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About the Practice
Intuitive Psychiatry is a San Francisco-based outpatient psychiatric practice providing thoughtful, evidence-informed care to adults with anxiety, depression, ADHD, insomnia, trauma-related concerns, and related mental-health needs. We are building a supportive wellness-skills program to help clinically stable patients practice effective self-regulation strategies between psychiatric appointments. This program complements, and does not replace, psychiatric care and psychotherapy.
We are seeking a warm, highly reliable, trauma-informed Mindfulness & Wellness Skills Coach with strong training in pranayama/breathwork, yoga-informed mindfulness, and health coaching. The ideal candidate combines excellent communication skills, cultural humility, professional boundaries, and the ability to connect authentically with U.S.-based adult patients.
Requirements
Role Summary
The Trauma-Informed Mindfulness & Wellness Skills Coach will provide structured, non-psychotherapy wellness support to clinician-referred adult outpatients in California, working under the direction of each patient's psychiatric provider. This is a non-clinical, non-therapy role with a clearly defined scope.
Teach safe, practical breathwork, mindfulness, grounding, and sleep-support skills.
Facilitate live virtual group classes focused on stress regulation, emotional wellness, sleep optimization, and skills practice.
Support patients in developing consistent practices between psychiatric appointments.
Communicate clinically relevant concerns to the patient's treating psychiatrist or psychiatric nurse practitioner through approved secure channels.
Engagement & Schedule
Independent contractor; remote position, candidate may be based in India.
Anticipated initial capacity of approximately 10–20 hours per week, ramping with patient volume.
Required availability overlapping with U.S. Pacific Time, including a combination of daytime and evening hours.
Flexible schedule based on patient demand and practice needs.
Approximately 2–4 live virtual groups per week, subject to patient volume and program growth.
Individual patient sessions are generally 30 minutes per month per enrolled patient.
Adults only; all patients are located in California.
Compensation
Hourly rate for completed, documented individual wellness-coaching sessions (generally scheduled in 30-minute increments).
A separate agreed flat rate for each live virtual group session facilitated (applies only to groups scheduled, conducted live, and documented per practice policy).
The contractor is not responsible for claims, coverage determinations, billing codes, or billing patients/insurers — all payer billing is managed solely by the practice.
The practice determines, at its discretion, whether coaching activity supports care-management billing or is provided as an included patient benefit.
Compensation for cancellations, no-shows, admin time, training, supervision, and documentation, if any, is governed by the independent contractor agreement or separate written policy.
Independent contractor engagement: the contractor is responsible for their own taxes, insurance, workspace, equipment, internet, and other business expenses, except as expressly agreed in writing.
Key Responsibilities
Individual Wellness Skills Coaching
Conduct initial individual wellness consultations for clinician-referred patients.
Complete a structured, non-diagnostic wellness intake covering patient goals, prior practice experience, sleep/stress/emotional-regulation concerns, barriers to consistent practice, and any past adverse reactions to breath- or body-focused work.
Develop individualized wellness routines using practice-approved techniques, consistent with the patient's psychiatric care plan.
Teach practical skills patients can safely use between appointments, and support adherence and routine-building.
Track patient-reported sleep, stress, mood, and practice adherence, as relevant to the care plan.
Modify wellness routines within the approved scope based on patient feedback, tolerance, and stated goals.
Help patients identify when concerns should be brought to their treating psychiatric provider.
Group Facilitation
Facilitate live, virtual, video-based wellness-skills groups for adults who have completed an initial individual consultation.
Provide welcoming, structured, trauma-informed, culturally responsive group experiences focused on stress management, breath-based relaxation, mindfulness, sleep-supportive routines, yoga nidra and body scans, gentle movement, ADHD-friendly regulation strategies, and practical daily-life application.
Maintain group safety, privacy, professional boundaries, and respectful participation.
Follow practice policy prohibiting recordings, screenshots, photography, and sharing of participant information.
Ensure participants understand they may stop or modify any practice at any time.
Care-Plan Support and Documentation
Deliver health education and individualized wellness-skills coaching that supports the patient's established care plan.
Document coaching activities, time spent, patient response, home-practice plan, and relevant concerns in the practice's designated chronic care management platform.
Maintain accurate group attendance records and use approved templates and workflows.
Promptly communicate clinically relevant concerns, requests for clinical guidance, or signs of deterioration to the treating provider through secure practice channels.
Participate in required supervision, training, and quality-assurance processes.
Approved Wellness Interventions
The coach may provide practice-approved, low-risk, non-medical wellness education and skills training, including:
Grounding and orienting exercises; mindfulness practices; guided body scans.
Yoga nidra and sleep-supportive relaxation exercises.
