Nurse Practitioner (EST)

Vynca•San Mateo, CA

1d•$130,000 - $160,000•Remote

About The Position

Vynca is seeking a remote Nurse Practitioner to join its Clinical Care Delivery Team. The role provides evidence-based, high-quality telemedicine care to an assigned panel of complex and seriously ill patients. The focus is on assessing patient needs, acting on findings, improving outcomes, avoiding hospitalizations, and supporting timely hospice transitions. Applicants are currently considered from Arizona, California, Colorado, Florida, Georgia, Illinois, Nevada, North Carolina, Oregon, Texas, Utah, and Washington, with a strong preference for candidates in the Eastern Time Zone. The Nurse Practitioner works remotely using HIPAA-compliant hardware and software, collaborating with patients, families, caregivers, and an interdisciplinary care team. The schedule is Monday through Friday, 8:30 a.m.–5:00 p.m. Eastern Time, with rotating evening and weekend on-call coverage. Occasional travel may be required for job duties, training, or company events. The role requires an active, unrestricted Georgia RN and NP license and the ability to obtain additional state licensure. Candidates must be graduates of an accredited nurse practitioner program and hold ANP, AGNP, or FNP certification, as well as ACHPN certification or the ability to obtain it. At least two years of NP experience caring for complex, seriously ill patients is required. DEA licensure, or the ability to obtain it, is also required. The annual salary range is $130,000–$160,000. Pay depends on factors including relevant experience and skills, geographic location, company needs, and market demands. Full-time employees are eligible for medical, dental, and vision insurance, income protection benefits, flexible PTO, company holidays, a 401(k), and other wellness benefits. The company also provides continuing medical education reimbursement and pays for malpractice coverage, DEA, and licensure.

Requirements

Active, unrestricted Georgia RN and NP license, with the ability to obtain additional state licensure.
DEA licensure or the ability to obtain it.
Graduate of an accredited nurse practitioner program.
ANP, AGNP, or FNP certification.
ACHPN certification or the ability to obtain ACHPN certification.
At least 2 years of experience providing NP care to complex, seriously ill patients.
Ability to work remotely Monday through Friday, 8:30 a.m.–5:00 p.m. Eastern Time, with rotating evening and weekend on-call coverage.
Strong communication skills for goals-of-care and hospice transition conversations.

Nice To Haves

Additional Texas and/or New Jersey RN and NP licensure is highly preferred.
Experience with, or interest in, outcomes-focused and value-based care, including working from data and scorecards.

Responsibilities

Independently perform comprehensive and symptom-management visits and oversee plans of care as defined by state-specific law.
Assess each patient’s symptoms, goals, and risks at every visit; develop a clear plan of care and follow up to evaluate improvement.
Complete required assessments and documentation, including ESAS, POLST, and goals-of-care documentation, in a timely manner and use results to adjust care plans.
Order and interpret diagnostic and therapeutic tests appropriate to patients’ age-specific needs.
Prescribe appropriate pharmacologic and non-pharmacologic treatments.
Coordinate with patients, families, caregivers, and clinical staff to support positive patient experiences and strong clinical outcomes.
Partner with RNs, social workers, and other care team members through daily huddles and interdisciplinary meetings to identify at-risk patients and coordinate follow-up.
Reduce avoidable hospitalizations through proactive outreach, rapid response to changes in condition, and post-discharge transition-of-care follow-up.
Facilitate patient transitions between health care settings, including admissions, transfers, and discharges.
Identify patients who may benefit from hospice and lead compassionate, timely goals-of-care and hospice transition conversations.
Make appropriate referrals in collaboration with multidisciplinary team members.
Provide educational tools to support staff, patient, and family decision-making.
Apply knowledge of Medicare reimbursement and coding, Medicaid, and other regulatory requirements; document accurately to support appropriate billing.
Review individual and panel performance data and act on opportunities to improve quality, patient engagement, productivity, and outcomes.
Understand how clinical practice contributes to financial sustainability, including revenue, care margin, and billable census.
Participate in mandatory organizational meetings and the after-hours on-call rotation.