Nurse Practitioner (Remote)

Clinical Contractors /
Remote / Independent Contractor /
About Plume:

Plume Health 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 rapidly expanding organization, we are now proudly available to more than 1 million transgender individuals in 45 states. We are an organization formed through the lived experience of trans people and fierce allies and we welcome other heart-forward, talented individuals to join our team on this journey.

We are currently hiring Nurse Practitioners! Applications for this role are accepted on a rolling basis.

We welcome all state licenses but specifically need folks with Arkansas, Indiana, Florida, Nevada, Washington, and Wyoming licenses.

About the role:

As an Independently Contracted Nurse Practitioner with Plume, you will join our awesome team of diverse clinicians who provide GAHT (gender-affirming hormone therapy) and Expanded Clinical Services for our adult patients throughout the United States. We are looking specifically for providers with broad, primary care experience who are interested in making a difference in the lives of the TGNC community.

You will provide longitudinal care for a panel of patients so your time will be spent onboarding new patients and providing follow-up care (lab management, prescription management, answering clinical questions). 

This is a completely virtual work-from-home role with flex scheduling. You schedule your hours when you want to work. We require a minimum of 10 hours of synchronous time per week and have a large support team that takes care of patient account logistics so you can focus on clinical care. 

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 do this work.


    • At least two active licenses and in good standing with your professional board 
    • At least one DEA License 
    • Availability of 10 hours per week for synchronous visits 
    • Experience providing primary care services to adult patients 
    • Experience with and comfort in 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 


    • At least 5 active licenses
    • Ability to commit at least 20 hours of synchronous time per week
    • Experience with telehealth
    • Experience working in a startup environment
    • Experience prescribing GAHT 
    • Experience prescribing behavioral health medications (depression and anxiety) 
    • Familiarity with and experience using established GAHT guidelines, including an informed consent model of care
    • CAQH profile 

Compensation & Benefits:

    • Nurse Practitioners are paid per appointment at the following rates:
    • $25 per 15 min visit
    • $45 per 30 min visit
    • 50% of the regular rate for no-shows or visits canceled within 24 hours.
    • Quarterly Bonus Opportunities
    • License Reimbursements for Providers who offer 20 hours of synchronous time per week
All Full-Time Employees are Eligible for:

• Ground-Floor Equity (Series B)
• Free Medical, Dental, and Vision on the first of the month after you start full-time work
• Unlimited PTO
• 11 paid holidays and company shut-down for a week in December
• 401(k)
• Free Plume, Headspace Care, and BetterHealth Subscriptions

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 accommodations to apply or interview for this position.

Only those legally authorized to work in the USA are eligible to apply; residency in the USA is a requirement of employment for this role.

Discover more about Plume at and become part of our award-winning journey towards transforming healthcare for every trans life. Join us today in shaping the future of healthtech and LGBTQ+ care!