WHO YOU AREAs a Telehealth Advanced Practice Provider (APP), you deliver virtual care to patients who have entered the 911/EMS system and do not need an ambulance or an emergency department. You decide what the patient needs and where they should get it.
Your emergency department experience is key. Managing risk without a CT scanner, a lab, or a monitor requires a clinician who has seen enough undifferentiated patients in person to recognize the subtle ones over video. We hire APPs who address risk judiciously, value clinical judgment and patient education over reflexive testing, and don't hesitate to say, "I need the physician on this call."
You will work collaboratively with Navigators, nurses, and EM physicians, all helping the same patient at the same time. Availability, approachability, and humility matter here more than they did in the ED.
A DAY IN THE LIFEVirtual Urgent Care and Secondary Triage- Provide virtual care via the RightSite platform to patients who sought emergency services through 911/EMS
- Act as a triage clinician in the virtual setting, directing patients to alternate destinations or treating via telehealth when clinically appropriate
- Perform focused assessments using patient-reported symptoms, EMS field findings, and video observation
- Identify red flags requiring immediate 911 response, ED evaluation, or physician involvement
- Perform patient consults to answer questions and ensure the care plan is followed.
- Prescribe medications and coordinate with pharmacies as needed.
Key skill: Making safe decisions with limited data while maintaining patient trust.
Availability and Responsiveness- Be fully present and available during your on-call hours, responding within 60 seconds of notification
- Maintain composure and prioritization when call volume surges
- Be camera-ready and professionally dressed for inbound calls from EMS.
- Provide timely administrative responses, including credentialing, licensing, and patient care documentation
Working With the Care Team- Act as a clinical resource to non-clinical Navigators; clarify triage questions and support safe call handling
- Partner with RightSite Nurses who buffer, triage, and prepare a clinical picture before you join the encounter
- Escalate to the EM physician with a concise, organized clinical summary when a case exceeds your scope, your comfort, or the uncertainty of the situation demands
- Liaise with our EMS, Fire, and Dispatch partners respectfully and effectively, including follow-up when appropriate
Key skill: Collaborative communication without hierarchy or judgment.
Medication and Pharmacy- Prescribe within state scope and RightSite formulary guidelines
- Review medication lists for safety, interactions, and appropriateness
- Work through real pharmacy constraints: availability, alternatives, and cost
Barriers to Care and Social Determinants of HealthFor many of our patients, the medical complaint is only part of why they called 911. Transportation barriers, medication affordability, food insecurity, housing instability, lack of primary care access, and insurance challenges often drive the call just as much as the clinical need
- Identify barriers that will prevent the care plan from actually happening
- Problem-solve with the patient and hand off to Navigators or nurses for resource connection
- Document barriers and interventions
Key skill: Recognizing when a healthcare problem is also an access problem; the plan is only good if the patient can execute it.
Documentation and Quality- Document assessments, decision-making, and patient education clearly and contemporaneously
- Close loops on pending items, callbacks, and unresolved concerns; hand off cleanly at end of shift
- Serve as a subject matter expert in case reviews, process improvement, and development of the medical services department
Key skill: Your documentation supports continuity of care, patient safety, and legal protection
RequirementsRequired- Physician Assistant (MPAS/equivalent, NCCPA certified)
- Minimum five years of post-training clinical practice; five to fifteen years is the ideal band
- Substantial practice in a busy, high-acuity emergency department
- Prior ED experience at facilities with annual volumes preferably above 45,000 visits
- Active, unencumbered license in at least one of Texas, Georgia, or Florida, with willingness to obtain additional state licensure (we support and fund this)
- Active DEA registration
- Demonstrated stability in prior roles; we look closely at repeated one-to two-year tenures
- Reliable access to internet bandwidth to handle video calls reliably, and a private, HIPAA-appropriate workspace
Strongly Preferred- Experience in a Level I or II Trauma Center, or Academic Medical Center
- Bilingual Spanish/English, which materially improves care for our Texas and Florida populations and reduces reliance on interpreters
- Experience with continuous quality improvement work
- Prior telehealth, nurse triage line, EMS, or prehospital experience
COMPETENCIESAt RightSite Health, we are big believers in competencies. Competencies are different from technical skills or experience. Technical skills describe the 'what' you do; competencies describe 'how' you do it. The following are required for success in the Telehealth APP role.
- Adaptability: Adjusts own behaviors to work successfully considering new information and changing direction and environments; is willing to do what is necessary to get the desired results; remains positive when faced with unexpected events.
- Collaboration: Works cooperatively and effectively with others to set goals, resolve problems, and make decisions. Puts the team ahead of self.
- Composure: Maintains composure when provoked, under intense pressure, or faced with multiple priorities; calms others; understands how one's actions affect others.
- Interpersonal Skills: Effortlessly builds and maintains productive, cooperative relationships with internal and external stakeholders; reads and understands people quickly, including over the phone and on video.
- Judgment: Recognizes the limits of their own skill set and escalates to the next higher level of expertise without hesitation; considers alternative actions, resources, and constraints before selecting a course; refrains from jumping to conclusions on minimal evidence.
- Stewardship: Understands that patients, clinical colleagues, EMS partners, and the business all have legitimate needs, and balances them deliberately rather than defaulting to the most expensive or most defensive option.
Benefits- Competitive hourly compensation, with the potential to move to a productivity-based model as volumes grow
- Flexible scheduling designed to create genuine work/life balance, including part-time and per-diem arrangements
- Fully remote work that still uses your full clinical education, training, and experience
- Licensing and credentialing support across our operating states
- A real care team behind you: EM physicians, nurses, and Navigators on the same call, not a queue you work alone
- Structured onboarding, case review, and clinical development
- Patient satisfaction consistently above 9.7 out of 10 , you will hear it directly from patients
- The opportunity to change a broken system through virtual emergency care, and to make a positive difference in someone's life every day
