Washington State

Washington Collaborating Physician Jobs – Connect with Clinics Hiring Physicians

Washington’s growing network of PA-led clinics creates consistent demand for collaborating physicians. PAs at every experience level require a signed collaboration agreement with a participating physician — and we connect you with the clinics that need your support.

⏱ Get started in 24–48 hours 🏠 No physical presence required ✅ We handle contracts & compliance 💰 No cap on number of PAs you can collaborate with
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Washington is a full practice authority state for Nurse Practitioners. NPs in Washington can practice and prescribe independently without a collaborating physician. However, Physician Assistants (PAs) at all experience levels still require a signed collaboration agreement with a participating physician — which is where the opportunity lies for Washington physicians.

No cap
On the number of PAs a physician can collaborate with in Washington
4,000 hrs
PA threshold — below this, supervision is required; above, collaboration applies
Remote
Supervision permitted — physical presence at the practice site not required
Why Washington

Washington PAs at Every Level Need a Collaborating Physician

Under Washington’s updated PA practice law (HB 2041, effective January 2025), all PAs — regardless of experience level — must enter into a signed collaboration agreement with at least one participating physician. The nature of the relationship differs based on experience:

PAs with fewer than 4,000 postgraduate hours must be actively supervised by a participating physician. PAs who have met the 4,000-hour threshold move to a collaborative model, where they consult with or refer to the physician as needed. In both cases, a signed agreement is required — and it must identify the participating physician by name.

Washington removed its physician-to-PA ratio cap entirely, meaning you can collaborate with as many PAs as you choose. That makes Washington an unusually flexible income opportunity for participating physicians.

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Washington State Requirements

All PAs must have a signed written collaboration agreement identifying at least one participating physician. The agreement must be kept at the PA’s primary practice location. RCW 18.71A

PAs with fewer than 4,000 postgraduate clinical hours (or 2,000 specialty hours) must practice under physician supervision as described in the agreement. Physical presence is not required. RCW 18.71A.030

PAs who have met the 4,000-hour threshold operate under a collaborative model — consulting with, referring to, or involving the participating physician as indicated by patient need and standard of care.

Washington removed its physician-to-PA ratio cap entirely (HB 2041). Physicians may now collaborate with as many PAs as their practice deems appropriate.

NPs in Washington have full practice authority and do not require a collaborating physician. PA collaboration remains required under Washington Medical Commission rules.

Your Role

What a Collaborating Physician Does in Washington

Your role varies depending on the PA’s experience level — but physical presence is never required, and the agreement stays on file at the practice site, not with the Washington Medical Commission.

Sign the Collaboration Agreement

Execute a written collaboration agreement identifying your role as the participating physician, the PA’s duties, and the supervision or collaboration structure based on the PA’s experience level.

Supervision for Early-Career PAs

For PAs with fewer than 4,000 postgraduate hours, provide structured supervision as described in the agreement. Washington law does not require your physical presence at the site.

Collaboration for Experienced PAs

For PAs who have met the 4,000-hour threshold, serve as the named participating physician available for consultation, referral, and clinical guidance as determined by patient need and standard of care.

Be Available for Consultation

Be reachable for clinical questions and decision-making support. Washington does not require on-site presence — remote availability is fully compliant with state law.

Define Scope & Duties

The collaboration agreement must clearly describe the PA’s duties, responsibilities, and the process for communication and decision-making — we structure this for you.

Earn Income Per PA Agreement

Receive income for each PA collaboration agreement you hold. Washington has no cap on the number of PAs you can collaborate with — giving you significant flexibility to grow your income.

Simple Process

Get Started in 3 Simple Steps

Many physicians in our network are matched and onboarded within 24 to 48 hours.

1

Apply

Submit your basic information and credentials. It takes less than 2 minutes and there is no obligation to proceed.

2

Get Matched

We connect you with Washington clinics and PA practices that need a participating physician for their collaboration agreements.

3

Start Collaborating

Begin your role with full support, clear expectations, and a compliant collaboration agreement already structured and ready to sign.

Our Difference

A Smarter Way to Work as a Washington Collaborating Physician

Structuring compliant PA collaboration agreements under Washington’s updated HB 2041 framework can be complex. We handle the details so you don’t have to.

We connect you with PA practices

No searching, no cold outreach, no negotiating. Washington clinic and PA practice opportunities come to you.

Start within 24–48 hours

Many Washington physicians in our network are matched and onboarded within 24 to 48 hours of applying.

