Supervising Physician

Location: Jacksonville, TX (Hybrid/Remote Oversight)

Practice Type: Nurse Practitioner-Led Outpatient Clinic

Employment Type: Contract / Part-Time (Collaboration)

Job Summary

We are seeking a board-certified Physician (MD/DO) to provide collaborative oversight and prescriptive authority for an established/independent Nurse Practitioner-led practice in Jacksonville, Texas. This is a non-clinical, administrative-heavy role focused on regulatory compliance, clinical consultation, and quality assurance. The ideal candidate is a licensed Texas physician who values the NP-Physician collaborative model and is interested in supporting rural healthcare access in East Texas.

Key Responsibilities (Texas TMB/BNE Compliance)

• Prescriptive Authority Agreement (PAA): Establish and maintain a written Prescriptive Authority Agreement in accordance with Texas Medical Board (TMB) Chapter 193\.
• Chart Review: Conduct periodic retrospective review of clinical records (typically 10% or as agreed upon in the PAA) to ensure adherence to standard of care and clinical protocols.
• Clinical Consultation: Be available via telecommunication (phone, email, or secure text) during clinic hours to provide expert consultation on complex cases or high-acuity patient presentations.
• Quality Assurance: Participate in monthly or quarterly meetings (which may be conducted via teleconference) to discuss patient care, clinical outcomes, and clinic protocols.
• Regulatory Compliance: Ensure the practice remains compliant with Texas state laws regarding Nurse Practitioner autonomy and physician supervision.

Qualifications \& Requirements

• Licensure: Unrestricted License to practice medicine in the State of Texas (MD or DO).
• Board Certification: Board Certified in Family Medicine, Internal Medicine, or [Alternative Specialty, e.g., Psychiatry if applicable].
• Credentials: Active DEA and Texas DPS registrations.
• Experience: Previous experience as a collaborating or supervising physician for Advanced Practice Registered Nurses (APRNs) is preferred but not required.
• Proximity: While daily on-site presence is not required, the physician must be reachable and meet TMB requirements for periodic on-site visits if necessary (relevant for clinics within certain mileage radii or specific rural health designations).

Schedule \& Compensation

• Hours: Flexible/Remote. No direct patient care required.
• Compensation: Competitive monthly stipend (Contract/1099).
• Malpractice: Clinic typically covers the administrative/collaboration portion of malpractice insurance (to be negotiated).

About the Practice

Center Care Clinic is a community-focused clinic in Jacksonville, TX, dedicated to providing high-quality, accessible care to the residents of Cherokee County. We specialize in Primary Care / Mental Health and pride ourselves on a supportive, patient-centered environment.

Recruiter Tips for Texas Collaboration:

• TMB Limits: Remember that in Texas, a physician can generally delegate prescriptive authority to a maximum of 7 full-time equivalent (FTE) NPs/PAs (unless in a medically underserved area).
• Distance: Texas law no longer requires the physician to be within a specific mileage of the NP, provided they are available by telecommunication and can perform required periodic face-to-face meetings.
• Jacksonville Specifics: Highlight the "Rural/Medically Underserved" aspect if applicable, as this can sometimes offer the physician certain liability protections or allow for broader oversight ratios.

Job Types: Full-time, Part-time

Work Location: Remote