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
Please submit your resume/CV along with the states in which you currently hold active NP licensure, and answers to the screening questions below.