Apply Here by Visiting Link: https://forms.gle/oLxGjWsR2i275m7w9
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About Us
The Integrative Healers Collective is a growing Texas-based, nurse practitioner led integrative medicine practice focused on whole-person care for adults across preventive health, chronic disease support, complex care coordination, metabolic health, longevity-focused prevention, and hormone and sexual health concerns.
Our practice uses a bridge-care model, meaning we provide clinical support between, alongside, or during transitions from a patient’s existing primary care, specialty, or hospital-based care. For many patients, we serve as an adjunctive clinical resource rather than replacing their established primary care provider. Our goal is to close gaps in access, continuity, education, care coordination, and follow-through for adults across Texas.
Our clinical approach is informed by evidence-based lifestyle medicine principles, including those emphasized by the American College of Lifestyle Medicine, such as nutrition, physical activity, sleep, stress management, healthy relationships, risk reduction, and appropriate medical treatment. We combine this foundation with a root-cause-informed, whole-person approach to support patients through preventive screening, lab review, medication review, patient education, chronic disease support, metabolic health care, longevity-focused prevention, and hormone and sexual health concerns.
Preventive care is a core part of our practice, including Medicare Annual Wellness Visits, adult wellness exams, risk screenings, health education, and early identification of conditions that may benefit from additional evaluation or follow-up. We aim to help patients better understand their health, reduce risk, and stay connected to appropriate care.
We are looking for compassionate, clinically strong Nurse Practitioners who want to deliver accessible, thoughtful, evidence-informed care through telemedicine and, when appropriate, in patients’ homes or residential settings.
Service Area
We serve patients across two Texas Texas Health and Human Services Commission (HHSC) regions:
- Region 5 — Southeast Texas: Angelina, Hardin, Houston, Jasper, Jefferson, Nacogdoches, Newton, Orange, Polk, Sabine, San Augustine, San Jacinto, Shelby, Trinity, and Tyler counties.
- Region 6 — Gulf Coast / Houston: Austin, Brazoria, Chambers, Colorado, Fort Bend, Galveston, Harris, Liberty, Matagorda, Montgomery, Walker, Waller, and Wharton counties.
- Link for HHSC Map:
Care Model & Modalities
All visits are delivered through one of two modalities:
- Telemedicine — for evaluations, follow-up visits, lab review, medication review, preventive counseling, chronic care support, lifestyle counseling, and care coordination.
- Home-based visits — for in-person evaluations, physical assessments, preventive care, post-acute or bridge-care follow-up, and select provider- or nurse-administered treatments when clinically appropriate and aligned with practice protocols
Scope of ServicesNurse Practitioners will care for a varied adult patient panel across preventive, chronic, complex, problem-focused, and wellness-oriented visits. Services will be based on the provider’s clinical training, credentialing, scope of practice, payer requirements, collaborative arrangements, and established practice protocols.
- Preventive & Wellness Care:Medicare Annual Wellness Visits, Welcome to Medicare/IPPE visits, annual adult wellness exams for non-Medicare patients, men’s and women’s preventive health visits, well-woman focused visits, risk assessment, preventive screenings, prevention planning, health education, and long-term health optimization.
- Chronic, Complex & Cardiometabolic Care:Follow-up and care management for stable single or multiple chronic conditions, including hypertension, diabetes, high cholesterol, thyroid disorders, heart disease, kidney disease, asthma/COPD, arthritis, obesity, and other cardiometabolic concerns. Visits may include chronic disease follow-up, lab review, medication review, lifestyle-focused treatment planning, care coordination, and support for Chronic Care Management, Complex Chronic Care Management, and Transitional Care Management workflows when appropriate.
- Weight & Metabolic Health:Weight-management evaluations and follow-up visits, including nutrition and lifestyle counseling, metabolic risk assessment, obesity-related comorbidity screening, and medication-supported weight management when clinically appropriate. Therapies may include FDA-approved anti-obesity medications, GLP-1/GIP medications such as semaglutide or tirzepatide when appropriate, phentermine when clinically appropriate, and B12 or lipotropic injection support when aligned with practice protocols.
