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About The Position

We are building a collaborative team of Nurse Practitioners, Physician Assistants, and Psychiatric-Mental Health Nurse Practitioners passionate about delivering high-quality telemedicine care to skilled nursing and post-acute patients. This role combines acute and routine medical care with behavioral health support, including a portion of encounters focused on common psychiatric and behavioral concerns. This position is ideal for clinicians who enjoy 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 medical, cognitive, and psychiatric complexity. Clinicians are supported by structured protocols, comprehensive onboarding, ongoing mentorship, and a team-oriented telemedicine environment. Whether you are an experienced clinician or a motivated newer provider interested in post-acute and behavioral health care, we are committed to providing the training and support needed to succeed in a telemedicine environment.

Requirements

  • Active, unencumbered Nurse Practitioner (APRN/APN), Physician Assistant (PA-C), or Psychiatric-Mental Health Nurse Practitioner (PMHNP) license.
  • Current DEA registration.
  • Active license and DEA registration in at least one of the following states, with willingness to quickly obtain additional licenses as needed: Kentucky Pennsylvania Tennessee Florida North Carolina
  • 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: 24 hours per week (two 12-hour shifts per week), Sunday–Saturday.
  • Weekend requirement: One to two weekend shifts per month.
  • Night shift requirement: One to two night shifts per month.
  • Holiday coverage: Participation in one major or minor holiday annually, with advance scheduling and collaborative planning.

Nice To Haves

  • At least 1 year of experience in a skilled nursing facility (SNF), 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 is strongly preferred.
  • Dual certification in primary care and psychiatric-mental health is highly desirable.
  • Strong independent clinical decision-making.
  • Comfortable managing acute changes in condition through telemedicine.
  • Comfortable working with patients who have both medical and psychiatric complexity.
  • Confident assessing mood, behavior, cognition, mental status, and safety concerns.
  • Able to recognize when psychiatric symptoms can be managed within scope versus when specialty psychiatric consultation or a higher level of care is needed.
  • Able to triage and risk-stratify effectively in a virtual setting.
  • Clear and professional communication with nursing and interdisciplinary teams.
  • Efficient documentation and workflow management.
  • Adaptable and team-oriented.
  • Comfortable balancing clinical autonomy with protocol-driven care.
  • Interest in geriatric health, behavioral health, and post-acute medicine.

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 other routine reevaluation needs.
  • Evaluate and manage common SNF medical concerns via 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/behavioral health clinicians, and telehealth leadership.
  • Document encounters accurately and efficiently within the EHR.
  • Follow established clinical protocols and workflows while utilizing independent clinical judgment.
  • Participate in onboarding, training, and occasional team meetings.
  • Providers must be comfortable independently evaluating acute changes in condition in the SNF setting using telemedicine workflows, bedside nursing collaboration, and established escalation protocols.

Benefits

  • Fully remote, work-from-home.
  • Flexible scheduling.
  • Comprehensive paid onboarding covering telemedicine workflows, acute SNF management, behavioral health assessment, triage, and clinical decision-making.
  • Flexible patient volume expectations as the service line continues to grow.
  • 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.
  • Ability to practice across multiple states via telehealth.
  • Technology equipment provided for home office setup.

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