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Nurse Practitioner - Asynchronous Care

Roles & Responsibilities

  • Active, unrestricted NP licensure in at least five U.S. states including Texas, New York, or California; additional state licenses preferred
  • 3–5+ years of direct patient care experience managing women 40+ through all stages of menopause
  • Strong experience with hormone replacement therapy (HRT) and menopause management using conventional and integrative approaches
  • Telehealth/asynchronous care experience with proficiency in multiple telecommunication platforms and EHR systems

Requirements:

  • Manage the coverage inbox including patient questions, follow-ups, and symptom messages; route messages appropriately and collaborate with the clinical team; provide clear, supportive communication and education to patients
  • Review and process asynchronous prescription and refill requests within licensure scope, ensuring accuracy, safety, and documentation; help streamline medication access for patients
  • Review flagged and critical lab results; ensure timely follow-up, escalation, and documentation of the plan of care
  • Conduct same-day and next-day visits for urgent needs when inbox issues require direct evaluation; support continuity of care by transitioning patients from messaging to visits when appropriate

Job description

Nurse Practitioner - Asynchronous Care | Same-Day Visit Hybrid


Reports To: Clinical Director
Employment Type: Full Time, 1.0 FTE, exempt 
Location: Remote (work must be performed within the United States)
Compensation: $100,000–$115,000 annually


Role Summary

The Async Nurse Practitioner (NP) provides patient-centered clinical support through inbox management, prescription processing, lab review, and urgent visit coverage. This role helps ensure patients receive timely care, safe medication management, and clear communication — while supporting clinical quality and efficiency across IWC.

The NP works primarily in the asynchronous care space, responding to patient messages, handling refills, reviewing critical results, and completing same-day or next-day visits when needed.


Core Responsibilities

Patient Messaging & Care Coordination

  • Manage the Coverage Inbox, including patient questions, follow-ups, and symptom messages

  • Route messages appropriately and collaborate with clinical team members as needed

  • Provide clear, supportive communication and education to patients

Prescription Support

  • Review and process asynchronous prescription and refill requests within scope of licensure

  • Ensure accuracy, safety, and appropriate documentation

  • Help streamline medication access for patients

Lab & Safety Review

  • Review flagged and critical lab results

  • Ensure timely follow-up, escalation, and documentation of plan of care

Same-Day / Next-Day Visits

  • Conduct same-day and next-day visits for urgent needs when inbox issues require direct evaluation

  • Support continuity of care by transitioning patients from messaging to visits when appropriate


Work Allocation (Approximate)

  • 60% – Coverage Inbox & patient communication

  • 20% – Same-Day / Next-Day visits

  • 10% – Async prescription processing

  • 10% – Just-in-time clinical and project-based work (e.g., critical lab review and follow-up, review of inbound diagnostics)


Qualifications

  • Licensure Requirements: Active, unrestricted Nurse Practitioner licensure in a minimum of five (5) U.S. states, including at least one of the following: Texas, New York, or California. Additional state licenses are preferred, with strong preference

  • Minimum of 3–5+ years of experience in direct patient care managing women 40+ in all stages of menopause

  • Strong HRT and menopause experience treating menopause symptoms with a variety of methods, including both conventional and integrative approaches

  • Comfortable working in a fast-paced, asynchronous environment

  • Strong communication, organization, and clinical judgment skills

  • Telehealth experience strongly preferred

  • Asynchronous patient care experience strongly preferred

  • Proficiency in using multiple telecommunication platforms and electronic health record (EHR) systems

  • Excellent communication and interpersonal abilities, with a patient-centered approach to care

  • Commitment to professional growth, continuous learning, and adherence to ethical standards

  • Ability to work independently and collaboratively within a multidisciplinary team environment

  • Flexibility to adapt to changing technology, regulatory requirements, and organizational priorities


Working Conditions

  • Remote/virtual work environment with reliable internet required

  • Prolonged periods of sitting and computer use

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.

Please note that all official communication from Midi Health will come from an @joinmidi.com email address. We will never ask for payment of any kind during the application or hiring process. If you receive any suspicious communication claiming to be from Midi Health, please report it immediately by emailing us at careers@joinmidi.com.

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.

Please find our CCPA Privacy Notice for California Candidates here.

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