About The Position

Accountable is a tech-enabled behavioral health company focused on helping individuals recover from substance use and co-occurring mental health challenges. They offer services through human connection, coaching, peer support, accountability, and evidence-informed care, partnering with various entities to improve member outcomes. The company is launching Principal Illness Navigation - Peer Support services for members with serious behavioral health and substance use conditions and is seeking part-time contract psychiatrists. These psychiatrists will perform initiating visits, supervise peer support services, and support a compliant, high-quality care model. 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. The psychiatrist will serve as the initiating and supervising practitioner for assigned members in the state or states where they are licensed and credentialed. This is not a traditional high-volume medication management position.

Requirements

  • 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

Nice To Haves

  • 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

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

Benefits

  • $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
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