Nurse Practitioner - Telehealth

Vynca; Oregon; Remote; USD 130,000 - 160,000; Full time

Job summary

Vynca Inc. is seeking a remote Nurse Practitioner to join our Clinical Care Delivery Team.

The NP will provide evidence-based, high-quality clinical care to a panel of complex and seriously ill patients via telemedicine, focusing on assessment, action, and improving outcomes such as avoiding hospitalizations and supporting timely hospice transitions. Responsibilities include comprehensive symptom management visits, care planning, documentation, and collaborative coordination with the care team

Qualifications

• Current, unrestricted California RN and NP license, with the ability to obtain additional state licensure.
• DEA licensure, or the ability to obtain
• Graduate of an accredited nurse practitioner program
• ANP, AGNP, or FNP Certification required
• ACHPN certification or ability to obtain ACHPN certification required
• 2+ years experience providing NP care to complex, seriously ill patients
• Experience with outcomes-focused and value-based care
• Strong communication skills for goals-of-care and hospice transition conversations
• Ability to work in a remote environment, Monday-Friday 8:30am-5:00pm PST, with rotating evening/weekend on-call coverage

Responsibilities

• Independently performs comprehensive and symptom management visits with plan of care oversight.
• Assesses symptoms, goals, and risks; acts on findings and follows up.
• Completes assessments and documentation (ESAS, POLST, goals-of-care).
• Orders and interprets diagnostic/therapeutic tests as age-appropriate.
• Prescribes pharmacologic and non-pharmacologic treatments.
• Interacts with patients, families, and staff to ensure positive outcomes.
• Partner with RN, social worker, and care team; proactive risk identification.
• Reduce avoidable hospitalizations through outreach and follow-up.
• Facilitates transitions within health care settings (admitting, transferring, discharging).
• Identifies hospice candidates and conducts goals-of-care conversations.
• Collaborates with multidisciplinary team via referrals.
• Provides educational tools to staff, patients, and families.
• Understands Medicare/Medicaid reimbursement and coding for services.
• Reviews performance data to improve quality and engagement.
• Contributes to financial sustainability via care metrics.
• Participates in mandatory meetings and after-hours on-call.

Skills

NP licensure

DEA licensure

Remote work capability

Data-driven care

Goals-of-care conversations

Oregon NP licensure preferred

2+ years NP experience with complex, —

Education

Graduate of an accredited nurse practitioner program

ANP/AGNP/FNP Certification

ACHPN certification

Job description

Join the dynamic journey at Vynca, where we're passionate about transforming care for individuals with complex needs. We’re more than just a team; we're a close-knit community. Our shared commitment to caring for each other and those we serve is what sets us apart. Guided by our unwavering core values: Excellence, Compassion, Curiosity, and Integrity, we forge paths of success together. Join us in this transformative movement where you can contribute to making a profound difference every day. At Vynca, our mission is to provide comprehensive care for more quality days at home.

About The Job

Vynca is seeking a remote Nurse Practitioner to join our growing team! The Nurse Practitioner will serve as a vital member of the Clinical Care Delivery Team and will provide evidence-based, high-quality clinical care to an assigned panel of complex and seriously ill patients via telemedicine, with a focus on assessing patient needs, acting on what we find, and improving outcomes such as avoiding hospitalizations and supporting timely hospice transitions. A passion for this work and a love for patients is a must!

