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California Medicare Telehealth Nurse Practitioner (Behavioral Health & MSK) - Independent Contractor

Position Overview

A physician-led medical practice is seeking experienced California-licensed Nurse Practitioners specializing in Behavioral Health and/or Musculoskeletal (MSK) care to participate in an advanced, asynchronous Telehealth care model.

This opportunity is designed for independent contractor clinicians engaged by a physician-led medical practice, operating within a structured, compliance-driven environment that supports autonomous clinical decision-making.

Clinical Model

This role operates within a non-traditional Telehealth framework focused on:

  • Asynchronous patient engagement (no traditional live visit requirement)
  • Structured intake utilizing branching clinical logic
  • Integrated behavioral health and MSK care pathways
  • Continuous monitoring through validated outcome measures (e.g., PHQ-9, GAD-7, pain scales)
  • Defined escalation protocols for higher acuity or synchronous intervention

Scope of Responsibilities

  • Review and assess patient-submitted clinical histories and symptom data
  • Determine patient appropriateness for program participation
  • Develop and manage evidence-based treatment plans
  • Prescribe therapies in accordance with California regulations (if applicable)
  • Monitor patient progress using standardized outcome tools
  • Escalate high-risk or complex cases per established protocols
  • Maintain accurate, compliant, and audit-ready documentation
  • Exercise independent clinical judgment within a structured care model

Required Qualifications

  • Active, unrestricted California Nurse Practitioner license
  • Board Certification (FNP, PMHNP, or equivalent)
  • Active CMS-855I enrollment (approved; not pending)
  • Active NPI (Type 1)
  • DEA license (if prescribing applicable therapies)
  • Demonstrated clinical experience in:
  • Behavioral Health (required)
  • MSK care (preferred or willingness to integrate)
  • Ability to practice independently within a protocol-driven environment

Preferred Experience

  • Prior Telehealth or asynchronous care delivery experience
  • Management of chronic pain, anxiety, depression, or functional MSK conditions
  • Familiarity with validated outcome measures (PHQ-9, GAD-7, NRS, etc.)
  • Experience in integrated care models (behavioral + physical health)

Work Structure

  • Fully remote (must be licensed in California)
  • Flexible, contractor-driven schedule
  • Asynchronous workflow with defined turnaround expectations
  • Engagement aligned to program operations (not volume quotas)

Practice & Compliance Structure

  • Independent contractor clinicians are engaged by a physician-led medical practice
  • Providers maintain full clinical autonomy and decision-making authority
  • Care delivery must align with:
  • California Telehealth regulations
  • Medicare enrollment and billing compliance requirements
  • Established clinical protocols and escalation policies

Ideal Candidate Profile

  • Currently practicing in behavioral health and/or MSK within California
  • Fully credentialed and enrollment-ready (including active CMS-855I)
  • Comfortable with asynchronous, non-visit-based care delivery
  • Strong documentation, compliance, and clinical judgment skills
  • Seeking a flexible, modern care delivery model

Engagement Type

  • Independent Contractor (1099)
  • Compensation aligned with scope, licensure, and state coverage (not volume-based)

Application Requirements

  • Current CV
  • California NP license verification
  • Proof of active CMS-855I enrollment
  • DEA (if applicable)
  • Summary of Behavioral Health and/or MSK experience
  • Availability

Pay: $90.00 - $120.00 per hour

Benefits:

  • Flexible schedule

Work Location: Remote

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