- Hormone & Sexual Health Concerns:Initial evaluations and follow-up visits for men’s and women’s hormone-related concerns, including symptom assessment, lab review, hormone replacement therapy when clinically appropriate, low testosterone concerns, perimenopause and menopause support, sexual health concerns, and related treatment planning.
- Women’s Health:Care for menstrual concerns, perimenopause and menopause symptoms, contraception counseling, preconception and fertility-related support, postpartum hormonal concerns, pelvic and breast concerns, and women’s sexual and hormonal health concerns. Services will be provided within the provider’s training, comfort level, and practice protocols.
- Men’s Health:Evaluation and support for low energy, low testosterone symptoms, metabolic risk, sexual health concerns, weight-related concerns, and men’s hormone optimization when clinically appropriate.
- Peptide, Injection & Wellness Therapies:Evaluations and follow-up visits for select peptide, vitamin, injection, and wellness therapies for men and women when clinically appropriate, evidence-informed, and aligned with provider training, applicable law, and practice protocols.
- Energy, Fatigue & Nutritional Support:Low-energy and fatigue evaluations, lab-based assessment, lifestyle review, nutritional assessment, IV hydration and vitamin therapy when appropriate, and vitamin or booster injection support through nurse-administered or patient-administered protocols when clinically appropriate.
- Behavioral, Cognitive & Lifestyle Health:Screening and follow-up support for depression, anxiety, cognitive concerns, sleep issues, stress, substance-use risk, and lifestyle-related health concerns. Services may include screening, education, brief intervention, care coordination, and referral support as needed.
- Aesthetic & Therapeutic Botox:Botox services for facial wrinkles and excessive underarm sweating/hyperhidrosis, based on provider training, certification, credentialing, and practice protocols.
- Problem-Focused & Bridge-Care Visits:Sick visits, focused evaluations, provider-requested follow-ups, medication and lab review, post-acute or care-transition follow-up, and bridge-care visits designed to close gaps between primary care, specialty care, hospital-based care, home health, residential care settings, and ongoing wellness support.
Across all service lines, our care model incorporates evidence-based lifestyle counseling informed by ACLM principles, with an emphasis on prevention, whole-person assessment, patient education, and sustainable health behavior change.
Engagement Mode
This is a 1099 independent contractor position. Compensation is productivity-based and paid per completed patient visit according to the applicable visit type and practice compensation schedule with a minimum compensation floor equivalent to $65 per hour for scheduled provider coverage blocks.. Home-based visits are compensated at a higher per-visit rate than telemedicine visits to account for travel, in-person care needs, and the additional time involved. If a patient no-shows for a scheduled home-based visit, the provider will receive the applicable no-show visit fee.
Scheduling flexibility is a core feature of this role. The practice may offer patient-care availability across extended hours, including early morning, evening, and weekend options, depending on patient demand, provider availability, payer credentialing status, and service type. Providers may select available calendar blocks that align with their independent availability, patient-care capacity, and preferred schedule, subject to mutual agreement and patient scheduling needs.
Contractors are responsible for maintaining their own active Texas licensure, national board certification, malpractice/professional liability coverage, NPI, CAQH/DataSource or other credentialing profiles, professional credentials, and required documentation needed for payer enrollment, credentialing, and continued participation with the practice. Contractors must also meet applicable Texas APRN practice and prescriptive authority requirements, including participation in required practice protocols, prescriptive authority agreements, and documentation standards when applicable.
As independent contractors, providers are responsible for their own taxes, insurance, professional expenses, and compliance with applicable licensure and credentialing requirements. This role does not include employment benefits or a guaranteed salary. Because compensation is productivity-based, patient volume and earnings may vary based on provider availability, payer credentialing status, patient demand, completed visits, service mix, and practice scheduling needs.
