership and Development: Provide clinical guidance, feedback, mentorship, and case‑based support to PMHNPs and other advanced practice providers.


• Interdisciplinary Collaboration: Work effectively with clinicians, operations, patient support, pharmacy coordination, and other teams to deliver safe and coordinated care.


• Clinical Documentation: Complete accurate and timely documentation of evaluations, diagnostic reasoning, treatment plans, prescriptions, care transitions, consultations, and follow‑up visits.


• Quality Improvement: Participate in case reviews and clinical discussions and help strengthen Legion’s care pathways, prescribing protocols, and quality standards.

You’ll Be Successful If You…

• Enjoy the diagnostic depth and decision‑making involved in psychiatric intake visits.


• Develop care plans that are clear, practical, evidence‑based, and easy for an ongoing clinician to carry forward.


• Exercise strong independent judgment while valuing shared clinical standards and responsible prescribing pathways.


• Are comfortable prescribing medications through telehealth, including clinically appropriate Schedule II and Schedule IV controlled substances.


• Understand the regulatory responsibilities associated with telemedicine and controlled‑substance prescribing.


• Know when a patient can transition to APP‑led care and when psychiatrist‑level involvement should continue.


• Have experience managing, mentoring, or clinically leading APPs.


• Enjoy collaborating with interdisciplinary clinical and operational teams.


• Communicate your clinical reasoning clearly and document it thoroughly.


• Respond thoughtfully and reliably when cases require escalation.


• Have an open mind about AI or consider yourself a techno‑optimist.


• Are energized by fast‑paced, startup environments and see this role as a welcome alternative to traditional psychiatry settings.


• Are comfortable with change, ambiguity, experimentation, and continuous improvement.


• Deliver compassionate, patient‑centered care to patients from diverse backgrounds and communities.

Ideal Background and Skills

• M.D. or D.O. degree.


• Completion of an accredited psychiatry residency.


• Active, unrestricted Texas medical license.


• Board certification or board eligibility in psychiatry.


• Active, unrestricted DEA registration and any applicable state controlled‑substance registrations.


• Professional experience delivering psychiatric care through telehealth.


• Experience working in community mental health.


• Experience serving diverse, underserved, or clinically complex patient populations.


• Experience managing, supervising, mentoring, or clinically leading APPs.


• Demonstrated success working with interdisciplinary clinical and operational teams.


• Strong psychiatric assessment, diagnostic, risk‑evaluation, and medication‑management skills.


• Experience prescribing Schedule II and Schedule IV controlled substances through telehealth in accordance with applicable laws and regulations.


• Demonstrated ability to develop clear, evidence‑based treatment plans.


• Sound judgment regarding transitions between psychiatrist‑led and APP‑led care.


• Excellent written, verbal, and interpersonal communication skills.


• Comfort using telehealth platforms, technology, and electronic health record systems.


• Multi‑state medical licensure is strongly preferred.


• Willingness to obtain and maintain licenses in additional states as requested by Legion.


• Commitment to evidence‑based, patient‑centered care and responsible prescribing.


• Curiosity about AI and enthusiasm for technology‑enabled clinical care.


• Comfort working in a fast‑paced startup environment.

Compensation & Benefits

• Competitive Compensation: Compensation reflects your experience, availability, licensure, and clinical responsibilities.


• Flexibility: Set a schedule that supports a healthy work‑life balance.


• Work From Home: Deliver care remotely through our telehealth platform.


• Focused Clinical Scope: Spend most of your clinical time conducting intake evaluations, with a limited follow‑up panel and targeted consultation responsibilities.


• Significant Administrative Support: Focus on patient care while Legion handles scheduling, insurance verification, billing, prior authorizations, pharmacy coordination, and other administrative work.


• Clinical Autonomy: We trust experienced psychiatrists to exercise independent clinical judgment. Evidence‑based pathways, objective tools, and peer consultation support safe, consistent care while leaving room for individualized treatment.


• Patient Acquisition: We work to fill your schedule, eliminating the need to market or build a private‑practice referral base.


• Collaborative Clinical Team: Work alongside talented PMHNPs, psychiatrists, and interdisciplinary team members committed to compassionate, evidence‑based care.


• Appropriate Appointment Lengths: Psychiatric intakes are scheduled for one hour, with 30‑minute follow‑up visits.


• Legal Protection: Legion provides malpractice insurance coverage.


• Technical Support: We provide high‑quality EHR and electronic prescribing tools.


• Credentialing Support: Legion manages credentialing with participating commercial, ACA, and government insurance plans.


• Responsible Prescribing Support: Access evidence‑based prescribing pathways and objective diagnostic tools that support safe and ethical medication management.


• Clinical Resources: Receive access to premium resources such as UpToDate and Carlat.


• Professional Growth: Contribute to APP development, case reviews, provider education, care‑model design, and future clinical leadership opportunities.


• Licensure Coverage: Legion reimburses fees associated with obtaining additional state licenses when requested by the company.


• Community: Connect with colleagues through virtual and in‑person clinical and company events.

Equal Employment Opportunity

Legion Health is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees, contractors, and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, genetic information, or any other characteristic protected by applicable law.

Legion Health is committed to providing reasonable accommodations to qualified individuals with disabilities throughout the application and interview process. Applicants who require an accommodation should inform their recruiting contact.