Functional Medicine Provider (APRN)

Breakthrough Functional Medicine; Wilmington (NC); Hybrid; USD 90,000 - 130,000; Full time

Benefits offered by this job

CE allowance $2,500/yr

Funded AFMCP training

Panel-based commission

Mentorship by founder

License/DEA reimbursements

Job summary

Breakthrough Functional Medicine in Wilmington, NC is seeking a second provider to join our cash-pay, membership practice. You’ll share a panel, conduct foundational assessments, and carry follow-up visits in a root-cause framework that treats the whole person.

You’ll grow with the practice as your scope expands alongside a mentor. We value warm, patient-centered communication, willingness to learn, and the ability to collaborate within a small team.

Qualifications

• Active North Carolina APRN license or ability to obtain before start date.
• Board certification through ANCC or AANP.
• Prescriptive authority with collaborative practice.
• Experience or strong interest in functional/integrative medicine.
• Warm, coachable communication and patient-first mindset.

Responsibilities

• Provide shared-care with a second provider, conducting initial assessments and key milestones.
• Follow-up visits, review progress, and adjust protocols for root-cause care.
• Manage prescriptive care under the collaborative practice agreement.
• Engage members through education, workshops, and community content.
• Coordinate with clinical coordinator and health coach on labs and follow-up.

Skills

APRN license NC

Board certification ANCC/AANP

Prescriptive authority

Patient-centered communication

Team-based care in small practice

Education

IFM AFMCP

A4M modules

Integrative fellowship

Tools

Practice Better

Job description

Breakthrough Functional Medicine, PLLC is a cash-pay, membership functional medicine practice here in Wilmington, NC. We do not do rushed, seven-minute visits or hand someone a prescription and send them on their way. We do the deeper work of getting to the root: real time with our members, comprehensive testing, food-first and lifestyle-first plans, and care for the whole person, body, mind, and spirit. We believe the body is intricately connected, and we treat it that way, never as a list of symptoms to manage.

So many of our members find us worn down and unheard, after being told their labs look "normal" while they know in their gut that something is off. They're walking through hormonal imbalance, gut struggles, thyroid and metabolic issues, autoimmunity, mold and CIRS, and complicated stories conventional medicine hasn't been able to untangle. We get to walk alongside them, pairing thoughtful clinical care with in-office modalities like our HOCATT, PEMF mat, and infrared sauna, along with health coaching and a warm community that roots for one another.

Whether you're an experienced, functional-trained provider ready to step right in, or you're earlier in your career and hungry to learn this the right way with a mentor beside you, I'd love to hear from you. I'm looking for a second provider who wants to practice the way we've always believed medicine should be, and who's excited to help us reach more of the people who need us.

About the Role

You’ll come alongside me as BFM’s second provider, sharing a panel of members in the same root-cause, whole-person way we care for everyone here. This is a shared-care role. I conduct each member’s foundational assessment and their key milestone visits, and you’ll carry the follow-up visits in between, reviewing progress, fine-tuning protocols, and keeping members moving toward the healing they came here for. As you settle in and earn the trust of the panel, your scope grows right along with you.

Core Responsibilities

• Complete a structured onboarding, then carry a shared panel of members, conducting follow-up visits and managing ongoing, personalized care (with mentor support as you get up to speed)
• Interpret functional and conventional labs and build root-cause, food-first protocols consistent with our clinical approach
• Sequence care thoughtfully (foundations and adrenals before hormones; systems before symptoms)
• Manage prescriptive care under our collaborative practice agreement
• Respond to member portal messages within our service standards
• Contribute to member education, co‑leading a workshop or community talk and contributing to newsletter or educational content
• Partner with the clinical coordinator and health coach on labs, follow‑up, and member experience
• Other duties as reasonably assigned to support a small, growing practice

Who We’re Looking For

I’m open to both experienced providers and those newer to practice. Experience in functional medicine is welcome, but it isn’t a requirement. Sometimes someone fresh brings the curiosity and teachability that help them grow into our model from the ground up. For the right early‑career candidate, I’ll invest in your training (funded AFMCP plus gut and hormone modules plus incubator access) in exchange for a multi‑year commitment, and mentor you closely as you grow. What matters most for any candidate is a heart for root‑cause care and a willingness to learn the pillars our members rely on. I’m looking for someone warm, coachable, trusted by patients, and glad to be part of a small practice’s growth.

What You’ll Need

• An active, unrestricted North Carolina APRN license (FNP-BC or equivalent), or the ability to obtain one before your start date
• Current national board certification through ANCC or AANP
• Prescriptive authority and willingness to practice under a collaborative practice agreement
• Real skin in the game in functional and integrative medicine, whether through clinical experience, completed coursework (IFM AFMCP, A4M modules, an integrative fellowship), or self‑directed study paired with a real desire to go deeper. In your application, tell me where you are on that journey.
• Warm, patient‑centered communication and a gift for listening
• Comfort in a small, entrepreneurial practice where roles flex and everyone pitches in

Nice to Have (we’ll train the right person)

• Institute for Functional Medicine (IFM) certification, or interest in pursuing it
• Experience with any of our clinical pillars: hormone/HRT, gut, adrenal, thyroid, metabolic, autoimmunity, and mold/CIRS
• Familiarity with cash‑pay membership, DPC, or concierge models
• Interest in nutrigenomics and genetic pathway analysisExperience with Practice Better or a similar EHR/portal
• A foundation in functional medicine, such as completing AFMCP or documented self‑study, along with a drive to learn quickly
• Willingness to complete our funded training and grow with us over the next several years

What we Offer:

• The chance to practice medicine the way you always wanted to, real, unhurried, root‑cause care
• A supportive team so you’re not carrying everything yourself, with a clinical coordinator, health coach, and operations support behind you
• In‑office modalities and a warm, engaged member community
• A schedule built around real life: patients 3 to 4 days a week, with Fridays remote for notes and protocols
• Mentorship from a DNP, FNP-BC founder who’s invested in your growth
• A competitive salary plus a commission tied to the panel you grow and retain, talked through openly during the interview process
• A $2,500/year continuing education allowance, plus reimbursement of your NC license, DEA, and board certification renewals
• For the right early‑career hire, a funded functional medicine education (AFMCP plus gut and hormone modules plus incubator access)