Virtual Advanced Nurse Practitioners - 1099

general-medicine; United States; Remote; USD 110,000 - 170,000; Part time

Job summary

General Medicine is seeking experienced Advanced Practice Nurse Practitioners to practice high-quality, broad-spectrum primary care via virtual adult care across the United States. This role emphasizes clinical ownership and meaningful medicine at scale, with asynchronous and synchronous care and rapid specialist e-consults.

This flexible, 1099-position fits alongside an existing clinical career, offering 20+ hours per week and supportive operations to handle scheduling and coordination.

Qualifications

• Advanced Practice Nurse Practitioner with a background in Family Medicine.
• Minimum of 6,240 clinical practice hours (≈3 years full-time).
• Primary care experience in outpatient/ambulatory settings across preventive, acute, and chronic care.
• Active, unrestricted NP licensure covering at least 40% of the U.S. population; multi-state licensure required.

Responsibilities

• Virtual Care Delivery: asynchronous text-based and synchronous video-based care for adult patients across the U.S.
• Broad Clinical Practice: full-scope primary care across varying acuity and complexity.
• Clinical Triage & Synthesis: triage and synthesis to guide next steps.
• Diagnostics & Coordination: order/interpret labs and imaging; coordinate rapid e-consults.
• Patient Navigation: guide to appropriate in-person care when needed.
• Clinical Continuity: identify and coordinate next clinically relevant steps.
• Ownership & Follow-Through: maintain clinical ownership throughout decisions.
• Quality Improvement: contribute to workflow development and quality initiatives.

Skills

APN Family Medicine

Job description

At General Medicine, you will become part of a clinical team that is raising the standard of virtual adult primary care — sharing our passion for making high-quality medicine accessible to everyone through telemedicine and intelligent technology. We are seeking experienced Advanced Practice Nurse Practitioners who thrive in fast-paced environments, lead with clinical depth and empathy, and are passionate about practicing high-quality medicine at scale.

Founded by the innovators behind PillPack (acquired by Amazon Health), General Medicine is a national, tech-enabled medical group on a mission to make accessing care as seamless as the best consumer experiences. We are an early-stage startup — we move fast, build with intention, and need clinicians who want to practice meaningful medicine inside a system designed to support them.

As an Advanced Practice Nurse Practitioner, you will practice as part of a broader care model that includes asynchronous and synchronous virtual care, clinical triage and synthesis, coordination of labs and imaging, rapid specialist e-consults, and referrals to in-person care when appropriate.

This is not high-volume, protocol-driven telehealth — clinicians remain involved in guiding patients through decisions and next steps, maintaining clinical ownership rather than handing care off after a single interaction. The role is designed to fit naturally alongside an existing clinical career.

Our Philosophy

• Patient-Centered Access: We meet patients where they are, guided by evidence-based medicine.

• Whole-Spectrum Adult Care: Urgent, acute, and primary care supported by an internal sub specialist network. No gatekeeping — we move care forward.

• Technology with Purpose: AI-enhanced tools handle intake, documentation, and coordination so clinicians can focus on clinical decisions.

• Accessible, Not Concierge: We accept insurance (including Medicare/Medicaid) and self-pay, with a full operational backbone for referrals, labs, and scheduling.

Responsibilities

• Virtual Care Delivery: Provide asynchronous text-based and synchronous video-based care for adult patients across the U.S.

• Broad Clinical Practice: Practice broad general medicine across a wide range of acuity and clinical complexity — this is full-scope primary care, not protocol-driven triage.

• Clinical Triage & Synthesis: Perform clinical triage and synthesis for patients with unclear or evolving concerns, applying strong diagnostic reasoning to guide next steps.

• Diagnostics & Coordination: Order and interpret labs and imaging, and coordinate rapid specialist e-consults to drive timely, evidence-based care.

• Patient Navigation: Recommend and guide patients to appropriate in-person care when needed (operations teams handle provider identification, booking, and scheduling).

• Clinical Continuity: Help patients identify and coordinate the next clinically relevant steps — not just address the presenting complaint.

• Ownership & Follow-Through: Maintain clinical ownership and continuity throughout the decision-making process.

• Quality Improvement: Contribute to clinical workflow development, policies, and quality improvement efforts as appropriate.

Clinical Environment & Support

Advanced Practice Nurse Practitioners work within a modern virtual care system designed to provide full patient context and eliminate administrative burden:

• Exceptional clinical support and technology that provide full patient context and reduce administrative burden.

• Asynchronous chat and synchronous video visits.

• Rapid access to specialist input and physician collaboration.

• Expedited labs, imaging, and referrals within patients’ insurance networks.

• Clear price visibility for insurance and cash options to support shared decision-making.

• A dedicated operations team that handles coordination and non-clinical work.
  All medical decisions are made by licensed clinicians. Technology exists to support clarity, alignment, and continuity — not to replace clinical judgment.

Requirements

• Advanced Practice Nurse Practitioner with a background in Family Medicine

• Minimum of 6,240 clinical practice hours (equivalent to ~3 years full-time experience).

• Demonstrated primary care experience in an outpatient or ambulatory setting — clinicians with depth in adult medicine across preventive, acute, and chronic care.

• Active, unrestricted NP licensure covering at least 40% of the U.S. population. Multi-state licensure is required — priority states include California, Texas, Florida, and New York (credentialing support provided for additional states).

• Eligibility to see Medicare and Medicaid patients.

• Strong comfort with clinical triage, diagnostic ambiguity, and broad clinical synthesis.

• Experience practicing independently within scope and collaborating closely with physicians and specialists.

• Ability to learn and adopt new clinical tools and workflows quickly.

• Comfort working in a virtual-first environment (prior telehealth experience helpful, not required).

• A clean record of practice, with no history of malpractice.

Who Thrives Here

• Have experience overseeing clinical groups, workflows, or policies and want flexible, meaningful work alongside an existing clinical career.

• Bought into our mission — you believe telemedicine, done right, transforms patient care.

• Enjoy practicing medicine across varying degrees of acuity and complexity.

• Value continuity, follow-through, and patient partnership over transactional encounters.

• Collaborative, low-ego, and comfortable with adaptive workflows and rapid iteration.

• Appreciate tools that provide full context and reduce administrative overhead.

Why Work With General Medicine

• Flexibility: 1099 structure with a minimum of 20 hours per week, designed to fit alongside existing clinical roles.

• Tools: Exceptional clinical support tools NPs describe as the best they’ve used.

• Collaboration: Strong physician collaboration and clinical leadership.

• Operations: Full operations support for coordination and administrative tasks.

• Community: A selective, growing community of thoughtful clinicians.

General Medicine is an equal opportunity employer and considers applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetics, or any other basis protected under federal, state, or local law.