What You’ll Do

Remote care duties performed through HIPAA-compliant hardware and software:

• Independently performs comprehensive and symptom management visits to address the individualized needs of the patient along with a plan of care oversight (as defined by state-specific law).
• Assesses each patient’s symptoms, goals, and risks at every visit, acts on the findings with a clear plan of care, and follows up to confirm the patient’s condition and experience have improved.
• Completes required assessments and documentation (e.g., ESAS, POLST, goals-of-care) in a timely manner and uses the results to adjust the plan of care.
• Orders and interprets diagnostic and therapeutic tests relative to patient’s age-specific needs
• Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities
• Interfaces with patients, families, caregivers, and clinical staff, to ensure a positive patient experience and strong clinical outcomes.
• Partners with the RN, social worker, and other care team members through daily huddles and interdisciplinary team meetings to proactively identify at-risk patients and coordinate timely follow-up.
• Works to reduce avoidable hospitalizations through proactive outreach, rapid response to changes in condition, and transition-of-care follow-up after hospital discharge.
• Facilitates the patient’s transition within and between health care settings, e.g. admitting, transferring, and discharging patients.
• Identifies patients who may benefit from hospice and leads compassionate, timely goals-of-care and hospice transition conversations.
• Collaborates with multidisciplinary team members by making appropriate referrals.
• Facilitates staff, patient, and family decision-making by providing educational tools.
• Understands Medicare reimbursement and coding for all levels of service in addition to Medicaid and other regulatory requirements, and documents accurately to support appropriate billing.
• Reviews individual and panel performance data regularly and acts on opportunities to improve quality, patient engagement, productivity, and outcomes.
• Understands how clinical practice contributes to the organization’s financial sustainability, including revenue, care margin, and billable census.
• Actively participates in any mandatory meetings of the organization.
• Participates in after-hours on-call rotation.

Your Experience And Qualifications

• Current, unrestricted California RN and NP license, with the ability to obtain additional state licensure. Additional Oregon RN & NP licensure, highly preferred.
• DEA licensure, or the ability to obtain
• Graduate of an accredited nurse practitioner program
• ANP, AGNP, or FNP Certification required
• ACHPN certification or ability to obtain ACHPN certification required
• 2+ years experience providing NP care to complex, seriously ill patients
• Experience with, or interest in, outcomes-focused and value-based care, including working from data and scorecards
• Strong communication skills for goals-of-care and hospice transition conversations
• Ability to work in a remote environment, Monday-Friday 8:30am-5:00pm PST, with rotating evening/weekend on-call coverage

Compensation And Benefits

• Salary Range: $130-$160k annually. Pay for this position will be based on several factors, including, but not limited to: your prior experience and skills related to the position, geographic location, company needs, and current market demands.
• Great humans deserve great benefits! At Vynca, full time employees are eligible for benefits such as: medical, dental, and vision insurance, income protection benefits, flexible PTO, company holidays, 401k, and access to other wellness benefits.
• Continuing medical education reimbursement and company paid Malpractice, DEA, and Licensure.

Additional Information

• The hiring process for this role may consist of applying, followed by a phone screen, online assessment(s), interview(s), an offer, and background/reference checks.
• Background Screening: A background check, which may include a drug test or other health screenings depending on the role, will be required prior to employment.
• Job Description Scope: This job description is not exhaustive and may include additional activities, duties, and responsibilities not listed herein.
• Vaccination Requirement: Employees in patient, client, or customer-facing roles must be vaccinated against influenza. Requests for religious or medical accommodations will be considered but may not always be approved.
• Employment Eligibility: Compliance with federal law requires identity and work eligibility verification using E-Verify upon hire.
• Equal Opportunity Employer: At Vynca Inc., we embrace diversity and are committed to fostering an inclusive workplace. We value all applicants regardless of race, color, religion, age, national origin, ancestry, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, or membership in any other protected group under federal, state, or local law.
• Environmental Conditions and Physical Requirements: Works with Vynca patients/clients remotely and/or in-person. Successfully performs the essential duties and responsibilities of the position through the use of physical activities as described below.
• Regularly requires sitting, standing, walking, talking, use of hands, listening, and observing.
• Regularly requires working at a computer for an entire shift (with appropriate breaks).
• Regularly requires use of laptop and video-conferencing technology.
• Occasionally requires reaching, stooping, bending, kneeling, and lifting items weighing 25 pounds or less.
• Occasional travel may be required to perform job duties, attend training, or company events.

Compensation Range: $130K - $160K