Responsibilities include but are not limited to the following:
- Provide telemedicine and in-person visits across the authorized service area, including private homes; residential and facility-based settings such as group homes, assisted living facilities, memory-care units, independent senior living communities, nursing facilities, and skilled nursing or rehabilitation settings; and community-based outreach settings such as senior centers, community and recreation centers, faith-based health events, and health fairs, as permitted by payer, facility, credentialing, and practice arrangements.
- Perform preventive, wellness, chronic-care, complex-care, problem-focused, and bridge-care visits across scheduled visit types, including initial evaluations, Medicare Annual Wellness Visits, adult wellness exams, follow-ups, low-acuity sick visits, provider-requested follow-ups, and post-discharge or transitional-care visits.
- Review labs, medications, medical history, risk factors, symptoms, screenings, and patient goals to support individualized assessment, education, and care planning.
- Perform or order select point-of-care testing as clinically appropriate, within provider scope, practice protocols, and available equipment.
- Support chronic disease prevention, cardiometabolic and metabolic health, and longitudinal complex care management for patients with single or multiple chronic conditions.
- Support Chronic Care Management, Complex Chronic Care Management, Transitional Care Management, preventive-care gap closure, and other care-management workflows when clinically appropriate and aligned with payer requirements.
- Provide transitions-of-care and post-discharge follow-up, including medication reconciliation, symptom review, patient education, care-plan reinforcement, and escalation of concerns when needed.
- Provide lifestyle counseling informed by American College of Lifestyle Medicine principles, integrated into preventive, wellness, chronic, complex, and metabolic health visits as clinically appropriate.
- Oversee, review, or provide clinical guidance for community-based and in-visit screenings and risk assessments performed by clinical support staff, and evaluate or act on results requiring clinical decision-making.
- Coordinate care across the patient’s care team, including primary care providers, specialists, therapists, behavioral health providers, home health agencies, facility staff, family members, and caregivers, to support continuity and smooth transitions of care.
- Collaborate with clinical support staff on care navigation and follow-up to help patients access needed specialists, diagnostics, community resources, medications, and follow-up appointments.
- Refer or direct patients to urgent care, emergency care, specialty care, longitudinal primary care, behavioral health services, or community resources when clinically indicated.
- Close gaps in care by communicating relevant findings, recommendations, abnormal results, and follow-up needs to the patient’s primary care provider and other appropriate care partners.
- Identify social determinants of health, including food access, transportation, medication affordability, housing stability, caregiver support, and health literacy needs, and collaborate with support staff to connect patients to appropriate resources.
- Document patient visits accurately and promptly in eClinicalWorks in accordance with practice documentation standards, payer requirements, and applicable clinical guidelines.
- Participate in recurring virtual integrated care-team meetings, case reviews, and care-coordination discussions as mutually agreed upon and applicable to the provider’s patient panel.
- Manage an accepted or assigned patient panel when applicable, including participation in panel-review huddles and proactive identification of chronic-disease, preventive-care, and follow-up gaps.
- Participate in quality-assurance activities, including chart audits, documentation reviews, care-gap reviews, and protocol updates, to support compliance with Texas Board of Nursing requirements, payer expectations, and clinical best practices.
- Serve as a professional clinical resource for support staff and interdisciplinary care partners, demonstrating respectful communication, sound clinical judgment, and patient-centered care.
- Maintain patient confidentiality and HIPAA compliance at all times.
Required Qualifications
- Active Texas APRN licensure in good standing with the Texas Board of Nursing, with current Texas RN licensure or multistate RN privilege recognized in Texas.
- Current national Nurse Practitioner board certification.
- Active individual NPI.
- Active and current CAQH/DataSpring Provider Data Portal profile, with authorization to share credentialing information with the practice and participating payers as needed.
- Professional liability/malpractice coverage that meets practice minimum requirements.
- Current BLS certification.
- Active DEA registration, or eligibility and willingness to obtain DEA registration before prescribing, administering, or ordering controlled substances, if applicable to the provider’s role and assigned service lines.