HB 2041-compliant agreements

Our collaboration agreements are structured to meet Washington Medical Commission requirements under the updated PA practice law.

No PA cap — scale at your pace

Washington has no limit on how many PAs you can collaborate with, giving you genuine flexibility to grow your income.

Ongoing opportunities

Access to a growing Washington practice network — not just a one-time placement.

Fully remote, minimal time

Washington does not require physical presence at the practice site. Designed for physicians who want income without additional stress.

Washington Clinics

Washington Clinic Types We Work With

PA-staffed clinics across Washington need a participating physician on their collaboration agreement — creating consistent demand in our network.

💆Medical Spas
⚖️Weight Loss Centers
💉IV Hydration
💻Telehealth Platforms
🏥Primary Care
🧠Psychiatry Practices
Specialty Clinics
🩺Wellness Centers
Is This For You?

This Opportunity Is Ideal For

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Licensed physicians with an active Washington medical license

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Physicians interested in remote or flexible roles

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Those looking to create additional income streams

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Physicians who value a structured, compliant approach

You do not need to be currently practicing in Washington to qualify — but your Washington medical license must be active and in good standing with the Washington Medical Commission.

Collaborating Physician Jobs in Washington

Washington Collaborating Physician Jobs — PA-Only Market With No Ratio Cap and No On-Site Requirement

Washington is a full practice authority state for NPs, which means the physician collaboration opportunity here is entirely within the PA market. That focus creates a clean, well-defined set of collaborating physician jobs across Seattle, Spokane, Tacoma, Bellevue, and the broader Puget Sound corridor — every Washington PA must have a written collaboration agreement with at least one participating physician under HB 2041, regardless of experience level, and no cap limits how many PAs a single physician can collaborate with. For physicians seeking flexible, scalable supplemental income, Washington’s no-cap, no-proximity PA collaboration market is one of the most accessible in the Pacific Northwest.

Collaborating Physician Jobs With No PA Ratio Cap

HB 2041 (effective January 2025) removed Washington’s physician-to-PA ratio limit entirely. Before the reform, physicians were capped in the number of PAs they could supervise. That limit is now gone — meaning physicians can scale their physician collaboration income across as many Washington PA practices as their capacity allows, without hitting a statutory ceiling. This makes Washington one of the most scalable PA collaboration markets on the West Coast.

Remote Collaborating Physician Jobs — No On-Site Requirement

Washington law does not require the participating physician to be physically present at the PA’s practice location. The collaboration agreement defines how supervision or collaboration will occur — and for most practice types, remote availability by phone or video fully satisfies the legal standard. This means virtually all Washington physician collaboration arrangements can be structured as fully remote positions, making them accessible to physicians across the state and to Washington-licensed physicians who practice remotely.

Two-Tier PA Market — Experience-Based Collaboration Structure

Washington’s HB 2041 created two distinct types of physician collaboration depending on the PA’s experience. PAs with fewer than 4,000 postgraduate clinical hours require active supervision described in the agreement — making those arrangements more involved and typically better compensated. PAs with 4,000+ hours move to a lighter collaborative model while still naming a participating physician. Both tiers create ongoing physician collaboration demand, and we match physicians correctly to each tier from the start.

Part-Time Supplemental Income — Fit Around Your Practice

Washington physician collaboration positions are designed to be supplemental, not all-consuming. The agreement defines a specific, bounded set of physician responsibilities — supervision or collaborative availability, communication protocols, and documentation. Patient scheduling, clinical operations, and staffing belong to the PA. Most physicians in our Washington network structure these arrangements as low-overhead part-time income that integrates naturally alongside their primary clinical practice.

CollaboratingPhysician.com maintains an active pipeline of Washington collaborating physician jobs and matches physicians with PA practices across the state within 24 to 48 hours of applying. We verify the PA’s experience tier, structure every collaboration agreement to meet Washington Medical Commission requirements under HB 2041, and help you find collaborating physician opportunities that fit your specialty and availability — from Seattle’s medspa and aesthetics corridor to Spokane’s growing healthcare market and Washington’s rural communities. We are not a job board. We actively manage every match from introduction through agreement and beyond.

