Remote Nurse Practitioner — Longevity, Hormone & Performance Medicine – Compact License

**ABOUT THE JOB**

Nurse Practitioner — Advanced Longevity, Hormone & Performance Medicine

Location: Remote (US, telehealth)

Schedule: Part-time, flexible, with room to grow

**We hire for judgment.**

Elevétion is a concierge longevity practice for high-performing adults who expect their clinician to have read everything before the call starts.

This is multi-system biology work. You’ll be marrying four disciplines on the same patient, in the same file, at the same time:

• **Systems biology** — reading genomics, epigenetic age, microbiome, methylation, mitochondrial and inflammatory data as one interconnected picture.

• **Functional medicine** — root-cause work on gut, detoxification, nutrient status, HPA-axis and thyroid physiology.

• **Clinical medicine** — real diagnostics, real prescribing, real comorbidities, real risk. Advanced lipids, ApoB, insulin resistance, cardiometabolic and cancer risk reduction.

• **Performance medicine** — body composition, recovery, sleep architecture, cognition, strength and VO2 in adults who measure everything.

All of it in service of healthspan, biological age, and long-term risk reduction that holds up over years.

**WHAT YOU MUST BRING CLINICALLY**

**Hormone optimization — depth.** You independently manage male and female hormone optimization: testosterone across injectable, cream and pellet delivery, HCG and fertility preservation, estradiol and DHT management, aromatase control, thyroid including T3/T4 and compounded preparations, DHEA, progesterone, perimenopause and menopause protocols, and adrenal/HPA-axis dysfunction. You know which labs must be in hand before you prescribe, which ones you re-check and when, and what you do when a patient is symptomatic with numbers that look fine.

**Peptides and bioregulators — depth.** Growth hormone secretagogues, repair and recovery peptides, metabolic agents including the incretin classes, immune and cognitive peptides, and bioregulator peptides. You know mechanism, dosing frequency, cycling, stacking logic, histamine and mast-cell risk, contraindications, and what you will not combine.

**Advanced diagnostics.** Genomics and pharmacogenomics, epigenetic biological age testing, microbiome analysis, advanced cardiometabolic and inflammatory panels, hormone and organic acid testing. You can build one coherent protocol out of all of it.

**THE FOUR THINGS THAT SEPARATE OUR BEST CLINICIANS**

Most applicants can name the peptide classes. The clinicians who succeed here do four harder things.

** They know sleep, nutrition and exercise (especially strength traiming) are foundational to any intermediate therapies etc that drive real, lasting results and clinical resiliency.

• **They read the whole file.** Before touching a protocol they know the comorbidities, current meds, supplement stack, prior reactions, and what the last provider was worried about. They notice the whole history before prescribing the protocol.

• **They close their loops.** A patient question relayed by our care team gets a clinically complete answer inside one business day, every time.

• **They own a problem until it resolves.** A patient minir reaction or question belongs to you from first report to resolution, with a defined re-check date. If a patient is still wondering on day 12, that is our failure.

• **They own the handoff.** The note is complete and usable the first time, addenda land before the after-visit summary goes out, and every recommendation is something our pharmacy can actually source and dose.

**WHAT YOU’LL DO**

• Run multiple 60-minute telehealth consults built on advanced bloodwork, multi system domian and full history — files deeply reviewed beforehand.

• Synthesize endocrine, metabolic, mitochondrial, gut, genomic and inflammatory data into one coherent 3-month plan. Youre the Quarterback of the workflow

• Integrate hormone optimization, peptides and bioregulators, nutraceuticals, fitness and nutrition, lifestyle with an explicit risk review for every agent you add.

• Monitor between visits: interpret follow-up labs, confirm adherence and dosing frequency, adjust early rather than after a bad week.

• Move from consult to documented plan in our care team’s hands within 24 hours.

• Respond to relayed patient questions within one business day; flag anything urgent immediately.

• Collaborate with our Medical Directors and specialty reviewers — raise disagreements directly, with evidence, and resolve them clinically.

**REQUIREMENTS**

• Active NP license with prescribing authority and a clean record. Multi-state or compact licensure is a strong plus.

• 3+ years of hands-on hormone optimization and functional or integrative practice, as the decision-maker.

• Direct, independent experience prescribing and managing peptide protocols.

• Ability to read a complex panel and defend a plan out loud, including what you chose not to prescribe and why.

• Comfort with telehealth and digital patient management; you are responsive in writing.

• Communication that is empathetic, precise and confidence-inspiring with demanding, well-informed clients.

**STRONG PLUS**

Genomics, epigenetics or advanced molecular diagnostics. Formal functional or anti-aging medicine training (IFM, A4M, or equivalent). Concierge or executive-health background. Experience with elite athletes, founders and executives.

**COMPENSATION AND TENURE**

$70-80 per consult to start, with increases based on experience, panel outcomes and review quality. Part-time and flexible, with a predictable weekly volume we’ll walk through on the first call.

We’re looking for a clinician who wants to build a panel here over years. Our patients are on multi-year protocols and continuity is part of the clinical outcome, so we invest accordingly: rate increases tied to panel outcomes, and first access to expanded volume as we grow.

**OUR HIRING PROCESS (ABOUT TWO WEEKS)**

Intro call → two real, de-identified case files → case defense with our Medical Directors → references → supervised pilot panel. We tell you exactly where you stand at every stage.

**WHY ELEVÉTION**

Everything we do is centered on helping people live their best life, longer. You’ll practice at the frontier of longevity medicine with state-of-the-art diagnostics, a collaborative clinical team that reviews each other’s work, and clients who value precision, innovation and results.

Apply with your CV and a short note on one complex case you managed — what the data said, what you did, and what you’d do differently.