Nurse Practitioner – Addiction Medicine (Telehealth)
Boulder Care · North Carolina, United States
Pay
$125k–140k
Setting
On-site
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Nurse Practitioner – Addiction Medicine (Telehealth)
North Carolina, United States
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Boulder Care is hiring experienced Nurse Practitioners aligned with harm reduction principles. In this position, you will work directly with patients to deliver medication for opioid use disorder (MOUD) in a fully remote outpatient setting. Clinicians in this role independently initiate and manage buprenorphine treatment within a structured, team-supported model of care.
This is a 100% remote, full-time, W2 position. If you are interested in part-time opportunities, please visit our careers page to view current openings.
We are looking for individuals who
Reside in one of the following states: AK, AZ, CO, FL, ID, IL, KS, MA, MD, NC, NH, NM, NV, NY, OH, OR, VA, WA, WY
Have an active Nurse Practitioner license in your state of residence (Note: we are currently unable to hire PA-Cs or CNSs)
NOTE: candidates who reside in Florida, Illinois, Massachusetts, or Virginia must hold the designation or licensure required to practice independently without physician supervision in their state.
Have 6 months of experience in an independent, outpatient setting where you regularly prescribed buprenorphine-based medications — including initiating care, not just continuing existing prescriptions — as a core part of your daily practice
Are interested in full-time work: 30-40 hours/week, with various shift options (see below for details)
Who we are
Boulder Care is an award-winning digital clinic transforming addiction medicine. We provide fully virtual, evidence-based care — delivered by a multidisciplinary team of clinicians and peer recovery professionals.
Named by Fortune as one of the Best Workplaces in Healthcare, Boulder fosters a culture of kindness, respect, and meaningful work that delivers outstanding patient outcomes and moves the addiction medicine industry forward.
Our Philosophy
At Boulder, our care model is rooted in harm reduction with a low-barrier, compassionate approach that prioritizes patient autonomy and choice. We meet people where they are, and our clinicians empower patients to reduce harm and build stability on their own terms through nonjudgmental, non-coercive, non-punitive support. We work with patients to identify their own recovery goals and support them over time through shared decision-making.
Schedule & Work Structure
Full-time: 30–40 hours per week
Full-time Monday through Friday schedules are fixed and may be structured as 3x10s, 4x8s, 4x10s, or 5x8s
Paid Break Allotments:
8+ hour shift = one 30-minute break and one 10-minute break (40 minutes)
10+ hour shift = one 30-minute and two 10-minute breaks (50 minutes)
Qualifications
Active NP license and reside in one of these states: AK, AZ, CO, FL, ID, IL, KS, MA, MD, MN, NC, NH, NM, NV, NY, OH, OR, VA, WA, WY
Note: Candidates who reside in Florida, Illinois, Massachusetts, Minnesota, or Virginia must hold the designation or licensure required to practice independently without physician supervision in their state.
At least 6 months of experience in an independent, outpatient setting where you regularly prescribed buprenorphine-based medications — including initiating care, not just continuing existing prescriptions — as a core part of your daily practice
Strong patient-centered practice and ability to work autonomously
Private workspace with HIPAA-compliant setup
Compensation & Benefits (Full-Time)
Salary: $125,000–$140,000 (up to $145,000 in select markets) for 1.0 FTE (40 hours/week).
This equates to approximately $60–$67.31 per hour (up to $69.71 per hour in select markets)
Note: Compensation varies based on relevant experience and internal equity.
Compensation is pro-rated by FTE:
0.8 FTE (32 hours/week) is $99,840–$112,000 (up to $116,000)
0.75 FTE (30 hours/week) is $93,600–$105,000 (up to $108,750)
Advanced certification pay differentials: eligible after 6 months, contingent on performance and good standing
+2% for PMHNP
+1% for CARN-AP
W2 employment with health, dental, and vision coverage
Boulder covers up to 100% of monthly premiums for individual coverage
60% of monthly premiums for dependents
Vacation Time: 4 weeks/year (5 weeks after 2 years), 9 paid holidays
12 weeks fully paid parental leave (after 6 months)
Sick leave accrued at 1 hr for every 30 hrs paid
State licensure, DEA registration and renewals, malpractice insurance, and credentialing are fully covered
For clinicians in states requiring physician collaboration, Boulder provides and manages the collaborating physician relationship
Company-issued equipment provided, including a laptop, additional monitor, keyboard, and mouse
Mental health support via Talkspace
Hiring Timeline
We’re currently targeting start dates throughout 2026
Our values
The people we care for always come first
Our opportunity is also our duty, in service to others
Share facts to change minds, instill empathy to change hearts
Move the industry forward: follow the data
Strong individuals, stronger together
Boulder Care believes the people who manage our product and team should be representative of those who use the platform. This includes people from backgrounds that are historically underrepresented in the industry. We celebrate differences and are committed to equal employment opportunities regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, citizenship, marital status, disability, gender identity or veteran status. If you are a qualified person with a passion for what we do, please apply!
