Remote CNS Jobs
Remote CNS jobs are open across healthcare systems, behavioral health organizations, and telehealth platforms at remote-first and distributed-team employers, from entry-level clinical nurse specialist roles to senior and lead positions. Employers hiring remotely right now include Berry Street, Otsuka, and Eli Lilly. See the openings below and apply to the ones that match your experience.
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The Director will lead activities related to Early Clinical Development (ECD) essential to the growth of Otsuka’s discovery and early phase pipeline within OPDC’s Early Development Organization (EDO). Reporting to the ECD CNS Therapeutic Area Head, this Director is a strategic scientific and clinical leader accountable for the end-to-end early clinical development strategy and execution for Otsuka's early phase portfolio, with emphasis on CNS, particularly psychiatry, neurodegenerative disease, and neuroinflammation. The role shapes program strategy from indication selection through early clinical development (pre-IND through first-in-human and clinical proof of concept) and go/go no decisions based on clinical and/or biomarker driven endpoints ensuring seamless integration across discovery, nonclinical, clinical pharmacology, regulatory, and commercial functions. The Director, ECD - CNS, in alignment with the ECD therapeutic area head and functional head VP, collaborates with EDO senior leaders to identify, introduce, and implement translational tools or studies for early phase programs and establish strategic plans and objectives.
This position can be based remotely or as a hybrid role in Princeton, NJ, Rockville, MD or Waltham, MA. Travel is expected 20% of the time based on business needs.
Key Responsibilities:
- Serve as scientific and clinical expert in CNS translational medicine and early clinical development, contributing to strategic program decisions; serve as ECD lead on development teams for multiple assets.
- Drive Research-to-Development (R2D) strategies and stage-gate decision-making, including indication prioritization and go/no-go based on mechanistic rationale, benefit-risk, and clinical unmet need as well as on clinical and/or biomarker driven endpoints. Prepare and present decision-quality data packages for internal governance reviews to support stage-gate decisions.
- Interact with internal and external groups to evaluate new compounds, molecular and biological targets as well as new formulation technologies.
- Partner with internal and external research organizations to expand and facilitate development of early phase and discovery phase compounds. Engage with external experts and key opinion leaders to inform translational and Proof of Concept (PoC) strategy and maintain scientific leadership.
- Represent ECD in cross functional as well as internal/external collaborations (BD, etc.) on activities related to early phase target and asset identification. Support regulatory interactions (e.g., pre-IND, IND submissions) and ensure translational strategies align with regulatory requirements.
- Lead scientific and clinical development efforts for assigned programs from target identification through IND and proof-of-concept. Provide medical leadership for early-phase clinical protocols, informed consent forms, and investigator brochures; monitor safety and contribute to DSMB or safety review activities as needed.
- Support or lead or public-private partnerships operating in pre-competitive settings to advance internal clinical development capabilities.
- Interact with other disciplines within the EDO to promote, initiate and elevate cross-functional early development activities. Collaborate with biomarker and digital innovation teams to develop and implement biomarker-driven approaches for CNS programs.
- Support the development of team members to build translational and early clinical development expertise.
Qualifications:
Required
- MD, MD/PhD, or PhD with subspecialty training in Clinical psychology/neuropsychology
- 5+ years of translational medicine and/or early clinical development experience with a track record of advancing biologics and/or small molecules through IND and FIH/PoC.
- Expert understanding of industry best practices and adjacent functional areas.
- Demonstrated ability to coordinate and guide cross-functional teams in matrixed, global setting, with solid strategic thinking and the ability to make informed decisions amid uncertainty.
- Outstanding communication skills with the ability to synthesize complex data and influence executive stakeholders.
Preferred
- MD with specialty training in psychiatry and/or neurology.
- Deep expertise in CNS, particularly psychiatry, neurodegenerative disease, and/or neuroinflammation.
- Experience implementing clinical study plans to drive decision-making.
- Experience with external collaborations.
Competencies
Accountability for Results - Stay focused on key strategic objectives, be accountable for high standards of performance, and take an active role in leading change.
Strategic Thinking & Problem Solving - Make decisions considering the long-term impact to customers, patients, employees, and the business.
Patient & Customer Centricity - Maintain an ongoing focus on the needs of our customers and/or key stakeholders.
Impactful Communication - Communicate with logic, clarity, and respect. Influence at all levels to achieve the best results for Otsuka.
Respectful Collaboration - Seek and value others’ perspectives and strive for diverse partnerships to enhance work toward common goals.
Empowered Development - Play an active role in professional development as a business imperative.
Competencies
Accountability for Results - Stay focused on key strategic objectives, be accountable for high standards of performance, and take an active role in leading change.
Strategic Thinking & Problem Solving - Make decisions considering the long-term impact to customers, patients, employees, and the business.
Patient & Customer Centricity - Maintain an ongoing focus on the needs of our customers and/or key stakeholders.
Impactful Communication - Communicate with logic, clarity, and respect. Influence at all levels to achieve the best results for Otsuka.
Respectful Collaboration - Seek and value others’ perspectives and strive for diverse partnerships to enhance work toward common goals.
Empowered Development - Play an active role in professional development as a business imperative.
Application Deadline : This will be posted for a minimum of 5 business days.
Company benefits: Comprehensive medical, dental, vision, prescription drug coverage, company provided basic life, accidental death & dismemberment, short-term and long-term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k) match, flexible time off, paid holidays, and paid leave programs as well as other company provided benefits.
Come discover more about Otsuka and our benefit offerings; https://ah-prod.com/multi/videoplayer/player.html?v=6385356920112 .
Join Our Talent Community: Stay connected with Otsuka by joining our Talent Community. Tell us about your interests, and we’ll notify you about future opportunities that align with your background. https://community.hireez.com/cielo-otsuka/82cb3591
Disclaimer:
This job description is intended to describe the general nature and level of the work being performed by the people assigned to this position. It is not intended to include every job duty and responsibility specific to the position. Otsuka reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.
Otsuka is an equal opportunity employer. All qualified applicants are encouraged to apply and will be given consideration for employment without regard to race, color, sex, gender identity or gender expression, sexual orientation, age, disability, religion, national origin, veteran status, marital status, or any other legally protected characteristic.
If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation, if you are unable or limited in your ability to apply to this job opening as a result of your disability. You can request reasonable accommodations by contacting EEAccommodations@otsuka-us.com .
Statement Regarding Job Recruiting Fraud Scams
At Otsuka we take security and protection of your personal information very seriously. Please be aware individuals may approach you and falsely present themselves as our employees or representatives. They may use this false pretense to try to gain access to your personal information or acquire money from you by offering fictitious employment opportunities purportedly on our behalf.
Please understand, Otsuka will never ask for financial information of any kind or for payment of money during the job application process. We do not require any financial, credit card or bank account information and/or any payment of any kind to be considered for employment. We will also not offer you money to buy equipment, software, or for any other purpose during the job application process. If you are being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive such an offer of employment.
Otsuka will also never ask you to download a third-party application in order to communicate about a legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo, Gmail, Hotmail, etc, and not from an official Otsuka email address. Please take extra caution while examining such an email address, as the scammers may misspell an official Otsuka email address and use a slightly modified version duplicating letters.
To ensure that you are communicating about a legitimate job opportunity at Otsuka, please only deal directly with Otsuka through its official Otsuka Career website https://vhr-otsuka.wd1.myworkdayjobs.com/en-US/External .
Otsuka will not be held liable or responsible for any claims, losses, damages or expenses resulting from job recruiting scams. If you suspect a position is fraudulent, please contact Otsuka’s call center at: 800-363-5670. If you believe you are the victim of fraud resulting from a job recruiting scam, please contact the FBI through the Internet Crime Complaint Center at: https://www.ic3.gov , or your local authorities.
Otsuka America Pharmaceutical Inc., Otsuka Pharmaceutical Development & Commercialization, Inc., and Otsuka Precision Health, Inc. (“Otsuka”) does not accept unsolicited assistance from search firms for employment opportunities. All CVs/resumes submitted by search firms to any Otsuka employee directly or through Otsuka’s application portal without a valid written search agreement in place for the position will be considered Otsuka’s sole property. No fee will be paid if a candidate is hired by Otsuka as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails.
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Who's Hiring
- Berry Street24

