Telemedicine & Behavioral Health Provider – Skilled Nursing & Post-Acute Care

Location: North Carolina
Position Type: W2 | Part-Time | Fully Remote
Schedule: Day & Night Shifts (7a-7p / 7p-7a)

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, unencumbered Nurse Practitioner (APRN/APN), Physician Assistant (PA-C), and Psychiatric-Mental Health Nurse Practitioner (PMHNP) licenses
• Current DEA registration
• Active North Carolina license and DEA registration
• 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 in both medical and behavioral health/telepsychiatry-related encounters

Preferred Qualifications

• At least 1 year of experience in a skilled nursing facility (SNF), long-term care, post-acute, hospital, emergency, or similar clinical setting
• Experience caring for geriatric populations
• Telehealth experience
• Experience managing common psychiatric conditions such as depression, anxiety, insomnia, behavioral disturbances, and cognitive disorders
• Formal behavioral health, psychiatry, or geriatric psychiatry experience strongly preferred
• Dual certification in primary care and psychiatric-mental health highly preferred

Ideal Candidate

The ideal candidate demonstrates:

• Strong independent clinical decision-making
• Comfort managing acute changes in condition through telemedicine
• Ability to work with patients who have both medical and psychiatric complexity
• Confidence assessing mood, behavior, cognition, mental status, and safety concerns
• Ability to recognize when psychiatric symptoms can be managed within scope versus when specialty psychiatric consultation or a higher level of care is appropriate
• Effective virtual triage and risk stratification skills
• Clear and professional communication with nursing and interdisciplinary teams
• Efficient documentation and workflow management
• Adaptability and a team-oriented approach
• Ability to balance clinical autonomy with protocol-driven care
• Interest in geriatric health, behavioral health, and post-acute medicine

Scheduling Philosophy

We believe flexibility and sustainability matter.

Our scheduling model is designed to support excellent patient care while maintaining a sustainable schedule for our providers. Scheduling is collaborative; however, providers must be flexible and willing to help meet evolving coverage needs and scheduling gaps as the telemedicine service line grows.

Scheduling Expectations

• Minimum commitment: 24 hours per week (two 12-hour shifts per week), Sunday–Saturday
• Scheduling flexibility: Willingness to cover varying shifts and scheduling needs based on program coverage
• Weekend requirement: One to two weekend shifts per month
• Day shift: 7:00 a.m.–7:00 p.m.
• Night shift: 7:00 p.m.–7:00 a.m.
• Night shift requirement: One to two night shifts per month
• Holiday coverage: Participation in one major or minor holiday annually, with advance scheduling and collaborative planning
• Additional shifts: Opportunities to pick up additional shifts as the service line grows

State Expansion & Credentialing

North Carolina is the initial state of practice for this position. Additional states will be added as the telemedicine program expands.

Providers should be willing to obtain and maintain additional state licenses as needed to support program growth and patient coverage. Telos Health Systems provides multiple-state credentialing reimbursement for approved licenses.

Equal Opportunity Employer

Telos Health Systems is an Equal Employment Opportunity Employer and provides equal employment opportunities to all applicants and associates in accordance with applicable federal, state, and local laws.