Nurse Practitioner or Physician Assistant – Alive and Well Functional Medicine Clinic, Full time, Hybrid

Austin, TX | Full-Time (Part-Time Considered) | Hybrid (In-Person + Telehealth) | Cash-Pay / Membership Model

The Opportunity
We’re seeking a Functional Medicine Nurse Practitioner or Physician Assistant to join our Austin clinic. This is a full-scope, patient-facing role with real autonomy — managing a panel of members across hormone optimization, gut health, cardiovascular wellness, and longevity — while collaborating closely with our Medical Director and a team that genuinely loves this work.

Key Responsibilities

• Conduct comprehensive functional medicine consultations — history, lifestyle assessment, root-cause evaluation
• Order, interpret, and clearly explain advanced specialty labs (DUTCH, GI-MAP, Genova, NutrEval, organic acids, heavy metals, and more)
• Build and manage personalized care plans integrating conventional medicine, lifestyle interventions, nutraceuticals, and other modalities
• Collaborate with physicians, health coaches, and nutritionists for coordinated care
• Manage follow-ups, document thoroughly in Cerbo, and educate patients in clear, empowering language
• Participate in team meetings, case reviews, and ongoing training; contribute occasionally to patient education content

Licensure & Experience
Required:

• Active, unrestricted NP or PA license in Texas
• Board certified (ANCC/AANP for NPs; NCCPA for PAs)
• Active DEA license (or ability to obtain prior to start)
• IFM Certified Practitioner (IFMCP) — or actively enrolled in IFM’s core curriculum with a clear certification timeline
• Minimum 5 years post-licensure clinical experience with demonstrated root-cause/panel management
• 2+ years in functional, integrative, longevity, concierge, or direct primary care strongly preferred
• Cash-pay or membership-model experience a plus

Core Clinical Knowledge

1. Hormones & Endocrinology — BHRT for men and women; full thyroid panel (free T3/T4, reverse T3, TPO); adrenal/HPA axis and cortisol interpretation
2. Gut Health — microbiome assessment, SIBO/dysbiosis/IBS/IBD management, food sensitivity and elimination protocols
3. Cardiovascular & Metabolic — advanced lipids (ApoB, Lp(a), particle size), insulin resistance, cardiometabolic risk reduction
4. Longevity — biological age assessment, nutrient status and supplementation, mitochondrial support

Extended areas (exposure preferred): environmental toxins/mold, autoimmune conditions, genomics/nutrigenomics, cognitive health, sleep/HRV/stress physiology

Therapies: IV protocols, therapeutic peptides (including off-label within scope), compound pharmacy collaboration, lifestyle medicine (nutrition, movement, breathwork)

Practice & Schedule
40 hrs/week (part-time considered); primarily in-person with telehealth days
Cash-pay/membership model — comfort communicating value without insurance workflows

Who You Are
Genuinely curious — reads the literature, follows the field, attends conferences by choice
Driven to keep learning and implementing cutting-edge therapies, diagnostics, and research
Growth-oriented and coachable, with strong independent clinical judgment
A clear, plain-language communicator who empowers patients
Comfortable operating in a high-growth, evolving practice
Walks the talk — lifestyle-forward and invested in their own health

Bonus: IFM AFMCP + Advanced Practice Modules; BHRT, peptide (AMMG/A4M), or advanced nutrition (IFNA/AFMN) certifications

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