We're building a telehealth practice supporting both Medicare and non-Medicare patients. Nurse practitioners in this role conduct independent clinical telehealth encounters, evaluating patients, determining medical necessity, and issuing orders within their full scope of practice. This is a flat-fee, per-encounter contract role, not a staff position. Training on call conduct and documentation is provided.
Responsibilities
• Conduct independent telehealth encounters with patients
• Perform clinical evaluation and document medical necessity per payer documentation standards
• Issue orders and prescriptions within scope of practice and state law
• Maintain complete, compliant clinical documentation for each encounter
• Respond to documentation requests in the event of audit or claims review
• Perform clinical evaluation and document medical necessity per payer documentation standards
• Issue orders and prescriptions within scope of practice and state law
• Maintain complete, compliant clinical documentation for each encounter
• Respond to documentation requests in the event of audit or claims review
Requirements
• Active, unrestricted NP license with full practice authority in your state
• Currently employed by or contracted with an agency that provides in-home services strongly preferred
• Must have your own EMR, with the ability to add PeteDME's clinical templates
• Completed any applicable transition-to-practice hours required for independent practice
• Active NPI number
• Board certification in good standing
• No exclusions from federal healthcare programs (OIG/SAM)
• Current malpractice coverage (occurrence-form or claims-made with tail coverage), or willingness to obtain
• Comfortable with telehealth platforms and independent, high-volume encounter work
• Prior experience with Medicare and commercial payer documentation requirements a plus
Contract Structure
• Independent contractor (1099) — not an employment relationship
• Written agreement, fixed term
• Flat fee per completed encounter, set in advance, not tied to clinical outcome or ordering decision
• Credentialing and license verification required prior to first encounter
• Written agreement, fixed term
• Flat fee per completed encounter, set in advance, not tied to clinical outcome or ordering decision
• Credentialing and license verification required prior to first encounter
$100 - $125 an hour
Please submit your resume/CV along with the states in which you currently hold active NP licensure, and answers to the screening questions below.
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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