Primary Care Physician Assistant / Nurse Practitioner

Remote | 1099 Independent Contractor | Flexible Schedule

About Elderberry Health

Elderberry Health is a patient-centered primary care organization serving rural communities in Middle and East Tennessee. We are committed to expanding access to quality primary care through innovative care delivery models, including telehealth, walk-in visits, and home-based primary care. Our small but dedicated team combines the personal touch of a rural practice with modern healthcare technology to deliver exceptional patient outcomes.

The Opportunity

We are seeking an experienced Physician Assistant (PA-C) or Nurse Practitioner (NP) to join our team as a 1099 independent contractor. This is a remote-first position with a flexible schedule that includes evening and weekend availability. You will provide primary care services across multiple care settings, working collaboratively with our medical assistants and supervising physician.

Key Responsibilities

• Conduct telehealth visits for acute, chronic, and preventive care
• Provide walk-in clinic coverage for same-day patient needs
• Collaborate with Medical Assistants delivering home-based primary care to patients in our service area
• Perform comprehensive assessments, develop treatment plans, prescribe medications, and order diagnostic tests within scope of practice
• Document all patient encounters accurately and in a timely manner in the electronic health record (eClinicalWorks)
• Coordinate referrals and follow-up care with specialists and community resources
• Participate in quality improvement initiatives and care gap closure activities
• Maintain compliance with all applicable state and federal regulations, including Tennessee prescriptive authority requirements

Qualifications

Required

• Active, unrestricted Tennessee license as a Physician Assistant (PA-C) or Nurse Practitioner (APRN)
• Valid DEA registration (or ability to obtain prior to start)
• Minimum of 2 years of clinical experience in primary care, family medicine, or internal medicine
• Experience with telehealth/virtual care delivery
• Comfortable working independently in a remote environment with physician oversight
• Strong clinical judgment and excellent communication skills
• Reliable high-speed internet connection and dedicated workspace for telehealth visits

Preferred

• Experience with home-based primary care or house call medicine
• Familiarity with eClinicalWorks (eCW) EHR
• Experience with value-based care models or quality metrics (HEDIS, MIPS)
• Current BLS/ACLS certification

Compensation & Arrangement

• Pay Structure: Competitive, production-based compensation
• Performance-Driven: Compensation is based entirely on the number of patient encounters completed, rewarding efficiency
• 1099 Contractor: This is a 1099 independent contractor position; you are responsible for your own taxes, insurance, and benefits
• Flexible Scheduling: Set your own hours within our scheduling needs; evening and weekend availability required
• Remote Work: Work from home with occasional on-site presence as needed for training and team meetings
• Credentialing Support: We will coordinate credentialing with insurance panels as part of onboarding

Why Elderberry Health?

• Work-life balance with a truly flexible, remote-first arrangement
• Make a meaningful impact in an underserved rural community
• Collaborative team environment with physician support and mentorship
• Innovative care model blending telehealth, walk-in, and home-based care
• AI-enhanced clinical tools and modern EHR technology
• Autonomy to practice at the top of your license in a supportive setting

How to Apply

Interested candidates should submit their resume/CV and a brief cover letter describing their clinical experience and interest in this role. We look forward to hearing from you!

Elderberry Health

106 Duke Street, Ashland City, TN 37015