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If you live in an RN Compact state, what is the status of your RN license with respect to multi-state eligibility?*
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Living in a compact state does not automatically grant you a multi-state RN license; you must apply for it. If you are unsure of your license status, you can verify it at Nursys.
In some states, this role requires Nurse Practitioners to have full practice authority, meaning you are licensed to practice independently without a supervising or collaborating physician. In other states, we are able to provide the required collaboration, such as in Ohio and North Carolina. If you reside in Florida, Illinois, Massachusetts, or Virginia, do you currently hold the designation or licensure that allows you to practice independently in your state?*
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Please list all the states in which you have Nurse Practitioner licensing. **Note: We are unable to hire Physician Assistants at this time.*
Do you have any of the following licenses/certifications? Select all that apply. *
FNP (Family Nurse Practitioner)
AGNP (Adult-Gerontology Nurse Practitioner)
CARN-AP (Certified Addiction Registered Nurse – Advance Practice)
PMHNP (Psychiatric Mental Health Nurse Practitioner)
CNS (Certified Nurse Specialist)
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Please briefly explain how you incorporate harm reduction principles into your practice?*
You're working with a patient who has been consistently engaged in buprenorphine treatment. They use cocaine or methamphetamine a few times a week to stay energized at work, and occasionally use cannabis to help with sleep. They report improvements in mood, relationships, and day-to-day functioning, and say, "This is the best I’ve felt in years. I’m finally stable." The patient has no interest in stopping these substances right now. How would you approach this situation? (Choose the responses that best reflect your clinical philosophy in this scenario.) *
Explain that continued drug use indicates they are not ready for buprenorphine treatment. Recommend a more structured or abstinence-focused program.
Acknowledge their progress but express concern. Set clear expectations that substance use must decrease to stay in care.
Provide education about risks of continued use and help the patient set goals for eventual reduction.
Validate the patient’s progress, support their autonomy, and continue prescribing buprenorphine while discussing safer use strategies.
Recognize that current substance use may be contributing to the patient’s stability. Continue care while supporting safety, engagement, and ongoing collaboration.
Please share how your values or clinical framework shaped your response to the scenario above. *
How many years of experience do you have regularly prescribing buprenorphine products for opioid use disorder in an independent capacity? (Regularly means this is a part of your daily practice, not something you do occasionally or only during training/clinical rotations.) *
None
Less than 1 year
1 - 2 years
2 - 3 years
3 - 4 years
More than 4 years
To help us review your resume, please list the organization(s) where you treated patients with opioid use disorder and prescribed buprenorphine. You can simply share the organization name(s). Dates and duties are not required. We will happily reference your resume for those details.*
Please describe your experience initiating buprenorphine treatment, including how frequently you conduct inductions and in what clinical setting. If your experience is limited to maintenance prescribing, please describe that as well.*
How soon would you be able to start if offered a position? Please include any notice you would need to provide your current employer or other obligations that might affect your start date.*
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Please indicate the shift structure you would prefer (select all that apply). *
3-10s (30 hours per week, 0.75 FTE, full-time)
4-8s (32 hours per week, 0.8 FTE, full-time)
4-10s (40 hours per week, 1.0 FTE, full-time)
5-8s (40 hours per week, 1.0 FTE, full-time)
Note: Salary details listed in the application specifically apply to 1 FTE and will be prorated for schedules below 1 FTE.
How did you hear about us?*
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If you were referred by a Boulder Care employee, please list their name here.*
Are you able to work a consistent weekday schedule with shifts that end at 9pm ET (6pm PT)?*
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