About this role.
Carrot is seeking a contract Telemedicine Registered Nurse to provide remote triage, member education, care coordination, and clinical documentation for fertility, menopause, hormonal, and metabolic health journeys. The RN will review inbound messages and lab results, manage referrals, prior authorizations, pharmacy callbacks, and escalate matters that exceed RN scope to physicians. This role requires an active unrestricted NLC multistate RN license, at least three years of relevant clinical experience, and strong familiarity with telehealth, EHR systems, HIPAA, and asynchronous communication. Scheduled coverage is approximately 20–40 hours weekly during Monday–Friday, 8:00 a.m.–6:00 p.m. CST.
Role DNA
A quick view of the complexity, pace, ownership and collaboration implied by the job description.
Job Complexity
4/5Pace & Pressure
4/5Autonomy Level
4/5Communication Load
5/5Salary analysis
Estimated compensation compared with the broader US market for similar roles.
Core skills
Skills and capabilities most closely associated with this opportunity.
Sample interview questions
I begin by assessing symptoms, available clinical history, recent labs, and established triage protocols. I identify red flags or findings outside RN scope, document the assessment clearly, and promptly route the case to the appropriate physician while ensuring the member receives timely next-step guidance.
I use plain, nonjudgmental language, assess the member’s baseline understanding, and explain what the test or treatment is intended to address, what to expect, and when to seek further care. I confirm understanding through teach-back, provide approved written resources when available, and avoid making diagnostic or prescribing decisions outside my scope.
I document clinically relevant interactions during or immediately after the encounter, using standardized templates and concise objective language. I create follow-up tasks with clear owners and deadlines, reconcile outstanding items before the end of my shift, and prioritize same-day completion for triage, lab follow-up, and escalations.
I review results against established protocols, verify whether a value meets urgent or critical criteria, and promptly notify the designated clinician when escalation is required. I document notification attempts, communication outcomes, and follow-up plans while ensuring the member is contacted according to policy.
I would work from a private, HIPAA-compliant workspace using secure systems and approved communication channels only. I would safeguard devices and credentials, avoid discussing protected information where it can be overheard, verify member identity when appropriate, and follow organizational policies for documentation and data handling.
About Carrot:
Carrot is the leading global fertility and family care platform, built on intelligent care orchestration: the right clinical guidance, at the right moment, in the context of each member’s life. More than a thousand multinational employers, health plans, and health systems trust Carrot to support millions of members across 195 countries – from pre-pregnancy through menopause and major life moments in between. Carrot’s comprehensive clinical program delivers industry-leading cost savings for plan sponsors and award-winning experiences and improved outcomes for millions of people worldwide.
Carrot is widely regarded as a defining force in healthcare innovation as a recipient of several top-tier awards, including Fast Company’s ‘Most Innovative Companies’ and CNBC’s ‘100 Barrier Breaking Startups’. The company is regularly cited by leading global outlets — including The Economist, Bloomberg, The Wall Street Journal, NPR, ABC News, and Harvard Business Review — as a leading voice on digital health, the future of work, and family health. Learn more at get-carrot.com.
The Opportunity 🚀
Carrot is expanding its telemedicine clinic with a network of part-time to full-time, fully remote Registered Nurses who deliver evidence-based virtual care to members across all U.S. states. As an RN in this network, you are often the first clinical touchpoint for members navigating fertility, menopause, hormonal, and metabolic health journeys, providing triage, education, care coordination, and documentation that shape the entire care experience.
All work in this role is performed within RN scope of practice. RNs provide triage, education, care coordination, and documentation; they do not diagnose, do not prescribe, and do not independently modify a treatment plan. Anything requiring clinical judgment beyond RN scope is routed to a physician, so sound escalation judgment is central to the role.
This is a contractor engagement of approximately 20-40 hours per week, with scheduled shifts within the Monday-Friday, 8:00a-6:00p CST coverage window.
What You’ll Own 💼
In this role, you will:
- Serve as the first clinical reviewer of inbound member messages, triaging for urgency, escalating to a physician when needed, and routing non-clinical threads to the appropriate support team.
- Deliver member education on menopause staging, hormone therapy, preconception health, metabolic health, and medication administration.
- Review and triage incoming lab results, escalate critical findings per protocol, retrieve outside records, and coordinate specialist referrals.
- Manage pharmacy callbacks and prior authorizations in coordination with the care team.
- Document all clinically relevant interactions same-day, create tracked internal tasks with named owners, and follow established escalation pathways.
- Maintain active NLC multi-state licensure, complete required credentialing and onboarding, and adhere to HIPAA, continuing education, and liability coverage requirements.
- Contribute to chart audits and clinical protocol feedback as the telemedicine program scales.
What Success Looks Like 📈
In your first 12–18 months, you will have:
- Established a consistent record of accurate, protocol-aligned triage with appropriate physician escalation and no missed critical lab values.
- Maintained same-day documentation and timely lab follow-up, with no outstanding credentialing or compliance gaps.