FAQ

Frequently Asked Questions — Washington

Do Washington NPs need a collaborating physician?
No. Washington is a full practice authority state for Nurse Practitioners. NPs in Washington can assess, diagnose, treat, and prescribe — including controlled substances — without a collaborating or supervising physician. The collaboration opportunity in Washington is specifically for Physician Assistants (PAs), who are required to have a signed collaboration agreement with at least one participating physician under RCW 18.71A regardless of their experience level.
Do all Washington PAs need a collaborating physician?
Yes. Under Washington’s updated PA practice law (HB 2041, effective January 2025), all PAs must enter into a written collaboration agreement identifying at least one participating physician. PAs with fewer than 4,000 postgraduate clinical hours require active physician supervision as described in the agreement. PAs who have met the 4,000-hour threshold move to a collaborative model but still need a signed agreement naming a participating physician.
How many PAs can I collaborate with in Washington?
There is no cap. Washington’s HB 2041 removed the physician-to-PA ratio limit entirely. Physicians can now collaborate with as many PAs as they and their practice deem appropriate. This gives Washington physicians more flexibility to scale their income than most other states.
Do I need to be physically present at the Washington clinic?
No. Washington law does not require the participating physician to be physically present at the PA’s practice site. Supervision is defined in the collaboration agreement and can be provided remotely. The collaboration agreement must be kept on file at the practice location but does not need to be filed with the Washington Medical Commission unless requested.
Do you handle the collaboration agreement?
Yes. We coordinate and structure collaboration agreements to meet Washington Medical Commission requirements under the updated HB 2041 framework. This includes addressing supervision or collaboration requirements based on the PA’s experience level, duties, communication protocols, and termination provisions. You review and sign — we handle the framework.
How quickly can I get started?
Many physicians in our Washington network are matched and onboarded within 24 to 48 hours, depending on availability, credentials, and clinic needs in your area of Washington state.
How do I find a collaborating physician in Washington — and what should PA clinic owners look for?
For PA clinic owners and practices: the most effective way to find a collaborating physician in Washington is through a managed matching network rather than searching independently. Washington’s HB 2041 framework — with its experience-tier structure, agreement naming requirements, supervision versus collaboration distinction, and Washington Medical Commission oversight — creates more complexity than most PA clinics expect when they first look to find a collaborating physician. A managed platform verifies the physician’s Washington Medical Commission license, confirms the right agreement structure for the PA’s experience level, and handles ongoing documentation requirements. Searching independently through professional directories, NP and PA Facebook groups, or LinkedIn often results in agreements that are not tiered correctly under HB 2041 or that lack the required elements — which creates compliance exposure for both the PA and the collaborative physician. For physicians: if you are evaluating collaborating physician jobs in Washington and want to understand the scope of what you are agreeing to, the answer depends on whether you are collaborating with a PA under 4,000 hours (active supervision described in the agreement) or a PA with 4,000+ hours (lighter collaborative model). Either way, physician collaboration in Washington is a defined, bounded role — not open-ended medical directorship — and the agreement specifies your responsibilities as a collaborative physician clearly before you sign.
Does Washington have collaborating physician for nurse practitioner opportunities, or is it PA-only?
Washington is a PA-only physician collaboration market. Washington NPs practice with full practice authority under state law and do not require a physician agreement to prescribe, diagnose, or treat patients — including controlled substances. There is no collaborating physician for nurse practitioner requirement in Washington at any experience level. The physician collaboration market in Washington is entirely within the PA sector, where every PA — regardless of years of experience — must name at least one participating physician in a written collaboration agreement under HB 2041. This PA-only structure means physician collaboration demand in Washington is concentrated, consistent, and well-defined. Physicians who want to find collaborating physician opportunities in Washington are matching with PA-owned and PA-operated practices, not NP practices — making Washington one of the most straightforward and clearly scoped collaborative physician markets on the West Coast.

Start Building Additional Income as a Washington Collaborating Physician

Washington PA practices need a participating physician. We connect you with them — and handle everything else. Join our growing network and get matched with clinics across Washington that need your support.

Apply Now — Takes Less Than 2 Minutes

Or call us at +1 (817) 857-2726 to get started today.

Serving physicians and clinics across Washington state, including Seattle, Spokane, Tacoma, Vancouver, Bellevue, Kent, Everett, Renton, Spokane Valley, Kirkland, Bellingham, Kennewick, Yakima, Redmond, Marysville, Sammamish, South Hill, Federal Way, Shoreline, Richland, and surrounding areas.

Collaborating Physician Intake Form

Complete the form below to explore collaborating physician jobs with Collaborating Physician. Our team will review your information and connect you with qualified healthcare professionals in need of oversight. Start earning residual income in a flexible role—submit your details today to discover your next collaborating physician job opportunity!

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