Hawaii Collaborating Physician Jobs – Flexible & High-Paying Opportunities
Hawaii’s PA-staffed clinics — from Honolulu’s urban healthcare corridor to the medically underserved neighbor islands — need licensed supervising physicians for every PA they employ. With a strict 2-PA cap per physician, physician demand is high, consistent, and unique to the Aloha State.
Hawaii’s 2-PA Cap Creates High, Consistent Demand for Supervising Physicians
Hawaii is a full practice authority state for NPs but maintains one of the more structured PA supervision frameworks in the country. Every PA in Hawaii must practice under the active supervision of a Hawaii-licensed physician, with the physician’s scope of delegated practice established in writing. Crucially, Hawaii caps each supervising physician at no more than two PAs at any one time — meaning every PA-staffed clinic in the state needs its own physicians, and demand is proportionally high.
Hawaii’s PA supervision framework uses a two-tier experience system — newly licensed or newly placed PAs (Category 1) require more intensive oversight, while experienced PAs (Category 2) operate with substantially reduced chart review requirements.
Hawaii’s unique geography — multiple islands with persistent physician shortages on Maui, the Big Island, Kauai, and Molokai — makes physician supervision support especially valuable for PA-staffed clinics across the state.
Hawaii State Requirements
All PAs must practice under the supervision of a Hawaii-licensed supervising physician. The physician must submit a written statement accepting full professional and legal responsibility for the PA’s performance and patient care. HRS § 453-5.3; HAR § 16-85-49
The supervising physician may supervise no more than two PAs at any one time. The PA’s scope of practice is established in a written document developed on-site by the supervising physician. HAR § 16-85-49(a)(7); § 16-85-49.1
Hawaii uses a two-category system for chart review. Category 1 (new or newly placed PAs): 50% chart review for first 6 months; 25% for months 6–12. Category 2 (1+ year experience): 10% of charts reviewed. HAR § 16-85-49
Physical presence is not required. Direct communication may occur via telephone, fax, modem, or other telecommunications. The supervising physician must designate an alternate supervising physician in their absence. HAR § 16-85-49(a)(4), (6)
PAs may prescribe Schedule III–V controlled substances and legend medications under physician delegation. Schedule II controlled substances are not included in PA prescribing authority under Hawaii law. The PA is considered the agent of the supervising physician.
Hawaii’s Two-Category PA Supervision System
Hawaii classifies PAs by experience level. Your supervision requirements differ based on which category the PA falls into — and we match you accordingly.
New, Newly Employed, or New Specialty PAs
Applies to PAs who are newly licensed in Hawaii, have a new employer, or have started a new practice specialty. Requires more intensive oversight during the ramp-up period:
• First 6 months: 50% chart review
• Months 6–12: 25% chart review
• Physician personally reviews records within 7 working days
• Scope of practice established in writing by the supervising physician
Experienced PAs (1+ Year)
Applies to PAs who have completed Category 1 requirements. Significantly reduced oversight burden:
• 10% chart review required
• Scope of practice established in writing by the supervising physician
• Same written supervision agreement and alternate physician designation requirements
• Telecommunications-based supervision fully satisfies legal standard
We match you with clinics based on PA experience level so your supervision obligations are clearly defined before you sign. No surprises.
What a Supervising Physician Does in Hawaii
Your role in Hawaii is clearly defined by the written scope document and supervision agreement — and physical presence at the practice site is not required.
Establish Written Scope of Practice
Develop and sign a written document defining the PA’s scope of practice and the conditions under which they will perform medical services. The PA is considered your agent for all practice-related activities.
Chart Review (Tiered by Experience)
Review the PA’s patient records at the frequency required for their category: 50% for the first 6 months (Category 1), 25% for months 6–12, and 10% ongoing once Category 2 is reached.
Telecom Availability
Be accessible to the PA via telephone, two-way radio, fax, or other telecommunications. Hawaii law explicitly states that physical presence is not required where direct communication can occur through telecommunications.
Designate an Alternate Supervising Physician
Designate an alternate supervising physician to cover for your absence. This is a Hawaii-specific requirement — the alternate must be identified in advance so the PA is never without a named supervising physician.
Delegate Prescriptive Authority
Authorize the PA to prescribe Schedule III–V controlled substances and legend medications to the extent defined in the written agreement. Schedule II prescribing is not permitted for Hawaii PAs under state law.
Earn Income Per PA Agreement
Receive income for each PA you supervise. Hawaii’s 2-PA cap creates high per-physician demand — and because every PA practice in the state needs a named supervising physician, that demand is consistent and ongoing.
Get Started in 3 Simple Steps
Many physicians in our network are matched and onboarded within 24 to 48 hours.
Apply
Submit your basic information and credentials. It takes less than 2 minutes and there is no obligation to proceed.
Get Matched
We connect you with Hawaii PA practices that need a supervising physician in your specialty area — across Oahu, Maui, Big Island, and Kauai.
Start Supervising
Begin your role with full support, clear expectations, a compliant written scope document, and alternate physician designation already coordinated.
A Smarter Way to Work as a Hawaii Supervising Physician
Hawaii’s two-tier chart review system, alternate physician designation requirement, strict 2-PA cap, and Schedule II restrictions create complexity. We handle the structure so you can focus on your role.