Gentle movement, chair-based movement, and stretching.
Routine-building and practice-adherence strategies.
The coach must follow the practice's approved training and protocol for every intervention.
Scope Limitations & Safety Boundaries
The coach is not a therapist, medical provider, or crisis clinician. The coach must not:
Diagnose or assess psychiatric conditions.
Provide psychotherapy, counseling, trauma processing, exposure therapy, or crisis counseling.
Independently assess suicide risk, self-harm risk, homicidal risk, psychosis, mania/hypomania, or level of care.
Provide medication education, recommendations, interpretation, or advice to start, stop, or change medications.
Provide medical, nutritional, or dietetic advice, or recommend supplements, herbs, Ayurvedic medicines, detoxes, or fasting.
Present Ayurveda, yoga, mindfulness, or breathwork as treatment or cure for psychiatric illness.
Offer legal, financial, relationship, or other professional advice outside the assigned role.
Use high-intensity, hyperventilation-based, forceful, cathartic, or prolonged-breath-retention techniques.
Lead practices intended to induce altered states, catharsis, traumatic-memory recall, or emotional “release.” Continue a practice when a patient reports distress, panic, dizziness, dissociation, or other concerning symptoms.
Manage emergency situations independently.
The coach must promptly notify the treating provider or designated practice escalation contact of clinical or safety concerns and follow all practice escalation procedures.
Required Qualifications
Strong spoken and written English, including the ability to communicate clearly, warmly, and professionally with U.S.-based adult patients.
Formal training and demonstrated experience in mindfulness, breathwork/pranayama, yoga-informed wellness, health coaching, or a closely related discipline.
Training in trauma-informed care and demonstrated ability to facilitate practices emphasizing choice, consent, pacing, patient autonomy, and emotional safety.
Formal health-coaching education or a recognized coaching certification; international coaching training strongly preferred.
Yoga teacher training or comparable formal yoga/pranayama education strongly preferred.
Familiarity with the boundaries between wellness coaching, psychotherapy, and medical care.
Excellent active listening, rapport-building, and group-facilitation skills.
Cultural humility and demonstrated awareness that U.S.-based patients may have different cultural contexts, stressors, expectations, and healthcare experiences.
Exceptional reliability, punctuality, organization, and professionalism.
Comfortable working with secure patient portals, video platforms, structured documentation, and digital workflows.
Willingness and ability to complete all required practice onboarding and training before seeing patients.
Preferred Qualifications
Experience working in a behavioral-health, psychiatric, medical, or integrated-care setting.
Experience facilitating online groups.
Training in sleep-supportive mindfulness, yoga nidra, ADHD coaching strategies, or stress-management education.
Formal Ayurveda education or training, provided the candidate understands and agrees to the practice's non-medical, no-supplement/no-treatment scope.
Familiarity with HIPAA or prior work supporting U.S.-based healthcare organizations.
Experience providing culturally responsive support across diverse patient populations.
Technology, Privacy & Security Requirements
The contractor must provide and maintain:
A dedicated, encrypted, password-protected computer or device for work.
Multi-factor authentication for all practice systems.
A private, quiet, professional workspace where patient conversations cannot be overheard.
Reliable high-speed internet suitable for live video sessions.
Headphones or another privacy-protective audio setup.
Ability to use only practice-approved, HIPAA-compliant systems for video, messaging, documentation, and patient communication.
The contractor may not:
Use personal email, WhatsApp, SMS/text messaging, social-media messaging, or unapproved applications for patient communication.
Share access credentials or use shared logins.
Download, print, photograph, record, screenshot, or store protected health information outside approved practice systems.
Record individual or group sessions.
Permit family members, roommates, or any other person to access or overhear protected health information.
The successful candidate must sign required confidentiality, privacy, data-security, and business-associate-related agreements, as applicable.
Supervision, Training & Probationary Period
The coach will work under the clinical direction of each patient's treating psychiatrist or psychiatric nurse practitioner. Before independently providing patient-facing services, the coach must successfully complete practice onboarding and training, including:
HIPAA and confidentiality.
Secure communication and data-security practices.
Use of the practice's telehealth, patient portal, and CCM documentation systems.
Scope-of-practice boundaries and documentation requirements.
Patient escalation and emergency procedures.
Trauma-informed facilitation and U.S. cultural competence.
Approved breathwork, mindfulness, body-scan, yoga nidra, and gentle-movement protocols.
Practices and techniques that are prohibited or require specific clinician approval.
The role includes an initial three-month probationary period. Continued engagement will depend on clinical judgment, professionalism, reliability, documentation quality, patient feedback, adherence to scope and privacy requirements, and program needs.
