Position Summary The Telehealth Provider (Nurse Practitioner) will deliver comprehensive virtual care focused on hormone optimization (HRT/TRT), weight loss management, and metabolic health. This role centers on performing medical evaluations and good faith exams (GFEs) for patients seeking evidence-based treatments such as GLP-1 therapies, testosterone replacement, and peptide protocols. The ideal candidate has strong clinical experience in hormone therapy and weight management, is highly organized, and thrives in a fast-paced, high-volume telehealth environment.

Key Responsibilities

• Perform synchronous and asynchronous good faith exams (GFEs) with a primary focus on:
• Weight loss and metabolic management (GLP-1 therapies such as Semaglutide, Tirzepatide)
• Hormone Replacement Therapy (HRT) and Testosterone Replacement Therapy (TRT)
• Peptide-based therapies for performance, recovery, and longevity
• Develop and adjust personalized treatment plans based on patient history, labs, and goals
• Monitor ongoing patient progress, including follow-ups, lab reviews, and medication adjustments
• Provide patient education on lifestyle, nutrition, and long-term metabolic health
• Document all encounters accurately in the EMR using company protocols
• Ensure compliance with state-specific telehealth, prescribing, and hormone therapy regulations

What We’re Looking For

• Active Nurse Practitioner license (multi-state licensure strongly preferred)
• 3+ years of clinical experience, with a strong preference for:
• Hormone therapy (HRT/TRT)
• Weight loss or metabolic medicine
• Telehealth care delivery
• Strong clinical judgment in evaluating patients and initiating treatment plans independently
• Proficiency with EMRs and excellent documentation practices
• Experience specifically in TRT management, men’s health, or women’s hormone optimization
• Background in medical weight loss programs or obesity medicine
• Familiarity with GLP-1 protocols, peptide therapies, and lab interpretation
• Experience with telehealth compliance, GFE requirements, and multi-state practice

Perks & Benefits

• Fully remote position with flexible scheduling
• Opportunity to work in a rapidly growing hormone and metabolic health-focused medical group
• Collaborative, forward-thinking clinical environment
• Direct mentorship from experienced physicians and leadership
• Competitive compensation with growth opportunities into clinical leadership roles

DirectShifts is an Equal Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status, or any other characteristic protected by law. Your Right to Work In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.