We connect you with PA practices
No searching, no cold outreach. Hawaii PA clinic opportunities come directly to you — across all islands.
Start within 24–48 hours
Many Hawaii physicians in our network are matched and onboarded within 24 to 48 hours of applying.
HAR § 16-85-compliant agreements
Our written scope documents and supervision agreements meet Hawaii Medical Board requirements — including the appropriate chart review tier and alternate physician designation.
High per-physician demand
Hawaii’s 2-PA cap means the state needs significantly more supervising physicians per PA than most other states — creating consistently high per-physician opportunity.
Alternate physician coordination
Hawaii requires a designated alternate physician for every supervision arrangement. We help coordinate and identify qualified alternates so the clinic is always covered.
Telecom-based, minimal time
Hawaii law explicitly permits telecommunications supervision. No physical presence required. Designed for physicians who want additional income without additional stress.
Hawaii Clinic Types We Work With
PA-staffed clinics across Hawaii — from Honolulu’s urban medical corridor to rural practices on the neighbor islands — require a named supervising physician under Hawaii law.
This Opportunity Is Ideal For
Physicians with an active, unrestricted Hawaii medical license in good standing
Physicians comfortable with telecom-based supervision and tiered chart review
Those looking to create additional income streams
Physicians serving Hawaii’s unique multi-island healthcare market
Hawaii requires the supervising physician to hold an active, unrestricted Hawaii medical license issued by the Hawaii Medical Board (Department of Commerce and Consumer Affairs). The physician must accept full professional and legal responsibility for the PA’s performance.
Hawaii Collaborating Physician Jobs — PA Supervision Across Honolulu, Maui, Kauai, and the Aloha State
Hawaii’s NPs practice with full practice authority, which means the physician income opportunity here is entirely in the PA supervision market — every Hawaii PA needs a written supervisory agreement with a physician, with no PA independence pathway and no ratio cap. Hawaii’s supervisory framework has unique elements — quarterly chart review, a designated alternate supervising physician, and monthly contact requirements — that create structured, well-compensated remote physician jobs and part time physician jobs across Oahu, Maui, the Big Island, and Kauai.
Remote Physician Jobs — No On-Site Requirement Beyond Monthly Contact
Hawaii’s PA supervisory framework requires monthly contact between the physician and PA, and does not mandate on-site presence beyond this contact. The monthly consultation and quarterly chart review obligations can be conducted by phone or telehealth for most practice types. For physicians seeking remote physician jobs with a structured but manageable monthly touchpoint, Hawaii PA supervision fits the profile — particularly for Oahu-based physicians who want to extend their income reach to outer island PA practices.
Part Time Physician Jobs — Permanent PA Demand, No Ratio Cap
Hawaii has no PA independence pathway and no ratio cap on the number of PAs a physician may supervise simultaneously. Every Hawaii PA needs a supervising physician permanently — creating a deep, stable pool of part time physician jobs across Honolulu’s bustling healthcare market, Maui’s growing wellness sector, and Hawaii’s rural outer island communities. Physicians can hold multiple concurrent Hawaii supervisory agreements, building a portfolio of physician side jobs across the islands.
Physician Consulting Jobs — Honolulu’s Medical Alii and Kailua Health Corridor
Honolulu’s Medical Alii, Kailua, and Kaimuki wellness districts generate consistent demand for physician consulting jobs beyond standard PA supervisory agreements. PA and NP-operated medspas, weight loss clinics, and telehealth practices across Hawaii seek physician consulting jobs for protocol development, payer credentialing, and QA oversight — often structured as retainer arrangements alongside PA supervisory income.
Physician Advisor Roles for Hawaii NP Clinics
Hawaii NPs are fully independent but many NP-led practices across Honolulu, Maui, and the outer islands voluntarily engage a physician advisor for payer credentialing, QA governance, and protocol oversight. These physician advisor jobs are structured entirely at the practice level with no Hawaii Medical Board filing obligation and are available as remote physician advisor jobs for Hawaii-licensed physicians statewide.
CollaboratingPhysician.com maintains an active pipeline of collaborating physician jobs across Hawaii — with new collaborating physician jobs and matches physicians with PA practices within 24 to 48 hours. Whether you are looking for remote physician jobs on Oahu or Maui, part time physician jobs across the Big Island and Kauai, or remote physician advisor jobs with Hawaii-based telehealth platforms, we structure supervisory agreements to meet HAR § 16-85 requirements, coordinate alternate supervising physician identification, and manage every arrangement throughout.
Frequently Asked Questions — Hawaii
Start Building Additional Income as a Hawaii PA Supervising Physician
Hawaii PA practices across all islands need licensed supervising physicians. We connect you with them — and handle written scope documents, supervision agreements, alternate physician coordination, and ongoing support.
Apply Now — Takes Less Than 2 MinutesOr call us at +1 (817) 857-2726 to get started today.
Serving physicians and PA clinics across Hawaii, including Honolulu, Pearl City, Hilo, Kailua, Kaneohe, Waipahu, Mililani, Ewa Beach, Kapolei, Kailua-Kona, Kahului, Wailuku, Lihue, Kapaa, Waimea, Lahaina, Kihei, and practices across Oahu, Maui, the Big Island, Kauai, and Molokai.
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!