Wheel

Night Shift Telemedicine Nurse Practitioner - 1099 Contract (CA and TX)

Posted on

March 17, 2026

Job Type

Contract

Role Type

Telehealth

License

NP/APP

State License

Compact / Multi-State

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Company Description

Wheel Medical Group is a physician owned professional corporation that serves patients across the United States; evolving the traditional care ecosystem by equipping the nation's most innovative companies with a premier platform to deliver high-quality virtual care at scale. We offer proven strategies and cutting-edge technologies to foster consumer engagement, build brand loyalty, and maximize return on investment. Wheel solutions include configurable virtual care programs, an intuitive consumer interface, and access to a nationwide network of board-certified clinicians. Discover how Wheel is transforming the future of healthcare by visiting www.wheel.com.

Job Description

Wheel Medical Group is seeking nurse practitioners licensed in both California and Texas to join our network of world-class clinicians delivering virtual care. Wheel Medical Group offers a better way to work in virtual care by enabling clinicians to work with multiple telehealth companies — all in one platform. Clinicians in our nationwide network are credentialed, trained, and matched with vetted companies delivering the highest quality patient care. You could have the opportunity, based on experience and interest, to provide care in a number of programs such as: Primary Care Urgent Care Women’s Health Men’s Health Weight Management Dermatology Pediatrics

Requirements

Board certified nurse practitioner (Family, Internal Medicine, Emergency Medicine) Must be licensed in CA and TX 2+ years of clinical experience as a nurse practitioner in emergency, urgent care, or family medicine/primary care experience Experience/ comfortability providing medical weight management Available a minimum of 12 hours per week (flexible scheduling); 20+ hours preferred; 1099 Contract Position Scheduling: 4 hours per day, 3x per week Hours: 7pm to 1am CST timeframe Must be willing to work weekends Ability to perform both synchronous and asynchronous consults Experience treating pediatric patients preferred Outstanding clinical expertise Strong verbal and written communication skills Comfortable with technology

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Responsibilities

Deliver high-quality, evidence-based asynchronous and synchronous virtual care. Review comprehensive patient intake information, including medical history, medication lists, and patient-submitted photos, to ensure safe and appropriate prescribing decisions​. Conduct thorough clinical assessments aligned with Wheel clinical guidelines, utilizing clinical snippets and workflows to tailor education and treatment plans​. Prescribe medications responsibly, ensuring alignment with patient eligibility, formulary guidance, and safety parameters such as blood pressure ranges, contraindicated medications, and clinical red flags. Document each patient encounter using a complete and structured SOAP note, including rationale for prescribing or referring, patient counseling, and follow-up recommendations​. Engage in clear and compassionate communication with patients through secure messaging or live video visits, maintaining a professional and supportive web-side manner​. Refer patients to in-person care when clinical guidelines are not met, documenting rationale and providing clear patient instructions​. Maintain compliance with quality assurance standards, incorporating feedback from periodic chart audits and actively participating in continuous improvement efforts​. Escalate urgent clinical concerns such as suicidal ideation or harassment according to platform protocols, ensuring patient safety and clinician protection​. Collaborate with Wheel’s clinical operations team for onboarding, platform support, and guideline updates to ensure consistent, high-quality care delivery.

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