- Delivered high-quality member education across menopause, preconception, hormone therapy, and metabolic health topics, reflected in strong member experience results.
- Managed care coordination workflows reliably within your coverage window, including referrals, records retrieval, prior authorizations, and pharmacy callbacks.
- Contributed to chart audits, protocol feedback, and quality improvement as the telemedicine program scales.
About You ✨
You likely have:
- An active, unrestricted RN license with NLC (Nurse Licensure Compact) multi-state privileges, in good standing, plus an ADN or BSN from an accredited program (BSN preferred).
- A minimum of 3 years of active RN clinical experience, with meaningful experience in women’s health, reproductive health, OB/GYN, fertility, endocrinology, or menopause care.
- Demonstrated nurse triage experience, including assessing urgency, applying protocol, escalating appropriately, and recognizing critical lab values.
- A clear understanding of RN scope of practice and sound judgment about when to escalate.
- Strong written communication for asynchronous messaging and a strong phone presence for symptom assessment and instruction.
- Proficiency with EHR and telehealth systems, secure messaging, and e-fax workflows.
- Familiarity with HIPAA and applicable telemedicine privacy, security, and regulatory requirements.
- The ability to commit to scheduled shifts within the Monday-Friday, 8:00a-6:00p CST coverage window, with a HIPAA-compliant, private home workspace and reliable internet.
Nice to Have ⭐
While not required, we would be especially excited if you bring:
- Experience in a dedicated menopause clinic, fertility center, REI practice, or comparable specialty program.
- Familiarity with preconception and fertility workup, including AMH and hormone panels, ovulation tracking, and cycle-monitoring labs.
- Hormone therapy education experience, including prior authorization workflows.
- Experience supporting members on anti-obesity medications, including GLP-1 receptor agonists.
- Prior experience in digital health, health benefits, or multi-state telemedicine environments.
- Experience contributing to clinical protocol development, quality improvement, or member-facing clinical content.
- Experience supporting diverse and historically underserved populations, including LGBTQ+ and gender-diverse individuals.
- Relevant certification (e.g., MSCP through The Menopause Society, RNC-OB) and/or fluency in an additional language.
Why This Role Matters 🧡
Carrot’s RN network is the front line of the telemedicine clinic. RNs are typically the first clinician a member reaches, and the quality of their triage judgment, education, and follow-through directly determines member safety, trust, and the experience of care during some of the most personal moments of members’ lives.
This role also keeps the clinical program running well as it scales. Reliable triage, same-day documentation, and disciplined escalation protect physician capacity for the decisions that require it, while expanding access to guideline-aligned fertility, menopause, and metabolic health support for members who often cannot find it locally.
Why Candidates Join Carrot 🌍
Carrot offers the opportunity to do meaningful work in service of a deeply human mission.
Highlights include:
- A mission-driven company focused on expanding access to fertility and family-forming care globally.
- A high-growth environment where leaders are empowered to shape strategy and drive impact.
- Competitive compensation, equity, and comprehensive benefits.
- Flexible Time Off and a culture that actively encourages employees to recharge.
- Comprehensive parental leave and family-forming benefits.
- A collaborative, inclusive, and values-driven culture.
- The opportunity to work alongside passionate, thoughtful teammates committed to improving healthcare outcomes worldwide.
Compensation:
Carrot offers a holistic Total Rewards package designed to support our employees in all aspects of their life inside and outside of work, including health and wellness benefits, retirement savings plans, short- and long-term incentives, parental leave, family-forming assistance, and a competitive compensation package. The starting base salary for this position will range from $40-$50/ hr. Actual compensation may vary from posted base salary depending on your confirmed job-related skills and experience.
Fraud and Security Notice: Please note that all communication regarding job opportunities at Carrot will come exclusively from an @get-carrot.com email address. If you receive messages from any other domain, please disregard them and report the incident to: securityreporting@get-carrot.com
A Note on AI
At Carrot, we believe AI can help us work smarter, move faster, and create more meaningful experiences for our members, customers, and each other. While not every role requires deep technical AI expertise, we value people who are curious, eager to learn, and excited to thoughtfully incorporate AI into their day-to-day work.
For some roles, AI fluency is a core requirement—and we’ll call that out clearly in the qualifications. For everyone else, we’re looking for people who embrace new ways of working, use AI responsibly to improve quality and efficiency, and continue to learn as the technology evolves.
Why Carrot?
Carrot has received national and international recognition for its pioneering work, including Fast Company’s Most Innovative Companies and World Changing Ideas, Inc. Power Partners, and Modern Healthcare’s Innovators. Carrot’s global workforce has been acknowledged with several accolades, including Fortune’s Best Workplaces in Healthcare, Great Place to Work, and Age-Friendly Employer certifications. Carrot is regularly featured in media reporting on issues related to the future of work, women in leadership, and healthcare innovation, including MSNBC, The Economist, Bloomberg, The Wall Street Journal, CNBC, National Public Radio, Harvard Business Review, and more. Learn more at carrotfertility.com.
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