About This Position
Cascadia Medical Weight Loss and Nutrition is a direct-pay, telehealth-only obesity medicine practice serving patients throughout Washington state. I’m the founder and sole clinician, and I’m looking for one experienced provider (PA or NP) to cover my patient panel during my maternity leave, February through April 2027, with the possibility of extending into May.
This is a very part-time, fully remote 1099 contract position.
**Washington licensure is required**. PAs and ARNPs are equally welcome.
About the practice
100% virtual. No office, no commute, no call.
Direct-pay model, so no insurance paneling or credentialing delays.
Active panel of approximately 60 patients, most enrolled in monthly programs with automated billing.
We do not provide primary care. All patients are required to maintain their own PCP.
EMR is Charm Health.
A virtual medical assistant handles precharting, billing, prior authorizations, and first-pass inbox triage.
You’ll have access to my AI charting app, so documentation time stays minimal.
Responsibilities
Conduct telehealth visits with established and new patients. Volume ranges from as few as 1 per week to ~8 during the busiest stretches.
New patient visits: 75 minutes
New patient follow-ups: 45 minutes
Established patient visits: 30 minutes
Prescribe and manage anti-obesity medications according to established protocols (training provided at a reduced rate). Nearly all patients are on a GLP-1 for weight management or type 2 diabetes. Common add-ons include Qsymia, phentermine, Contrave, naltrexone, topiramate, and metformin.
Order and interpret lab work for metabolic health, including expanded lipid panels with ApoB and Lp(a), hs-CRP, vitamin levels, full thyroid panels, and routine labs and chemistry.
Co-manage the clinical inbox alongside the virtual MA with a next business day response standard. Roughly half of incoming messages require provider input.
Coordinate daily with the virtual MA on routine clinic operations via EMR-based chat. This includes medication refills, clinical clarifications on prior authorizations, deciding who is best suited to respond to a given patient message, and directing the MA on routine follow-through such as pharmacy calls, insurance coverage issues, and scheduling. You won’t be performing those tasks yourself, but you will be communicating so the MA knows to handle them.
Schedule and time commitment
Realistic weekly total: 1 to 2 hours on a quiet week, 6 to 8 hours during busier periods.
You set your own schedule. My current hours are 9am to 12pm and then 1pm to 2pm, 3 days a week, which keeps my afternoons open for school pickup. That kind of arrangement works perfectly well here.
The one fixed requirement is holding open blocks for patients to self-schedule. If you offer two days per week, I’d want 3 to 4 hour blocks on each. If you can offer more days, shorter windows work fine. There’s real flexibility here and we’ll shape it together.
At least one weekday block is preferred. Additional days/times may be a weekend, evening, or early morning.
You are not expected to be available for an entire block if no one books, or if visits don’t fill the window.
Inbox may be managed asynchronously and does not require weekend coverage.
Hours are tracked through a clock-in/out application.
The first part of the year, roughly January through April, is the busiest season in weight management, so there is real potential for the higher end of the range.
Qualifications
A weight-inclusive, non-shaming clinical approach is essential. Patients here are treated as people with a biological condition, not a willpower problem. Our clinical framework is strategy over restriction, biology over blame, and respect for the patient’s intelligence. If your instinct is to lead with calorie counts and self-discipline, this isn’t the right practice.
Active, unrestricted Washington state license as a Physician Assistant (PA-C) or Advanced Registered Nurse Practitioner (ARNP). Required.
Active DEA registration and Washington controlled substance registration. Strongly preferred.
Obesity medicine experience, or primary care experience with a strong GLP-1 prescribing background.
Working familiarity with anti-obesity pharmacotherapy and with the cardiometabolic medications that come up alongside it, including statins and antihypertensives at a primary care level.
Comfort practicing independently in a telehealth setting.
Reliable high-speed internet, your own computer, and a private, HIPAA-appropriate space for patient visits.
Providers with strong primary care fundamentals and a genuine interest in obesity medicine are encouraged to apply even without formal obesity medicine training. If your interest in this field is informed by your own experience with these medications, that perspective is valued here. Sharing it is entirely optional and is not a requirement for consideration.
