Practice online. On your terms.
Encounters that arrive ready for clinical judgment. Tooling that stays out of your way. Transparent pay for every encounter, in the states you hold — with room to grow.
Three steps to your first encounter.
1 · Apply & credential
Licenses verified, DEA where applicable, credentialing handled with you once — not per brand you serve.
2 · Choose states & categories
Work the categories you want in the states you hold. Add licenses over time; your queue grows with them.
3 · Review, sign, get paid
Encounters arrive complete. Review, decide, sign — compensation per encounter is visible before you accept it.
The medicine, minus the busywork.
Hours you control
Async review is the core of the work — no shift minimums, no empty waiting rooms. Open the queue when it suits you.
Work that arrives ready
Validated intake, patient history, labs where indicated, and the specific request — assembled before it reaches you.
Prescribing without friction
EPCS-ready e-prescribing, pharmacy routing, and refill management built in. Sign the decision; fulfillment follows.
Transparent pay
The rate for each encounter type is visible before you accept work — and it does not change after the fact.
Charting that protects you
Structured documentation and audit trails by default, so every encounter you sign stands up to board review.
Grow with your licenses
Multi-state clinicians see more volume. We support licensure expansion for committed partners.
Who can apply?
Physicians (MD/DO) and nurse practitioners with at least one active, unrestricted US license. Multi-state licensure, compact participation, and DEA registration open up more categories and volume.
What does the work actually look like?
Mostly asynchronous encounter review — intake and history evaluation, treatment decisions, prescriptions, follow-ups — with synchronous visits where state rules or your clinical judgment require them.
How is compensation structured?
Per encounter, with the rate shown up front for each encounter type. Specifics are shared during onboarding; what we commit to publicly is that you see the rate before you accept the work.
Am I an employee or a contractor?
Clinicians join the professional entities Lithos supports as independent practitioners. Structure and credentialing details are covered in onboarding.
Want to run your own practice under your own brand instead? That is a different path — read taking your practice direct.
Do the medicine. Skip the busywork.
Tell us your licenses and the categories you want to work — we will take it from there.