Nurse Practitioner - Asynchronous Care

Midi Health; Jersey City (NJ); On-site; USD 100,000 - 115,000; Full time

Job summary

Midi Health in the United States is seeking a Nurse Practitioner to provide patient-centered clinical care asynchronously through inbox management, prescription processing, lab review, and urgent visit coverage. You will work remotely, within the U.S., with a 40-hour week, and report to the Clinical Manager. The role emphasizes safe medication management, clear communication, and collaboration with the care team.

Qualifications

• Active national board certification as a Nurse Practitioner.
• Active, unrestricted NP licensure and prescriptive authority in five U.S. states, including California and New Jersey.
• Experience with telehealth or remote patient care environments is preferred.

Responsibilities

• Manage the Coverage Inbox with patient questions, follow-ups, and symptom-related messages.
• Review and process asynchronous prescription and refill requests.
• Review critical lab results and initiate clinical follow-up as needed.
• Conduct same-day and next-day visits when urgent needs arise.
• Document care plans and patient communications in the EHR.
• Collaborate with clinicians and care team members to ensure safe, effective care.

Skills

Nurse Practitioner

Telehealth

Clinical decision-making

Communication

Time management

Tools

EHR systems

Slack

Notion

Video conferencing

Job description

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.

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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