PMHNP) - Skilled Nursing & Post Acute Care

Telos Health Systems•Pittsburgh, PA

5d•Remote

About The Position

Telos Health Systems is seeking 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 evaluation of common psychiatric, behavioral, and cognitive concerns. Providers work with bedside nursing teams to support treat-in-place care and determine when escalation or transfer is appropriate. The position involves responding to urgent and acute calls, completing scheduled medical and behavioral health follow-up visits, assessing common medical and behavioral health concerns, developing treatment recommendations, and documenting encounters in the EHR. Providers work independently within their scope of practice, using established protocols and telemedicine workflows, and collaborate with facility staff, other clinicians, and telehealth leadership. The patient population has varying degrees of medical, cognitive, and psychiatric complexity. This is a W2, part-time, fully remote position requiring at least 24 hours per week across two 12-hour shifts. Day and night shifts are available. Scheduling is collaborative, but providers must be willing to help meet changing coverage needs, including weekend and holiday shifts. Telos provides paid onboarding, mentorship, clinical consultation, operational and scheduling support, and home-office technology equipment.

Requirements

Active license and DEA registration in at least two of North Carolina, Kentucky, and Pennsylvania.
Active, unencumbered Nurse Practitioner (APRN/APN), Physician Assistant (PA-C), or Psychiatric-Mental Health Nurse Practitioner (PMHNP) license.
Willingness to obtain additional state licenses as the telemedicine program expands.
Master’s degree or higher from an accredited Nurse Practitioner or Physician Assistant program.
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.
Ability to independently evaluate acute changes in condition in the SNF setting using telemedicine workflows, bedside nursing collaboration, and established escalation protocols.
Availability for at least two 12-hour shifts per week, with flexibility for varying shifts and coverage needs.
Willingness to work 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 SNF 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.
Work a minimum of 24 hours per week, consisting of two 12-hour shifts, with flexibility to meet evolving coverage needs.
Cover one to two weekend shifts per month, one to three night shifts per month, and one major or minor holiday annually.