Who this role suits well
This works best for someone with real room in their week. The hours are small but they are real, and they can climb without much warning. Patients here pay out of pocket for close attention, and that’s the standard I’ve promised them. This a poor addition to an already full 40-hour week.
Providers already working part-time who have genuine capacity for a few additional flexible hours
Providers not currently practicing who want to stay clinically active without committing to a fixed schedule
Anyone seeking fully remote clinical work with a small, stable, well-supported panel
Clinicians curious about the direct-pay telehealth model and how a lean practice operates
Compensation and terms
$75 to $90 per hour, depending on experience. The upper end reflects formal obesity medicine background.
Compensation is hourly, with reasonable per-encounter time allowances defined in the contract to cover documentation and care coordination.
1099 independent contractor with a written contractor agreement. If you haven’t contracted before, please research the tax implications, including self-employment tax and quarterly estimated payments, before applying.
Paid onboarding and training is provided at a reduced rate, approximately 6 to 10 hours total across several sessions. Training can begin immediately, and the more EMR exposure you have before February, the smoother February will be.
Beyond formal training, I’ll be reachable by text throughout most of my leave to answer clinical questions, provide direction, and offer ongoing mentorship, if needed. You won’t be left to figure everything out alone.
Malpractice coverage is open to discussion. We can talk through adding you to my policy or working alongside your own.
Contract term: February through April 2027, with possible extension into May.
I’m hoping to connect with candidates by the end of November, since holiday scheduling makes training logistics difficult and additional lead time benefits everyone.
Pay: $75.00 - $90.00 per hour
Expected hours: 2.0 – 8.0 per week
Benefits:
Flexible schedule
Application Question(s):
Do you currently hold an active DEA registration and Washington controlled substance registration?
Approximately how many hours per week are you currently working in clinical practice?
Which days and time blocks could you realistically hold open for patient scheduling?
Do you have experience prescribing GLP-1 medications? Please provide context.
Briefly, what appeals to you most about this position?
Experience:
physician associate or nurse practitioner: 2 years (Required)
License/Certification:
unrestricted Washington state PA or ARNP license? (Required)
Location:
Washington State (Preferred)
Work Location: Remote
This is a very part-time, fully remote 1099 contract position.
**Washington licensure is required**. PAs and ARNPs are equally welcome.
About the practice
100% virtual. No office, no commute, no call.
Direct-pay model, so no insurance paneling or credentialing delays.
Active panel of approximately 60 patients, most enrolled in monthly programs with automated billing.
We do not provide primary care. All patients are required to maintain their own PCP.
EMR is Charm Health.
A virtual medical assistant handles precharting, billing, prior authorizations, and first-pass inbox triage.
You’ll have access to my AI charting app, so documentation time stays minimal.
Responsibilities
Conduct telehealth visits with established and new patients. Volume ranges from as few as 1 per week to ~8 during the busiest stretches.
New patient visits: 75 minutes
New patient follow-ups: 45 minutes
Established patient visits: 30 minutes
Prescribe and manage anti-obesity medications according to established protocols (training provided at a reduced rate). Nearly all patients are on a GLP-1 for weight management or type 2 diabetes. Common add-ons include Qsymia, phentermine, Contrave, naltrexone, topiramate, and metformin.
Order and interpret lab work for metabolic health, including expanded lipid panels with ApoB and Lp(a), hs-CRP, vitamin levels, full thyroid panels, and routine labs and chemistry.
Co-manage the clinical inbox alongside the virtual MA with a next business day response standard. Roughly half of incoming messages require provider input.
Coordinate daily with the virtual MA on routine clinic operations via EMR-based chat. This includes medication refills, clinical clarifications on prior authorizations, deciding who is best suited to respond to a given patient message, and directing the MA on routine follow-through such as pharmacy calls, insurance coverage issues, and scheduling. You won’t be performing those tasks yourself, but you will be communicating so the MA knows to handle them.
Schedule and time commitment
Realistic weekly total: 1 to 2 hours on a quiet week, 6 to 8 hours during busier periods.
