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