- Minimum of two years of APRN experience preferred; strong candidates with relevant RN, primary care, urgent care, internal medicine, women’s health, geriatrics, emergency medicine, or home-based care experience may be considered.
- Valid driver’s license, reliable transportation, and auto insurance meeting practice minimum requirements for providers performing field-based visits. Specific coverage limits will be provided during onboarding.
- Ability to transport equipment of up to approximately 30 lbs and navigate stairs as part of home-based or community-based visits, as needed, with or without reasonable accommodation.
- Commitment to practice in accordance with applicable Texas APRN standards, Prescriptive Authority Agreement requirements, practice protocols, payer requirements, documentation standards, and professional communication expectations.
- Ability and commitment to maintain active licensure, board certification, malpractice coverage, credentialing documents, payer enrollment information, group affiliation requirements, and any documentation required for continued participation with the practice.
Preferred Qualifications
- Currently credentialed, participating, or previously enrolled with BCBS TX, UnitedHealthcare, and/or Medicare.
- Experience in primary care, internal medicine, lifestyle medicine, integrative medicine, women’s health, geriatrics, cardiometabolic care, mental health screening, or chronic disease management.
- Interest in prevention, root-cause-informed assessment, patient education, lifestyle counseling, and long-term health optimization.
- Comfort with Medicare Annual Wellness Visits, Welcome to Medicare/IPPE visits, adult wellness exams, preventive screenings, care-gap closure, and chronic or complex care workflows.
- Previous experience conducting comprehensive visits, annual wellness visits, health risk assessments, or preventive-care evaluations.
- Experience with or interest in integrative service lines such as hormone replacement therapy, weight management, peptide therapy, IV/injection therapy, and aesthetic services, when aligned with provider training and practice protocols.
- Experience providing care in home-based, community-based, assisted living, group home, memory-care, skilled nursing, rehabilitation, or other residential-care settings.
- Previous experience using eClinicalWorks or similar EHR platforms.
- Bilingual ability, especially Spanish or other languages spoken by the communities we serve.
- Interest in community outreach and health-equity work, including community-based metabolic health and preventive health programs.
Why Join Us
- Flexible, self-directed scheduling within a telemedicine-forward care model.
- Productivity-based earning potential based on completed patient visits and applicable visit types.
- Higher compensation for home-based visits, with mileage or travel reimbursement available according to the practice’s travel policy.
- Thoughtfully structured visit lengths, with most visits scheduled for approximately 30–60 minutes based on appointment type and patient needs, allowing time for unhurried, whole-person care. Shorter visits, typically around 15 minutes, are reserved for brief, focused needs such as medication refills, normal lab-result reviews, quick follow-ups, and minor low-acuity concerns.
- Clinical support from medical assistants and LVNs who assist with screening, outreach, care navigation, and follow-up tasks, allowing providers to focus on clinical decision-making and patient care.
- Opportunity to practice whole-person, prevention-focused, lifestyle-informed care in a model designed to improve access, continuity, education, and follow-through.
- Ability to serve patients who need accessible, thoughtful bridge care between primary care, specialty care, hospital-based care, home health, residential care, and ongoing wellness support.
- Supportive, collaborative practice environment with room to grow as the practice expands.
How to Apply
Apply here: https://forms.gle/oLxGjWsR2i275m7w9
Please submit your resume or CV. Applicants may also submit an optional short written statement or a 60- to 90-second video sharing what draws you to whole-person care, including preventive, lifestyle, metabolic, and complex chronic care. This may include your clinical interests, relevant experience, care philosophy, and what motivates you to serve patients in this model.
The optional video is not required, and applicants will not be disadvantaged for choosing not to submit one. Video submissions are reviewed for alignment with the role and practice mission, not appearance, production quality, or presentation style.
If your background appears to be a fit, we will follow up to discuss the role and review credentialing and onboarding requirements at that stage.
We make every effort to respond to applicants within 10 business days
Pay: From $65.00 per hour
Benefits:
- Flexible schedule
- Professional development assistance
Experience:
Work Location: Hybrid remote in Houston, TX 77056
