Role Description
As our first clinical hire, you wonβt just fill a role β you will help shape it. This is a rare opportunity for a forward-thinking NP to work at the intersection of virtual care, digital health, and value-based medicine, partnering directly with the Medical Director to build the workflows, protocols, and care standards that will define how ACCESS delivers outcomes at scale.
This is a part-time 1099 independent contractor role, designed to convert to a full-time salaried position as the ACCESS program scales. We expect this transition to occur as the program grows toward 1,000+ patients, contingent on program growth and mutual fit.
What youβll do
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Clinical care
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Conduct virtual medical evaluations via video, phone, and asynchronous forms β confirming diagnoses, assessing for target organ damage, and documenting baseline metrics.
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Create and manage holistic, evidence-based care plans for patients with ACCESS-defined conditions: obesity, dyslipidemia, hypertension, ASCVD, mild-to-moderate CKD, and pre/diabetes.
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Act as the primary prescriber in Full Practice Authority states, including medication titration and renewal per clinical protocol. In non-FPA states, prescribe under Collaborative Practice Agreements with the Medical Director.
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Manage device-triggered Red Alerts (e.g., BP >180/110) β triaging patients for ER referral or immediate titration adjustment during business hours.
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Provide warm handoffs to referring clinicians in urgent situations, including new renal failure presentations.
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Documentation & risk capture
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Document all patient interactions β synchronous and asynchronous β in the EHR with accurate ICD-10 coding.
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Capture comorbidities accurately (e.g., CKD Stage 3b) to ensure correct reimbursement at the CKM rate rather than the standard eCKM rate.
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Prepare PCP care coordination reports to maintain the ACCESS-model partnership with referring physicians.
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Program building
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Collaborate with the Medical Director to develop and refine evidence-based titration algorithms and clinical protocols.
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Contribute to building scalable workflows that can support rapid patient volume growth.
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Provide feedback on app-based care tools, behavioral support content, and remote monitoring integration to continuously improve the patient experience.
Qualifications
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Active NP license in good standing in your home state; IMLC/eNLC compact license strongly preferred. Willingness to obtain licensure in target states within 90 days of start.
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Board certification through ANCC or AANP as a Family, Adult-Gerontology Primary Care, or Adult-Gerontology Acute Care NP.
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Minimum 2 years of post-licensure clinical experience in primary care, internal medicine, endocrinology, cardiology, or geriatrics with a strong command of cardiometabolic conditions.
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Demonstrated comfort with telehealth or digital care delivery β you thrive in a screen-based, asynchronous-forward environment.
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Strong documentation discipline and familiarity with EHR systems.
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Excellent independent clinical judgment β you are comfortable making decisions without a physician in the room.
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US residency (all 50 states and US territories).
Requirements
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Experience with value-based care, CMS quality measures, or ACO/care management programs.
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Familiarity with CKM (Cardiovascular-Kidney-Metabolic) conditions and GLP-1 therapy management.
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Comfort prescribing under Collaborative Practice Agreements in non-Full Practice Authority states.
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Spanish language proficiency β our platform serves both English and Spanish speakers.
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Prior experience building or launching a new clinical program or service line.
Benefits
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Part-time 1099 contract to start, estimated at 20 hours per week, with a competitive hourly or project-based rate.
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A structured path to full-time conversion as ACCESS scales toward 1,000+ patients β this is a ground-floor opportunity, not a permanent contractor role.
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Open to candidates anywhere in the US β this role is fully remote. We have a preference for candidates based in or near Boston, as occasional in-office collaboration at our Boston headquarters is a plus, though not required.
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Direct access to senior leadership and real ownership over how ACCESS is built β your decisions will shape the program from day one.
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Upon conversion to full-time: full Withings benefits package including health coverage, 401(k) match, wellness reimbursements, and access to Withings products.