Remote Primary Care Provider (NP/PA)

Position: Remote Primary Care Provider (NP/PA) - Desktop Care

Department: Medical

Reports To: Chief Medical Officer

FLSA Status: Exempt

Work Location: Remote (California-based)

Schedule: Full-Time

Position Summary

Hill Country Community Clinic (HCCC) is seeking a Remote Primary Care Provider (Nurse Practitioner or Physician Assistant) to support our integrated care teams through desktop (in-basket) management, telehealth services, and care coordination.

This role is essential in ensuring timely, high-quality care between patient visits, particularly for individuals with complex medical, behavioral health, and substance use needs. The Remote Provider will extend the capacity of on-site clinicians by managing EHR workflows, addressing patient communications, reviewing diagnostics, and facilitating safe, effective treatment plans-including medication management.

This position directly supports HCCC's mission of delivering whole-person, patient-centered care in a rural, underserved community.

Key Responsibilities

Clinical Support & Desktop Management

• Manage EHR desktop workflows, including:

• Lab and diagnostic result review and follow-up

• Medication refills and reconciliation

• Patient portal messages and clinical communications

• Provider-to-provider communication and care coordination

• Provide coverage for providers during absences (PTO, LOA, vacancies)

• Ensure timely follow-up on abnormal results and care plans

• Collaborate closely with RNs, LVNs, MAs, and care coordination teams

Telehealth & Patient Care

• Conduct telehealth visits for:

• Review of urgent or abnormal results

• Medication management and follow-up care

• Acute and same-day patient needs

• Document all encounters accurately and timely in the EHR

• Provide patient education to support adherence and self-management

• Identify barriers to care and coordinate appropriate interventions

Medication Management & Controlled Substances

• Evaluate, prescribe, and manage medications, including Schedule II-V controlled substances, in accordance with:

• Federal and California regulations

• DEA requirements

• HCCC policies and standardized procedures

• Perform appropriate clinical assessments to support safe prescribing, including risk stratification, documentation, and follow-up planning

• Review patient prescription history through California CURES (PDMP) as required

• Apply best practices for controlled substance prescribing, including:

• Use of treatment agreements when appropriate

• Monitoring for misuse, diversion, and safety risks

• Coordination with behavioral health and care teams

Care Coordination & Access

• Support timely access to care across all clinic sites
• Serve as a clinical resource for complex and high-risk patients
• Assist with triage and urgent clinical decision-making
• Work within HCCC's integrated model (primary care, behavioral health, SUD, ECM/care coordination)

Documentation & Quality Expectations

• Maintain timely and accurate documentation, including:

• Same-day or next-business-day completion of telehealth encounters

• Prompt closure of in-basket tasks and results review

• Meet internal expectations for documentation timeliness, quality metrics, and regulatory compliance

• Participate in peer review, chart audits, and quality improvement initiatives

• Adhere to all Joint Commission, HRSA, and organizational standards

Collaboration & Professional Responsibilities

• Participate in Medical Staff meetings and interdisciplinary collaboration
• Maintain all required licenses, certifications, and CME
• Follow all clinical protocols, standardized procedures, and compliance requirements

Qualifications

Education & Licensure

• Graduate of an accredited Nurse Practitioner or Physician Assistant program
• Active, unrestricted California license
• Current national certification (NP or PA)
• Active DEA registration with authorization to prescribe controlled substances
• Current NPI
• Current BLS/CPR certification
• Current registration with California CURES (PDMP)

Experience

• Minimum 2 years of primary care experience, preferably in an FQHC or underserved setting
• Experience with telehealth and/or EHR desktop/in-basket management strongly preferred
• Experience with controlled substance prescribing and chronic pain management preferred
• Experience or willingness to support MAT/buprenorphine treatment
• Familiarity with integrated care models (PCMH, behavioral health integration) highly desirable

Knowledge, Skills & Abilities

• Strong clinical judgment and ability to work independently in a remote environment
• High proficiency with EHR systems and managing high-volume workflows
• Excellent written communication skills (critical for in-basket and patient messaging)
• Ability to prioritize competing demands and respond to urgent needs
• Commitment to serving underserved, high-acuity populations
• Collaborative and team-oriented approach

Work Environment & Expectations

• Primarily remote with occasional on-site expectations as needed
• Must maintain a secure, HIPAA-compliant workspace
• Schedule flexibility required based on operational needs
• Participation in rotating coverage schedules across care teams