Telehealth Nurse Practitioner (TX, 1099)
About The Position
Austin Health Wired is seeking a Texas-licensed nurse practitioner for a remote, 1099 independent-contractor role caring primarily for older adults with multiple chronic conditions, including people transitioning home after a hospital or post-acute stay. The initial focus is on new-patient visits and well-defined clinical escalations during agreed coverage windows. The role requires independent clinical judgment, thorough documentation, clear communication, and comfort working in an evolving, technology-enabled care model. The practitioner will conduct remote visits, assess and manage clinical escalations, prescribe or refill medications, sign orders and care plans, and coordinate follow-up with patients, caregivers, Care Navigators, and referring partners. Additional assigned work may include follow-up evaluation and management visits and approved remote patient monitoring and chronic care management services. The practitioner remains accountable for clinical decisions and documentation while collaborating with Care Navigators and clinical leadership. Coverage is three mutually agreed weekdays per week from 8:00 a.m. to 6:00 p.m. Central. During contracted coverage windows, the practitioner must remain reachable and able to begin appropriate clinical action within the stated response targets: high priority within 15 minutes, medium within one hour, and low within 24 hours. Unresolved issues must be resolved or handed off before coverage ends. Clinical leadership arranges backup for urgent matters when the practitioner cannot respond within the required timeframe. The engagement is remote and paid through coverage-hour payments, completed-visit fees, and agreed hourly payments for RPM/CCM and other clinical work. Required onboarding and training are paid. During the first 30 days, the practitioner will learn workflows, observe cases, perform visits and escalations with review, and progressively assume independent responsibility. The clinical lead remains available for cases outside the assigned scope or requiring additional review.
Requirements
- Board-certified family nurse practitioner or adult-gerontology primary care nurse practitioner; another primary care NP certification may be considered if scope and experience align.
- Current, unrestricted RN and Texas APRN licensure or applicable authorization to practice, plus an active individual NPI.
- Already enrolled or able to promptly enroll with Medicare and complete any required reassignment to the applicable Austin Health Wired-affiliated professional entity.
- Ability to meet applicable physician-delegation, prescriptive-authority, credentialing, and professional-liability requirements before delivering care.
- At least 3 years of outpatient primary care, complex care, geriatric, home-based, or post-acute clinical experience.
- Strong E&M documentation, medication reconciliation, telehealth assessment, clinical triage, and interprofessional handoff skills.
- Ability to work independently within clear protocols, learn new technology, and adapt as workflows evolve.
- Ability to remain reachable and begin appropriate clinical action within the required response targets during contracted coverage windows.
Nice To Haves
- Experience caring for Medicare patients with multiple chronic medical and social needs.
- Experience with transitions of care, home health, RPM, CCM, or value-based care.
- Experience signing care plans or home-health orders and coordinating across patients, caregivers, and distributed care teams.
Responsibilities
- Conduct remote new-patient visits, including record review, patient evaluation, medication reconciliation, assessment and plan, appropriate orders, and completed and signed documentation.
- Triage and resolve clinical escalations involving abnormal vital signs or symptoms, medication questions and refills, urgent clinical review, care plans, and home health, therapy, DME, or referral needs.
- Prescribe or refill medications, sign orders and care plans, and direct patients to urgent or emergency care when clinically appropriate and within credentialed scope and applicable law.
- Close the loop with patients, caregivers, Care Navigators, and referring partners so outcomes, responsibility, and required follow-up are clear.
- Provide assigned follow-up evaluation and management visits and approved RPM and CCM services.
- Collaborate with Care Navigators while maintaining accountability for clinical decisions and documentation.
- Document consistently in the electronic health record, use designated team communication tools, and identify opportunities to improve workflows and patient safety.
- Provide coverage on three mutually agreed weekdays each week from 8:00 a.m. to 6:00 p.m. Central and meet the applicable initial-response targets during contracted coverage windows.
- Resolve or hand off unresolved issues before coverage ends.
- Participate in onboarding and training, progressively assuming independent responsibility during the initial 30-day ramp.
- Meet clinical quality, documentation, timeliness, and handoff standards.
Benefits
- Paid required onboarding and training
- Practice-arranged and funded physician-delegation arrangements
- Practice-arranged and funded professional-liability coverage for services performed under the engagement
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What This Job Offers
Job Type
Part-time
Career Level
Mid Level
Education Level
No Education Listed
