Nurse Practitioner - Asynchronous Care

Department: Nurse Practitioner Reports to: Clinical Manager Employment type: Full-time, exempt Schedule: 1.0 FTE (40 hours per week), Monday–Sunday based on business needs Compensation: $100,000–$115,000 annually Location: Remote; all work must be completed within the United States

About the Role

The Async Nurse Practitioner provides patient-centered clinical care through inbox management, prescription processing, lab and diagnostic review, and urgent visit coverage. This role helps ensure patients receive timely care, safe medication management, and clear, supportive communication while advancing clinical quality and operational efficiency across IWC.

Working primarily in an asynchronous environment, the NP responds to patient messages, manages medication and refill requests, reviews critical results, and transitions patients to same-day or next-day visits when direct evaluation is needed.

What You’ll Do

Patient Messaging and Care Coordination

• Manage the Coverage Inbox, including patient questions, follow-up needs, and symptom-related messages
• Assess patient needs and route messages appropriately
• Collaborate with clinicians and other members of the care team as needed
• Provide patients with clear, supportive communication, education, and next steps
• Maintain timely and accurate documentation of patient interactions and care plans

Prescription Support

• Review and process asynchronous prescription and refill requests within the scope of licensure
• Evaluate requests for clinical appropriateness, accuracy, and safety
• Ensure all prescribing decisions and follow-up plans are appropriately documented
• Help streamline patients’ access to medications while maintaining clinical quality and compliance

Lab and Safety Review

• Review flagged and critical laboratory results and other inbound diagnostics
• Determine and initiate appropriate clinical follow-up
• Escalate urgent or complex findings when needed
• Document clinical decisions, patient communication, and plans of care

Same-Day and Next-Day Visits

• Conduct same-day and next-day visits when urgent needs or inbox concerns require direct evaluation
• Provide timely assessment, treatment, and patient education
• Support continuity of care by appropriately transitioning patients from asynchronous messaging to synchronous visits

Just-in-Time Clinical and Project Support

• Provide clinical support in response to emerging patient-care and business needs
• Participate in project-based clinical work, including critical lab follow-up and review of inbound diagnostics
• Contribute to initiatives that improve care quality, patient safety, and operational efficiency

Approximate Work Allocation

Work allocation may change based on patient volume and business needs.

• 60%: Coverage Inbox and patient communication
• 20%: Same-day and next-day visits
• 10%: Asynchronous prescription processing
• 10%: Just-in-time clinical and project-based work, including critical lab review, follow-up, and inbound diagnostic review

Qualifications

• Active national board certification as a Nurse Practitioner
• Licensure requirements: Active, unrestricted Nurse Practitioner licensure and prescriptive authority in a minimum of five (5) U.S. states, including at least one of the following: California, New Jersey. Additional active state licenses are preferred, with strong preference given to candidates licensed in ten (10) or more states. State licensure requirements are subject to change based on business needs.
• Minimum of three (3) years of clinical experience independently managing perimenopause, menopause, and hormone replacement therapy, including prescribing and titrating estrogen, progesterone, and testosterone
• Minimum of one (1) year of clinical experience evaluating, prescribing, and monitoring pharmacologic obesity treatments, including GLP-1 agonists
• Minimum of three (3) years of experience autonomously managing a longitudinal patient panel, including independent diagnostic ordering, lab review, and therapeutic planning, without routine physician co-management except where collaboration or supervision is required by state law
• Minimum of three (3) years of experience delivering synchronous telehealth in a remote, non-clinic-based, productivity-driven environment
• Demonstrated ability to operate multiple systems simultaneously, including an EHR, video-conferencing software, clinical decision-support systems, AI scribe tools, and communication platforms such as Slack and Notion
• Asynchronous patient-care experience strongly preferred
• Ability to communicate clearly, compassionately, and efficiently in a written-first clinical environment
• Strong clinical judgment, organizational skills, and attention to detail

Working Conditions

• Remote, virtual work environment
• Reliable, secure internet connection required
• Prolonged periods of sitting and computer use
• Extended time working across multiple digital platforms

At this time, Midi is unable to provide visa sponsorship. All Candidates must be authorized to work in the United States without current or future sponsorship needs.

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Midi Health is an Equal Opportunity Employer. We are committed to pay equity and ensure that all qualified applicants receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Our compensation philosophy is based on fair, objective criteria and the impact of the role, regardless of an applicant’s salary history.

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