PMHNP) - Skilled Nursing & Post Acute Care

Telos Health Systems•Philadelphia, PA

6d•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 at 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 bedside nursing teams to support treat-in-place care and determine when escalation or transfer is appropriate. The position serves patients with varying degrees of medical, cognitive, and psychiatric complexity. Providers respond to urgent calls, conduct scheduled medical and behavioral health follow-ups, evaluate common SNF concerns, and provide coverage during planned or unexpected provider absences. Work is conducted through telemedicine workflows, supported by established protocols, onboarding, mentorship, clinical consultation, and operational and scheduling support. Providers are expected to exercise independent clinical judgment and document encounters in the EHR. This is a W2, part-time, fully remote position with day and night shift opportunities. The minimum commitment is 24 hours per week across two 12-hour shifts. Scheduling is collaborative but requires flexibility to help meet changing coverage needs, including weekend shifts, night shifts, 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 states: North Carolina, Kentucky, and Pennsylvania.
Active, unencumbered Nurse Practitioner (APRN/APN), Physician Assistant (PA-C), and/or Psychiatric-Mental Health Nurse Practitioner (PMHNP) licensure.
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/telepsychiatry-related encounters.
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 active licenses and DEA registration in Tennessee, Florida, Maryland, and/or 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.
Cover varying shifts and scheduling needs as the program’s coverage needs evolve.
Participate in weekend coverage, one to three night shifts per month, and one major or minor holiday annually.

Benefits

Comprehensive paid onboarding covering telemedicine workflows, acute SNF 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.
Technology equipment provided for home office setup.
Multiple-state credentialing reimbursement.
Opportunity to obtain additional state licenses as the program expands.
Opportunity to pick up additional shifts as the service line grows.