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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