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