The posting
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.
- Conduct brief individual wellness coaching sessions.
- Create individualized, clinician-aligned wellness routines.
- 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:
- Slow diaphragmatic breathing; paced or resonant breathing; box breathing; gentle, free-flowing pranayama techniques.
- 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.
- Experience supporting individuals with anxiety, depression, ADHD, insomnia, stress dysregulation, and/or trauma-related symptoms.
- 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.
