Part-Time Nurse Practitioner; Remote

Plume is a passion-fueled, mission-driven company that is trans-founded with a vision to transform healthcare for every trans life. We hope to make gender-affirming hormone therapy easily accessible at the touch of a button in every state of the US.

This work is deeply personal and heart-driven, and we want teammates who care about the mission and the people we serve. For the right candidates, we present a rare opportunity to do well by doing good. Plume offers an affirming, trans-centered, culturally inclusive, and fun work environment filled with purpose.

As a part-time Nurse Practitioner with Plume, you will join our incredible team of diverse clinicians who provide GAHT (gender-affirming hormone therapy) and Expanded Clinical Services for our patients throughout the United States.

This is a part-time patient care position in which you will provide longitudinal care for a panel of patients. Your time will be spent onboarding new patients and providing follow-up care for them (lab management, prescription management, answering clinical questions). We have a large support team that takes care of patient account logistics so you can focus on clinical care.

This is a completely online, work-from-home role. We are a healthcare startup, so we are seeking folks excited about changing the paradigm of medical care so patients and clinicians are truly centered. We heavily leverage technology, so being comfortable with computers and electronic medical record systems in a rapidly changing environment is critical to doing this work.

We are specifically seeking Nurse Practitioners with California, Colorado, DC, Iowa, Kentucky, Massachusetts, Maine, Michigan,
Oklahoma, Rhode Island, and Wyoming licenses. Bonus points if you have Connecticut, Indiana, New Jersey, and Ohio!

• Conduct comprehensive, evidence-based virtual medical evaluations.

• Maintain accurate, up-to-date patient records and sign charts within 24 hours.

• Respond to patient questions with clarity and care.

• Order necessary laboratory tests, interpret results, and prescribe appropriate medications.

• Collaborate with a multidisciplinary care team to deliver the highest standards of care.

• Dedicate a minimum of 10 patient-facing hours per week.

• Maintain Plume's high level of quality care, including maintaining excellent care with our above-average patient satisfaction scores, ensuring appointment availability, and responding to patient messages within one business day.

• A deep appreciation and understanding of the trans experience
• At least one active license, and in good standing with your professional board

• Experience prescribing behavioral health medications (depression and anxiety)

• Familiarity with, and experience using, established GAHT guidelines, including an informed consent model of care

• Experience and comfort collaborating with diverse teams

• Comfortable with 100% remote patient care

• Strong technical background (familiarity with EMRs, email communication, app-based platform use, etc.)

• Strong organization and communication skills

• Three or more state licenses
• Experience with telehealth and preferably direct-to-consumer (DTC) telehealth/startup work

• $65 per hour

Plume's Clinician compensation model has been established as a tiered system. As a clinician's panel grows, so does the amount paid per hour. This tiered system will be discussed during the interview process.

Applications for this role will be accepted until the role is filled or until 10/24/2026. Qualified applicants may begin the interview process before the closing date.

• Accrued sick time

• Free Plume and Better Help subscriptions

• 401k

Everyone associated with Plume gets the major benefit of having the best coworkers you could imagine if you love fiercely intelligent, heart-forward, and mission-driven collaborators.

Plume is an equal-opportunity employer. Trans and gender-nonconforming individuals are strongly encouraged to apply, particularly those who identify as People of Color. We positively encourage applications from suitably qualified and eligible candidates regardless of age, color, disability, national origin, ancestry, race, religion, gender, sexual orientation, gender identity and/or expression, veteran status, genetic information, or any other status protected by applicable law.

We will provide reasonable accommodations to individuals with disabilities upon request. Please let us know if you require any…