PMHNP) - Skilled Nursing & Post Acute Care

Telos Health Systems•Charlotte, NC

5d•Remote

About The Position

Telos Health Systems is hiring Nurse Practitioners, Physician Assistants, and Psychiatric-Mental Health Nurse Practitioners to provide telemedicine care to geriatric and post-acute patients in skilled nursing facilities throughout North Carolina. The role combines acute and routine medical care with behavioral health support, including assessment of common psychiatric, behavioral, and cognitive concerns. Providers work with substantial clinical autonomy while collaborating with bedside nursing teams and following established protocols and escalation workflows to support safe treat-in-place care. The patient population has varying degrees of medical, cognitive, and psychiatric complexity. Providers respond to urgent and acute calls, conduct scheduled medical and behavioral health follow-ups, evaluate and manage common concerns within their scope of practice, recommend treatment plans, and determine when emergency transfer or a higher level of care is appropriate. They also provide temporary coverage during provider absences and coverage gaps across Telos facilities. The role includes accurate EHR documentation, onboarding and training, and occasional team meetings. Structured protocols, mentorship, clinical consultation, operational support, and comprehensive paid onboarding are provided. This is a W2, part-time, fully remote position requiring at least 24 hours per week, consisting of two 12-hour shifts. Shifts are scheduled days or nights, with flexibility needed to meet evolving coverage needs. Providers are expected to work one to two weekend shifts per month, one to three night shifts per month, and one major or minor holiday annually. Additional shifts may be available as the service line grows.

Requirements

Active license and DEA registration in at least two of these three states: North Carolina, Kentucky, and Pennsylvania.
Active, unencumbered Nurse Practitioner (APRN/APN), Physician Assistant (PA-C), or Psychiatric-Mental Health Nurse Practitioner (PMHNP) license.
Master’s degree or higher from an accredited Nurse Practitioner or Physician Assistant program.
Willingness to obtain additional state licenses as the telemedicine program expands.
Strong communication and clinical decision-making skills.
Ability to work effectively and independently in a fast-paced telemedicine environment.
Comfort evaluating and managing common mental health, behavioral, and cognitive concerns within scope of practice.
Willingness to participate in both medical and behavioral health or telepsychiatry-related encounters.
Comfort independently evaluating acute changes in condition in skilled nursing facilities using telemedicine workflows, bedside nursing collaboration, and established escalation protocols.
Availability for a minimum commitment of 24 hours per week, consisting of two 12-hour shifts.
Flexibility to cover varying shifts and scheduling needs, including one to two weekend shifts per month, one to three night shifts per month, and one major or minor holiday annually.

Nice To Haves

At least one year of experience in a skilled nursing facility, long-term care, post-acute, hospital, emergency, or similar clinical setting.
Experience caring for geriatric populations.
Telehealth experience.
Experience managing common psychiatric conditions such as depression, anxiety, insomnia, behavioral disturbances, and cognitive disorders.
Formal behavioral health, psychiatry, or geriatric psychiatry experience.
Dual certification in primary care and psychiatric-mental health.
Additional licenses and DEA registration in Tennessee, Florida, Maryland, and Virginia.

Responsibilities

Respond to urgent and acute calls from skilled nursing facilities.
Complete scheduled medical and behavioral health follow-up visits, including regulatory visits, medication monitoring, GDR-related follow-up, and routine reevaluation.
Evaluate and manage common skilled nursing facility medical concerns through telemedicine.
Evaluate common psychiatric, behavioral, and cognitive concerns within scope of practice.
Assess changes in mood, anxiety, sleep, cognition, behavior, and mental status.
Provide clinical recommendations, treatment plans, and escalation guidance.
Determine when emergency transfer or a higher level of medical or psychiatric care is appropriate.
Provide temporary medical and behavioral health coverage during planned or unexpected provider absences and other coverage gaps across Telos facilities.
Collaborate with nursing staff, facility providers, psychiatry and behavioral health clinicians, and telehealth leadership.
Document encounters accurately and efficiently within the EHR.
Follow established clinical protocols and workflows while exercising independent clinical judgment.
Participate in onboarding, training, and occasional team meetings.
Help meet evolving coverage needs, including varying shifts, weekends, nights, and annual holiday coverage.

Benefits

Comprehensive paid onboarding covering telemedicine workflows, acute skilled nursing facility management, behavioral health assessment, triage, and clinical decision-making.
Flexible scheduling.
Flexible patient volume expectations as the service line grows.
Streamlined, user-friendly EMR system.
Dedicated operational and scheduling support.
Strong collaboration and supportive clinical leadership.
Access to mentorship and clinical consultation when needed.
High-autonomy clinical environment with protocol-driven support.
Opportunity to help shape and grow an expanding telemedicine and behavioral health service line.
Multiple-state credentialing reimbursement.
Opportunity to obtain additional state licenses as the program expands.
Technology equipment provided for home office setup.
Opportunities to pick up additional shifts as the service line grows.