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About True U Clinic
True U Clinic is a telehealth practice dedicated to evidence-based, gender-affirming care and hormone management for transgender, nonbinary, and gender-diverse people across multiple U.S. states. We’re a nimble, mission-driven team of nurse practitioners focused on safe, respectful, and timely access to care.

The Role
We’re seeking experienced Nurse Practitioners to deliver virtual gender-affirming care (adolescents and/or adults, depending on your experience and licensure). This is a 1099 independent contractor role, paid hourly (see Compensation). Schedules are flexible within clinic hours; weekend or evening availability is a plus. Applications are accepted on a rolling basis.

What You’ll Do

• Provide telehealth visits (initial consults, follow-ups) for gender-affirming hormone therapy, including shared decision-making, informed consent, and individualized care plans.

• Order, interpret, and act on labs; coordinate prescriptions; document thoroughly in the EHR.

• Educate patients and families on medications, injection techniques, side-effect monitoring, and safety.

• Collaborate with support staff for scheduling, labs, and prior authorizations; escalate urgent concerns appropriately.

• Uphold True U protocols, HIPAA, and state practice standards; participate in chart reviews and QA as applicable.

Minimum Qualifications

• Active, unencumbered RN and APRN/NP license(s) in at least one U.S. state; ability/willingness to obtain additional state licenses.

• National board certification (e.g., FNP, AGNP, PMHNP) with documented experience in endocrine, primary care, or gender-affirming care.

• Telehealth experience, strong clinical judgment, and outstanding written/verbal communication.

• Comfortable working independently within protocols; reliable high-speed internet and private, professional workspace.

• Able to pass a background check.

Preferred Qualifications

• Licensure in one or more of our current service states (see trueuclinic.com/coverage-areas).

• Experience with adolescents and families; familiarity with informed consent models for those 18+ yrs old and WPATH-aligned care.

• Spanish or other language proficiency.

• Lived experience as transgender, nonbinary, or gender diverse is welcomed and a plus.

Work Setup & Support

• 100% remote telehealth; HIPAA-compliant EHR and messaging platform provided.

• Orientation to workflows, templates, and protocols; responsive clinical/admin support.

• You provide your own computer, webcam, headset, internet, and a private setting.

Time Commitment

• Part-time, flexible scheduling. Minimum 8 hrs weekly availability. Please indicate typical weekly availability windows in your application.

Compensation & Classification

• 1099 Independent Contractor (no benefits).

• Hourly equivalent range: $80–$100/hour, paid per-visit as follows:

  • Initial visits: $80 per 60-minute block

  • Follow-ups: $50 per 30-minute block

• Malpractice coverage for your work with True U Clinic

Compliance & Patient Safety

• Strict adherence to HIPAA, state telehealth rules, scope of practice, and prescribing regulations.

• Participation in quality assurance activities, timely documentation, and secure data handling are required.

Equal Opportunity
True U Clinic is an equal opportunity organization. We celebrate diversity and are committed to creating an inclusive environment for patients and providers. We prohibit discrimination or harassment based on race, color, religion, national origin, ancestry, age, disability, medical condition, genetic information, sex, sexual orientation, gender identity or expression, pregnancy, marital status, veteran status, or any other status protected by law. We provide reasonable accommodations throughout the application process.

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Disclaimer: This posting describes an independent contractor opportunity and does not create an employment relationship. Duties, compensation, and coverage may change based on state laws, payer rules, and clinic needs.