You set your own schedule. My current hours are 9am to 12pm and then 1pm to 2pm, 3 days a week, which keeps my afternoons open for school pickup. That kind of arrangement works perfectly well here.
The one fixed requirement is holding open blocks for patients to self-schedule. If you offer two days per week, I’d want 3 to 4 hour blocks on each. If you can offer more days, shorter windows work fine. There’s real flexibility here and we’ll shape it together.
At least one weekday block is preferred. Additional days/times may be a weekend, evening, or early morning.
You are not expected to be available for an entire block if no one books, or if visits don’t fill the window.
Inbox may be managed asynchronously and does not require weekend coverage.
Hours are tracked through a clock-in/out application.
The first part of the year, roughly January through April, is the busiest season in weight management, so there is real potential for the higher end of the range.
Qualifications
A weight-inclusive, non-shaming clinical approach is essential. Patients here are treated as people with a biological condition, not a willpower problem. Our clinical framework is strategy over restriction, biology over blame, and respect for the patient’s intelligence. If your instinct is to lead with calorie counts and self-discipline, this isn’t the right practice.
Active, unrestricted Washington state license as a Physician Assistant (PA-C) or Advanced Registered Nurse Practitioner (ARNP). Required.
Active DEA registration and Washington controlled substance registration. Strongly preferred.
Obesity medicine experience, or primary care experience with a strong GLP-1 prescribing background.
Working familiarity with anti-obesity pharmacotherapy and with the cardiometabolic medications that come up alongside it, including statins and antihypertensives at a primary care level.
Comfort practicing independently in a telehealth setting.
Reliable high-speed internet, your own computer, and a private, HIPAA-appropriate space for patient visits.
Providers with strong primary care fundamentals and a genuine interest in obesity medicine are encouraged to apply even without formal obesity medicine training. If your interest in this field is informed by your own experience with these medications, that perspective is valued here. Sharing it is entirely optional and is not a requirement for consideration.
Who this role suits well
This works best for someone with real room in their week. The hours are small but they are real, and they can climb without much warning. Patients here pay out of pocket for close attention, and that’s the standard I’ve promised them. This a poor addition to an already full 40-hour week.
Providers already working part-time who have genuine capacity for a few additional flexible hours
Providers not currently practicing who want to stay clinically active without committing to a fixed schedule
Anyone seeking fully remote clinical work with a small, stable, well-supported panel
Clinicians curious about the direct-pay telehealth model and how a lean practice operates
Compensation and terms
$75 to $90 per hour, depending on experience. The upper end reflects formal obesity medicine background.
Compensation is hourly, with reasonable per-encounter time allowances defined in the contract to cover documentation and care coordination.
1099 independent contractor with a written contractor agreement. If you haven’t contracted before, please research the tax implications, including self-employment tax and quarterly estimated payments, before applying.
Paid onboarding and training is provided at a reduced rate, approximately 6 to 10 hours total across several sessions. Training can begin immediately, and the more EMR exposure you have before February, the smoother February will be.
Beyond formal training, I’ll be reachable by text throughout most of my leave to answer clinical questions, provide direction, and offer ongoing mentorship, if needed. You won’t be left to figure everything out alone.
Malpractice coverage is open to discussion. We can talk through adding you to my policy or working alongside your own.
Contract term: February through April 2027, with possible extension into May.
I’m hoping to connect with candidates by the end of November, since holiday scheduling makes training logistics difficult and additional lead time benefits everyone.
Pay: $75.00 - $90.00 per hour
Expected hours: 2.0 – 8.0 per week
Benefits:
Flexible schedule
Application Question(s):
Do you currently hold an active DEA registration and Washington controlled substance registration?
Approximately how many hours per week are you currently working in clinical practice?
Which days and time blocks could you realistically hold open for patient scheduling?
Do you have experience prescribing GLP-1 medications? Please provide context.
Briefly, what appeals to you most about this position?
Experience:
physician associate or nurse practitioner: 2 years (Required)
License/Certification:
unrestricted Washington state PA or ARNP license? (Required)
Location:
Washington State (Preferred)
Work Location: Remote
