Virginia Collaborating Physician Jobs – Top Opportunities for Licensed Physicians

Virginia uses this specific term to describe the collaborating physician’s role. A Patient Care Team Physician is defined in Virginia law as a physician who is actively licensed to practice medicine in Virginia, who regularly practices medicine in the Commonwealth, and who provides management and leadership in the care of patients as part of a patient care team. This is not merely an administrative role — Virginia expects the physician to be an active participant in care delivery.

A Patient Care Team Physician may serve on patient care teams with up to 6 NPs at one time. The exception is psychiatric-mental health NPs, where the limit is extended to 10 NPs. This applies to NP-physician practice agreements across all practice settings and clinic types in Virginia.

Yes. Under 18VAC85-50-101, all PAs must enter into a written or electronic practice agreement with a Patient Care Team Physician before initiating practice. The agreement must describe the PA’s roles and functions, include a performance evaluation process with a record review timeline, and address prescriptive authority if applicable. There is no experience-based pathway out of this requirement for PAs in Virginia.

No. Virginia explicitly permits collaboration and consultation to occur through telemedicine. There is no geographic proximity requirement in Virginia law. The practice agreement may include provisions for site visits, but this is determined collaboratively between the parties — it is not a state mandate.

When an NP you collaborate with accumulates 5,400+ hours of clinical experience under your practice agreement, they become eligible to apply for Autonomous Practice designation from the Virginia Board of Nursing. As the Patient Care Team Physician, you co-sign their attestation confirming you practiced with them. Once their autonomous practice is approved, they no longer need a practice agreement — freeing your collaboration slot for a new NP. We support you through this transition.

For NPs and PAs: the most reliable way to find a collaborating physician in Virginia is through a managed matching network rather than searching independently. Virginia’s framework involves specific requirements — the Patient Care Team Physician must be actively licensed and regularly practicing medicine in the Commonwealth, the practice agreement must describe roles and functions including a performance evaluation and record review process for PAs, and specialty correspondence between the physician’s field and the NP’s or PA’s practice area is expected. A managed platform verifies all of these elements before introduction, ensuring the arrangement is compliant from day one. NPs and PAs who want to find collaborating physician partners in Virginia quickly will find that managed matching is faster and more reliable than independent outreach — most physicians in our Virginia network are introduced within 24 to 48 hours of a practice applying. Searching independently through social media, local outreach, or physician directories often produces agreements that miss required Virginia Board elements or that pair providers whose specialties do not align — creating compliance risk for both parties. For physicians: if you are evaluating collaborating physician jobs in Virginia and want to understand what physician collaboration here actually involves, the key point is that the Patient Care Team Physician is not a silent signature on a document. Virginia expects the physician to be an active participant in care delivery — providing management, leadership, and consultation as defined in the practice agreement. A collaborative physician in Virginia fills a genuine, defined role. Understanding that distinction before you apply helps ensure the arrangements you enter are sustainable, compliant, and mutually beneficial.

Physician collaboration in Virginia is governed by 18VAC90-40-90 for NPs and 18VAC85-50-101 for PAs, and the day-to-day obligations of a collaborative physician are defined in the written or electronic practice agreement signed by both parties. For NP arrangements, the core responsibilities are: (1) being available for consultation by telemedicine or in person; (2) participating in patient care management and leadership as outlined in the agreement; and (3) co-signing the NP’s Autonomous Practice attestation when they reach the 5,400-hour threshold. For PA arrangements, the practice agreement must additionally include a performance evaluation process and a record review timeline. Beyond these defined touchpoints, the collaborative physician does not manage the NP’s or PA’s patient scheduling, clinical operations, or daily decisions — those belong to the provider. Most Virginia physicians holding collaboration arrangements structure them as low-overhead, remote-eligible supplemental income that integrates naturally with their primary practice. This structure is exactly why collaborating physician jobs in Virginia attract physicians looking for income that is stable, well-defined, and does not require giving up clinical time elsewhere.