Nurse Practitioner - California

Midi Health; Sacramento (CA); Remote; USD 76,000 - 103,000; Full time

Benefits offered by this job

Fully remote work

Competitive hourly rate

Professional development allowance

Paid time off

CE eligibility

Job summary

Midi Health seeks a Nurse Practitioner to join its fully remote team focused on women’s midlife health. You will manage a full virtual patient panel, prescribe and independently manage HRT, and support GLP-1–based weight management in a fast-paced environment.

Ideal candidates have 3+ years in perimenopause/menopause care, telemedicine experience, and multiple state licenses. This exempt, full-time role offers a competitive hourly rate with US-based scheduling.

Qualifications

• Active board certification as NP (FNP-C/BC or WHNP-BC).
• 3+ years independently managing perimenopause/menopause patients.
• 3+ years prescribing and titrating HRT.
• 3+ years managing a continuous NP patient panel with autonomous decisions.
• 3+ years of synchronous telemedicine experience.
• 1+ year evaluating/prescribing pharmacologic weight management therapies (GLP-1).
• Multiple active state licenses (DEA preferred).

Responsibilities

• Manage a full virtual patient panel focused on perimenopause, menopause, weight, sexual health, mood, and sleep.
• Prescribe and independently manage HRT and evaluate pharmacologic weight management.
• Maintain high-volume productivity while delivering compassionate care.

Skills

Telemedicine

Autonomous decisions

Perimenopause care

HRT titration

Education

FNP-C / FNP-BC / WHNP-BC

DEA license

Tools

EHR systems

Slack

Video conferencing

Job description

Nurse Practitioner

Integrated Women’s Care (IWC)

Employment Type: Full-Time

FLSA Status: Exempt

Compensation: $55 - $75 / hour, based on geographic location

Reports To: Nurse Practitioner Manager

Work Location: Remote - work must be completed within the United States

Schedule: Between 7:00am - 7:00pm, patient local timezone

You built your career caring for women at a time when the healthcare system largely ignored them. You know HRT, you understand the complexity of perimenopause, and you’ve spent years earning the clinical instincts it takes to actually get this right. Now you want to do it at scale - for more patients, with fewer barriers, and in a practice model that matches how you already think and work.

That’s what Midi is. A fully virtual, fast-paced clinical environment built specifically around women’s midlife health - and designed for NPs who are ready to practice at their best.

THE ROLE

You’ll carry a full patient panel, managing perimenopause, menopause, weight, sexual health, mood, and sleep - all virtually. This is ongoing, relationship-based care, which means your patients come back to you - visit after visit, over months and years. You’ll prescribe and independently manage HRT (estrogen, progesterone, testosterone), evaluate patients for pharmacologic weight management including GLP-1 therapies, and make autonomous clinical decisions every day.

It’s a high-volume environment. Documentation, follow-through, and productivity benchmarks are part of the job - and the NPs who thrive here don’t fight that reality, they’re built for it. If you’re the kind of clinician who runs efficient visits without sacrificing warmth, closes every loop without being reminded, and moves comfortably between patients and platforms, you’ll feel at home here.

WHO THRIVES HERE

• They are genuinely passionate about women’s midlife health - this isn’t a stopover, it’s their calling
• They are fluent with technology - EHR, video, AI scribe tools, Slack, clinical decision support - and they adapt quickly when tools change
• They hold themselves to a high standard without needing to be managed toward it
• They can carry a full panel, hit productivity targets, and still make every patient feel like the only one
• They’ve practiced independently long enough to trust their own clinical judgment
• They believe that listening deeply and documenting accurately are both forms of excellent care

MINIMUM QUALIFICATIONS

• Active board certification: FNP-C / FNP-BC or WHNP-BC
• 3+ years independently managing perimenopause and menopause patients
• 3+ years independently prescribing and titrating HRT
• 3+ years managing a continuous NP patient panel - building ongoing relationships and making autonomous clinical decisions over time
• 3+ years of synchronous telemedicine experience
• 1+ year evaluating and prescribing pharmacologic weight management therapies, including GLP-1 agonists
• Multiple active state licenses (DEA preferred)
• Preferred: certification in Menopause (MSCP) and/or Obesity Medicine

WHY MIDI

• A patient population that is engaged, informed, and deeply grateful for real care
• Full clinical autonomy within a supportive, protocol-driven framework
• Fully remote with scheduling between 7am-7pm patient local time
• Desirable benefits package
• Accredited training eligible for Continuing Education (CE)
• Clinician Professional Development Allowance
• Paid time off
• A team that takes women’s health as seriously as you do

WORKING ENVIRONMENT

This is a fully remote position requiring reliable high-speed internet access and the ability to work effectively in a virtual environment. The role involves prolonged computer use, including extended periods of sitting, video conferencing, and electronic documentation. To support patient access and business needs, occasional evening, weekend, or multi-time-zone coverage may be required.

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 [e-mail].

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.