Telemedicine APP (NP/PA) – SNF & Post-Acute Care

Telos Health Systems•Louisville, KY

6d•Remote

About The Position

We are building a collaborative team of Nurse Practitioners and Physician Assistants passionate about delivering high-quality overnight care to skilled nursing and post-acute patients through telemedicine. This role is ideal for clinicians who enjoy acute clinical decision-making, autonomy, and meaningful collaboration with bedside nursing teams while helping support safe treat-in-place care and appropriate escalation when needed. Providers care for a geriatric and post-acute population with varying degrees of illness severity, supported by structured protocols, ongoing mentorship, and a team-oriented telemedicine environment designed to help clinicians grow in confidence and independence over time. Whether you are an experienced clinician or a motivated new provider interested in post-acute medicine, we are committed to creating a supportive onboarding and training experience that helps providers succeed in telemedicine care. Clinical Scope & Patient Population Providers care for a diverse geriatric and post-acute skilled nursing facility (SNF) patient population with a focus on: Responding to urgent and acute calls from skilled nursing facilities Evaluating and managing common SNF clinical concerns via telemedicine Providing clinical recommendations, treatment plans, and escalation guidance Determining when ER transfer or higher level of care is appropriate Documenting encounters accurately and efficiently within the EHR Collaborating professionally with nursing staff, facility providers, and telehealth leadership Following clinical protocols and workflows while utilizing independent clinical judgment Participating in onboarding, training, and occasional team meetings Providers primarily deliver overnight telemedicine coverage (12-hour shifts, 7p–7a) for skilled nursing and post-acute facilities. Providers are expected to evaluate and manage acute change-in-condition scenarios through protocol-driven telemedicine assessments and clinical decision-making. Providers must be comfortable independently managing acute overnight clinical concerns in the SNF setting using telemedicine workflows, nursing collaboration, and established escalation protocols. Common Overnight Clinical Scenarios Include: Altered mental status and delirium Fever and infection concerns Respiratory symptoms Falls and injury assessment Hypertension and acute vital sign abnormalities Dehydration and poor oral intake Chest pain and cardiovascular concerns Urinary symptoms and possible UTI evaluation

Requirements

Active Kentucky (KY) license required or willingness to obtain
Tennessee and Florida (FL) license preferred or willingness to obtain
Open to obtaining additional state licenses as program expands
Strong independent clinical decision-making
Comfortable managing acute changes in condition overnight
Ability to triage and risk stratify in a virtual setting
Clear and professional communication with nursing staff
Efficient documentation and workflow management
Adaptable and team-oriented
Comfortable working independently while collaborating closely with the telemedicine team
Comfortable balancing clinical autonomy with protocol-driven care
Interest in geriatric health and post-acute medicine
Minimum commitment: 24 hours/week (2 shifts)
One weekend shift monthly
Participation in one major or minor holiday annually with advanced scheduling and collaborative planning

Nice To Haves

Experienced clinician
Motivated new provider interested in post-acute medicine

Responsibilities

Responding to urgent and acute calls from skilled nursing facilities
Evaluating and managing common SNF clinical concerns via telemedicine
Providing clinical recommendations, treatment plans, and escalation guidance
Determining when ER transfer or higher level of care is appropriate
Documenting encounters accurately and efficiently within the EHR
Collaborating professionally with nursing staff, facility providers, and telehealth leadership
Following clinical protocols and workflows while utilizing independent clinical judgment
Participating in onboarding, training, and occasional team meetings
Evaluate and manage acute change-in-condition scenarios through protocol-driven telemedicine assessments and clinical decision-making
Independently managing acute overnight clinical concerns in the SNF setting using telemedicine workflows, nursing collaboration, and established escalation protocols

Benefits

Fully remote, work-from-home opportunity
Flexible scheduling options with collaborative scheduling support
Strong work-life balance scheduling flexibility
Part-time opportunities available
Comprehensive paid onboarding designed to build confidence in telemedicine workflows, acute SNF management, overnight triage, and independent clinical decision-making
Flexible patient volume expectations as the service line continues to grow
Streamlined, user-friendly EMR system
Dedicated operational and scheduling support staff
Strong collaboration and supportive leadership team
Access to mentorship and collaborative consultation when needed
High-autonomy clinical environment with protocol-driven support
Opportunity to help shape and grow an expanding telemedicine service line
Competitive retention bonus structures and productivity incentives
Multiple-state credentialing support
Ability to practice across multiple states via telehealth
Technology equipment provided for home office setup
Reasonable charting expectations