Thyroid and Hormone Practitioner (NP, PA, DCN, DN)-Remote, Full/Part

Advanced Thyroid and Hormone Clinic; United States; Remote; USD 83,000 - 138,000; Part time

Benefits offered by this job

100% remote

Flexible scheduling

Competitive compensation

1099 contractor

Additional earning opportunities

Collaborative clinical support

Professional growth

Meaningful patient relationships

Job summary

Advanced Thyroid & Hormone Clinic seeks an experienced clinician to serve as a Clinical Consultant. This 1099 independent contractor role is 100% remote with a minimum of 20 hours per week, offering above-industry compensation and additional earning opportunities.

You will evaluate thyroid and hormone function, interpret lab panels, and collaborate with prescribing partners to tailor treatment plans. Independent prescribing is not required, and telehealth is central to patient care.

Qualifications

• Active, unrestricted NP/PA/ND license.
• Clinical thyroid management and BHRT experience.
• Experience interpreting thyroid labs (TSH, Free T3, Free T4, antibodies).
• Telehealth or virtual care experience.
• Excellent written and verbal communication skills.
• Ability to work independently while coordinating with prescribing partners.

Responsibilities

• Conduct telehealth consultations and follow-up appointments.
• Review and interpret thyroid, hormone, and metabolic labs.
• Evaluate symptoms, history, labs, and responses to treatment.
• Develop individualized recommendations with prescribing partners.
• Monitor patient progress and adjust treatment as needed.
• Provide patient education and ongoing support.

Skills

Thyroid management

BHRT experience

Telehealth proficiency

Laboratory interpretation

Education

NP/PA/ND license

Job description

Position: Clinical Consultant

Schedule: Full/Part-Time, Minimum 20 Hours per Week

Location: 100% Remote / Telehealth

Employment Structure: 1099 Independent Contractor

Compensation: Above-industry-average compensation, with additional earning opportunities

About Advanced Thyroid & Hormone Clinic

Advanced Thyroid & Hormone Clinic, founded by Dr. Amie Hornaman, The Thyroid Fixer, specializes in individualized thyroid optimization, bioidentical hormone replacement therapy (BHRT), and functional medicine.

Our mission is to provide patients with the personalized attention, comprehensive laboratory interpretation, and thoughtful clinical guidance that is often missing from conventional healthcare.

We believe thyroid and hormone care should extend beyond a single lab value or standardized protocol. Our approach centers on understanding each patient's unique symptoms, laboratory findings, medical history, and response to treatment.

We are seeking an experienced, compassionate Nurse Practitioner, Physician Assistant or Naturopathic Doctor, who is passionate about functional medicine and enjoys working closely with patients throughout their optimization journey.

This is a fully remote, part‑time opportunity for a clinically knowledgeable practitioner who values flexibility, collaboration, and delivering exceptional patient care.

Position Overview

As a Practitioner with Advanced Thyroid & Hormone Clinic, you will serve as a clinical consultant, providing comprehensive thyroid, hormone, and functional medicine evaluations and ongoing patient management.

You will work collaboratively with our established prescribing partners to develop individualized treatment recommendations, monitor patient progress, and recommend appropriate adjustments throughout each patient's program.

Independent prescribing authority is not required. Our designated prescribing partners are responsible for evaluating and authorizing prescriptions.

Your primary focus will be clinical evaluation, laboratory interpretation, individualized treatment recommendations, patient education, and ongoing monitoring.

This is not a traditional primary care position. Rather, it is a specialized clinical consulting role focused on advanced thyroid, hormone, and functional medicine care.

Primary Responsibilities

• Conduct telehealth consultations and ongoing patient follow-up appointments.
• Review and interpret comprehensive thyroid, hormone, and metabolic laboratory panels.
• Evaluate patient symptoms, health histories, laboratory findings, and responses to current treatments.
• Develop individualized treatment recommendations in collaboration with established prescribing partners.
• Recommend thyroid treatment strategies, including T4, T3, combination therapy, and natural desiccated thyroid when clinically appropriate.
• Evaluate and recommend bioidentical hormone replacement strategies involving estradiol, progesterone, testosterone, and related hormone therapies.
• Monitor patient response to treatment and recommend medication adjustments when appropriate, in collaboration with prescribing partners.
• Assess additional functional and integrative medicine therapies when clinically indicated, including low-dose naltrexone (LDN), GLP-1 therapies, peptides, spironolactone, oxandrolone, and other relevant modalities, subject to applicable regulations.
• Guide patients through the entire duration of their clinical program, providing ongoing education, monitoring, and individualized support.
• Respond to patient questions and concerns with empathy, professionalism, and timely communication.
• Collaborate with health coaches, prescribing partners, and other clinical team members to ensure continuity of care.
• Recognize signs of medication intolerance, contraindications, adverse effects, or concerns requiring additional medical evaluation.
• Maintain thorough and timely clinical documentation.
• Participate in clinical case discussions, team communication, and ongoing education.
• Follow applicable clinical guidelines, professional standards, and scope‑of‑practice requirements.

Required Qualifications

• Active, unrestricted Nurse Practitioner, PA, ND license.
• Clinical experience in thyroid management and bioidentical hormone replacement therapy.
• Strong knowledge of comprehensive thyroid laboratory interpretation, including TSH, Free T3, Free T4, Reverse T3, and thyroid antibodies.
• Familiarity with individualized thyroid replacement strategies, including T3, T4, and natural desiccated thyroid.
• Experience with female hormone optimization, particularly perimenopause and menopause.
• Knowledge of testosterone replacement and related hormone concerns.
• Strong clinical assessment, critical‑thinking, and problem‑solving abilities.
• Experience delivering care through telehealth or proficiency with virtual clinical platforms and electronic health records.
• Exceptional written and verbal communication skills.
• Ability to manage an ongoing patient caseload with organization, accuracy, and attention to detail.
• Strong commitment to compassionate, personalized patient care.
• Ability to work independently while collaborating effectively with prescribing partners and other clinical team members.

