Clinical Staff

Job description

Under a collaborative practice agreement with the supervising physician, the Nurse Practitioner provides direct patient care across hormone therapy, peptide protocols, GLP-1 weight management, and functional medicine primary care, absorbing and managing a full independent patient panel. Supports and adheres to the organizational code of ethics and business standards.

ROLE & RESPONSIBILITIES

Patient Care & Clinical Operations

• Conducts comprehensive new-patient intake and history for functional medicine, hormone therapy, and weight-management patients.

• Performs physical exams and diagnostic assessments within scope of practice.

• Orders and interprets diagnostic and lab testing (Labcorp, CPL) and develops individualized treatment plans.

• Prescribes medications, including hormone therapy, peptide protocols, and GLP-1 medications, per collaborative practice agreement, DEA registration, and Texas scope-of-practice rules.

• Manages a full primary care and hormone panel largely independently, escalating to the supervising physician per defined protocol.

• Administers or delegates administration of injections (BHRT pellets, peptide injections, GLP-1 injections) per practice protocol.

• Documents all patient encounters accurately and timely in the practice EMR.

• Monitors patient progress, labs, and outcomes; adjusts protocols accordingly.

• Educates patients on treatment options, risks, benefits, and realistic expectations; obtains informed consent.

• Coordinates specialist referrals as clinically indicated.

• Reviews and co-signs delegated clinical tasks performed by medical assistants (injections, vitals, intake data).

• Participates in the practice's single shared calendar to ensure smooth patient flow alongside aesthetics and clinical operations.

• Maintains DEA registration, state license, and required certifications current at all times.

• Supports the practice's cancellation, prebooking, and card-on-file policies to protect patient access and revenue.

• Other duties as assigned.

Medical Records

• Ensures accurate, complete, and timely documentation of all patient encounters in compliance with legal and regulatory standards.

• Reviews and signs off on delegated documentation entered by clinical support staff.

Marketing and Customer Service

• Serves as a clinical face of the practice, supporting patient retention and referrals.

• Addresses patient concerns and clinical complaints with professionalism and appropriate escalation.

Quality Programs

• Supports quality initiatives, including outcome tracking, protocol adherence, and cancellation-rate improvement efforts.

• Participates in chart audits and case reviews with the supervising physician.

Professional Growth

• Maintains licensure, national certification, and continuing education requirements.

• Stays current on hormone therapy, peptide, and GLP-1 treatment literature and best practices; attends relevant conferences and certifications (e.g., A4M, SSRP peptide certification).

General

• Protects the organization by keeping information confidential.

• Accomplishes the mission of the organization and team by completing related results as needed.

• Complies with federal, state, and local legal requirements (HIPAA, OSHA, controlled substance regulations), enforcing adherence and advising management on needed actions.

• Escalates clinical matters outside scope of practice or comfort level to the supervising physician promptly.

QUALIFICATIONS AND REQUIRED SKILLS

• Active, unencumbered Texas APRN license (FNP or equivalent).

• Current national certification (ANCC or AANP).

• Active NPI number.

• DEA registration, or ability to obtain prior to start (clinic-reimbursed).

• Documented clinical experience in hormone therapy/BHRT, peptide protocols, GLP-1 weight management, or functional medicine primary care — minimum years TBD by practice manager.

• Experience with Athena or a comparable EMR preferred.

• Proficiency in evidence-based clinical decision-making, informed consent processes, and injectable medication administration and protocols.

• Strong patient education, communication, and collaborative skills.

• High degree of clinical judgment, accuracy, attention to detail, and organization.

• Comfortable working within a cash-pay, non-insurance practice model.