Nexus Letter Psychiatrist Consultant

Job Title: VA Nexus Letter Psychiatric Consultant
Location: Remote
Employment Type: Contract / Part-Time / Potential for Full-Time

Description:
Xterra Health is seeking a dedicated and highly skilled psychiatrist (MD/DO), licensed in either Ohio or Pennsylvania, to join our team as a VA Nexus Letter Psychiatric Consultant. In this role, you will apply your clinical expertise in mental health to conduct thorough evaluations and develop evidence-based nexus letters that help veterans secure the disability benefits they deserve. Your work will directly support veterans living with PTSD, depression, anxiety disorders, trauma-related conditions, and other psychiatric diagnoses connected to military service.

As a mission-driven organization founded by veterans and physicians, Xterra Health is committed to delivering the most accurate, timely, and veteran-centered medical documentation in the VA disability space.

Key Responsibilities

• Conduct structured 1:1 phone or video consultations to assess psychiatric history, trauma exposure, service-related stressors, and current symptomatology.
• Review service treatment records, VA and private mental health records, diagnostic reports, psychological evaluations, and relevant collateral information.
• Draft clear, comprehensive, and diagnostically sound psychiatric nexus letters that establish a service connection (direct, secondary, or aggravated).
• Apply DSM-5-TR diagnostic criteria and evidence-based psychiatric principles to support conclusions.
• Ensure all documentation meets VA standards and effectively supports the veteran’s disability claim.
• Collaborate with a supportive clinical team dedicated to quality, ethics, and veteran advocacy.

Required Qualifications

• MD or DO in Psychiatry (board-certified or board-eligible).
• Active and unrestricted medical license in either Ohio or Pennsylvania

Preferred Skills & Experience

• Strong understanding of psychiatric conditions common among veterans (e.g., PTSD, depressive disorders, anxiety disorders, trauma-related disorders, sleep disorders).
• Familiarity with VA disability claims, service connection types, and CFR guidelines (preferred but not required—full training provided).
• Excellent clinical reasoning and diagnostic formulation skills.
• Outstanding written communication skills, especially in translating complex psychiatric concepts for non-medical audiences.
• High attention to detail and ability to manage cases independently.
• A genuine desire to serve and advocate for the veteran community.
• Military veteran status is highly preferred but not required.

Additional Information

All candidates will undergo a background check as part of the hiring process. A criminal record does not automatically disqualify applicants—we review all backgrounds case-by-case and follow all applicable laws.
We are an Equal Opportunity Employer committed to diversity, inclusion, and a supportive work environment.

Why Join Us?

• Flexible, remote work-from-home schedule.
• Highly competitive compensation based on experience and caseload.
• Meaningful, mission-driven work that directly impacts veterans’ lives.
• Supportive, physician-led team with comprehensive training and quality assurance.

Compensation

$20,000–$250,000 per year (contract, based on part-time workload)

To Apply

Please submit your CV and a brief cover letter describing your interest and experience in veteran mental health.

Job Types: Part-time, Contract
Work Location: Remote
Applicants with a criminal record are encouraged to apply.

Pay: $20,000.00 - $200,000.00 per year

People with a criminal record are encouraged to apply

Work Location: Remote