Nurse practitioners in this role conduct independent telehealth visits for Medicare and non-Medicare patients, evaluating clinical needs, determining medical necessity, and placing orders or prescriptions within scope of practice. The work is contract-based and centered on compliant encounter documentation, with training provided on call conduct and documentation. Experience with payer documentation standards and high-volume virtual encounters is helpful.
Key Responsibilities
- Conduct independent telehealth encounters with patients
- Perform clinical evaluations and document medical necessity to payer standards
- Issue orders and prescriptions within scope of practice and state law
- Maintain complete, compliant documentation for each encounter
- Respond to documentation requests during audits or claims reviews
- Use telehealth platforms and the assigned EMR templates for clinical documentation
- Coordinate credentialing and license verification before seeing patients
Required
- Active, unrestricted NP license with full practice authority in the state of practice
- Board certification in good standing
- Active NPI number
- Completion of any applicable transition-to-practice hours required for independent practice
- Current malpractice coverage, or willingness to obtain coverage
- No exclusions from federal healthcare programs (OIG/SAM)
- Own EMR with the ability to add provided clinical templates
Preferred
- Experience with an agency that provides in-home services
- Prior experience with Medicare and commercial payer documentation requirements
- Comfort with telehealth platforms and independent, high-volume encounter work
Benefits & Perks
- Flat-fee, per-encounter contract structure
- Written fixed-term independent contractor agreement
- Training on call conduct and documentation
- Credentialing and license verification completed before the first encounter
- Compensation listed at $100-$125 per hour