Preferred Qualifications

• Specialized BHRT training through BHRT Training Academy, A4M, or similar functional or integrative medicine education programs.
• Additional education or certification in functional medicine or integrative medicine.
• Advanced thyroid‑management training and experience with individualized T3 and T4 treatment strategies.
• Experience with GLP-1 therapies, low-dose naltrexone, peptides, metabolic medicine, or adjunctive hormone‑related therapies.
• Previous experience in a cash‑pay, concierge, functional medicine, or specialized telehealth practice a plus.
• Additional relevant clinical certifications and professional training.

We welcome experienced practitioners who are excited to continue expanding their knowledge and clinical skills.

Candidates should be open to learning our clinic's approach to thyroid and hormone optimization and collaborating closely with our clinical team while maintaining sound, independent clinical judgment.

Professional Requirements

• Maintain an active, unrestricted license and other applicable professional credentials.
• Maintain personal medical malpractice/professional liability insurance appropriate for the services performed.
• Complete all continuing education required to maintain active licensure and professional competency.
• Remain current with applicable telehealth, clinical documentation, privacy, and professional practice requirements.
• Practice within applicable licensing and scope‑of‑practice regulations.
• Collaborate with the clinic's designated prescribing partners regarding all medication recommendations and prescription implementation.

Independent prescribing authority is not required for this position.

Compensation & Benefits

We value our clinical professionals and strive to provide a flexible, supportive environment with competitive earning opportunities.

• 100% remote: Work from home.
• Flexible scheduling: Organize your clinical schedule while meeting the minimum 20‑hour weekly commitment and patient‑care needs.
• Competitive compensation: Above-industry-average compensation based on clinical qualifications and experience.
• 1099 contractor arrangement: Independent contractor engagement.
• Additional earning opportunities: Compensation may include patient‑based and appointment‑based payments along with eligible performance bonuses and appropriate service‑enrollment incentives.
• Collaborative clinical support: Work alongside other experienced practitioners, prescribing partners, health coaches, and a dedicated support team.
• Professional growth: Opportunities to deepen your experience in advanced thyroid, hormone, and functional medicine care.
• Meaningful patient relationships: Provide ongoing care and guidance throughout each patient's optimization journey.

The Type of Practitioner We're Looking For

We're looking for someone who is more than clinically knowledgeable.

We want a practitioner who genuinely cares about patients, understands the importance of listening, and enjoys helping people navigate their health journey.

You should be:

• Clinically confident: Comfortable interpreting laboratory results and developing individualized treatment recommendations.
• Compassionate: Patient, understanding, and committed to making patients feel heard and supported.
• An excellent communicator: Able to explain clinical findings and treatment recommendations clearly.
• Detail‑oriented: Organized, thorough, and committed to accurate patient follow‑up.
• Collaborative: Comfortable sharing clinical insights, receiving feedback, and working within a multidisciplinary team.
• Accountable: Dependable, responsive, and committed to providing a consistently excellent patient experience.
• Growth‑minded: Interested in continuing education and expanding your knowledge of thyroid, hormone, and integrative medicine.

The Mindset That Thrives Here

At Advanced Thyroid & Hormone Clinic, we are building more than a clinical practice. We are building a team of passionate, forward‑thinking professionals who are excited to challenge the status quo and continuously elevate the standard of patient care.

We are a fast‑paced, high‑growth, entrepreneurial organization. Our environment is dynamic, collaborative, and constantly evolving. We move quickly, embrace innovation, and continuously look for opportunities to improve how we serve our patients.

The people who thrive here aren't simply comfortable with change. They are energized by it.

We are looking for individuals who:

• Thrive in a fast‑paced environment. You are organized, adaptable, decisive, and comfortable managing competing priorities while maintaining exceptional quality and attention to detail.
• Have an entrepreneurial spirit. You think beyond your individual responsibilities, identify opportunities, take initiative, and enjoy helping build something bigger than yourself.
• Are hungry to grow and be challenged. You actively seek opportunities to learn, stretch your abilities, and develop professionally and personally.
• Are collaborative by nature. You understand that our greatest successes come from working together across clinical, operational, and administrative teams.
• Are solutions‑oriented. You don't simply identify problems; you proactively help solve them and take ownership of outcomes.
• Are coachable and open‑minded. You bring confidence in your expertise without ego, welcome constructive feedback, and recognize that there is always room to improve.
• Embrace innovation and change. You understand that in a growing organization, processes and priorities evolve, and you view that evolution as exciting rather than frustrating.
• Lead with accountability and integrity. You communicate transparently, follow through on commitments, and take responsibility when something needs to be corrected.
• Never lose sight of the patient. You balance efficiency with empathy, clinical judgment, accurate documentation, and a commitment to exceptional patient experiences.

This is an ideal environment for someone who is ambitious, curious, adaptable, and excited to make a meaningful impact. If you prefer a highly predictable environment with minimal change, this may not be the right fit. But if you thrive on momentum, collaboration, and the opportunity to grow alongside an ambitious team, we'd love to meet you.

Bring your expertise, your passion, and your sense of humor, but please leave the drama at home.

Join Our Team

If you're an experienced Nurse Practitioner who is passionate about personalized thyroid and hormone care, enjoys building meaningful patient relationships, and wants the flexibility of working remotely with a supportive clinical team, we'd love to hear from you.

Join Advanced Thyroid & Hormone Clinic and become part of a practice focused on helping patients achieve better health through individualized, thoughtful clinical care.