Telemedicine & Behavioral Health Provider

Telemedicine & Behavioral Health Provider – Skilled Nursing & Post-Acute Care Position Type: W2 | Part-Time | Fully Remote Schedule: Day & Night Shifts (7a-7p / 7p-7a) Dual certification in primary care and psychiatric-mental health preferred Position Overview Telos Health Systems is building a collaborative team of Nurse Practitioners, Physician Assistants, and Psychiatric-Mental Health Nurse Practitioners to provide high-quality telemedicine care to skilled nursing and post-acute patients throughout North Carolina. This role combines acute and routine medical care with behavioral health support, including encounters focused on common psychiatric, behavioral, and cognitive concerns. The position is ideal for clinicians who value clinical decision-making, autonomy, and meaningful collaboration with bedside nursing teams while helping support safe treat-in-place care and appropriate escalation when necessary. 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, Telos Health Systems provides the training and support needed to succeed in a telemedicine environment. Clinical Scope & Patient Population Providers care for a diverse geriatric and post-acute skilled nursing facility (SNF) population throughout North Carolina. Responsibilities include: - 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/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 - Providers must be comfortable independently evaluating acute changes in condition in the SNF setting using telemedicine workflows, bedside nursing collaboration, and established escalation protocols Common Clinical Scenarios Clinical encounters may include: - Altered mental status and delirium - Depression and anxiety symptoms - Behavioral changes, agitation, and sleep disturbances - Cognitive impairment and dementia-related concerns - Medication-related psychiatric or behavioral concerns - Safety assessments and identification of symptoms requiring psychiatric escalation - Fever and infection concerns - Respiratory symptoms - Falls and injury assessment - Hypertension and acute vital sign abnormalities - Dehydration and poor oral intake - Chest pain and cardiovascular concerns - Urinary symptoms and possible UTI evaluation Why Join Our Team? - Part-time, fully remote position - Work from the comfort of your home - Day and nighttime opportunities - 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 - Opportunity to obtain additional state licenses as the program expands - Technology equipment provided for home office setup Required Qualifications - Active license and DEA registration in at least 2 of these 3 states: North Carolina, Kentucky, and Pennsylvania - Additional preferred licenses and DEA: Tennessee, Florida, Maryland, and Virginia - Active, unencumbered Nurse Practitioner (APRN/APN), Physician Assistant (PA-C), and Psychiatric-Mental Health Nurse Practitioner (PMHNP) licenses - 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