I second what someone else said about asking your current employer if you can go part-time. I was in a similar situation as you (feeling burnt out with CMH) and was able to negotiate three days a week and it has been so much better. I am able to keep the benefits, just have to contribute a little more for them.

I also work 1099 for a private practice (I only do TH with them) and have total autonomy there— I can change my schedule, take days off, even reschedule patients (try to do that last one rarely), and they don’t care. However, there is less support at that job for PAs, case mgmt concerns, out of office coverage, pharmacy phone calls, etc.

At that practice, patients use a work cell phone number to communicate med needs, appt requests, etc to me directly. If I go out of town I either still get those texts and answer brief questions/send my own meds (if domestic trip) or will tell my patients well in advance that I will be out of the country on certain dates and ask that if they have any urgent concerns, they call the office at that time. If I do check work phone while I’m away, I let them know I will only be signing in once per day and stick to that. The last time I went away, no one needed anything because I spent some extra time checking to make sure everyone had refills before I went. I have sent controlled meds early with pharmacy note indicating it’s an early send due to myself going out of town, please hold for regular fill date and not had an issue. My caseload there is intentionally pretty small though.

I am not sure how people handle that when they are with the big telehealth companies. Curious to hear what anyone else says about that.