- Otsuka4

- Eli Lilly1

- Worldwide Clinical Trials1

- Cognitive Research Corporation1

What Employers Look For
The qualifications that appear most often in remote CNS jobs.
- Active RN license and CNS certification in a recognized specialty population
- Master of Science in Nursing or Doctor of Nursing Practice degree from an accredited program
- Minimum two to five years of clinical nursing experience in the applicable specialty area
- Demonstrated ability to develop and implement evidence-based practice protocols at the unit or system level
- Experience leading staff education, quality improvement initiatives, or interdisciplinary care teams
- Proficiency with electronic health records systems such as Epic or Cerner
Tips for Your Remote CNS Job Search
Apply early to remote roles that fit
Migrate Mate lists remote cns openings from across the U.S. in one place, so you can find roles that match your specialty and apply directly. Remote postings at telehealth and behavioral health employers fill fast, so applying within the first few days matters.
Show your async clinical communication skills
Remote cns employers screen for written clarity because patient handoffs, care plan updates, and team coordination happen in documentation, not in hallways. Include examples of clinical notes, care protocols, or written consult summaries you produced independently to demonstrate this concretely.
Highlight tools remote clinical teams use
Name the EHR platforms, telehealth systems, and remote monitoring tools you have worked in, such as Epic, Cerner, Doxy.me, or similar. Remote hiring managers for cns roles want to see you can function inside their tech stack without a learning curve.
Document outcomes you drove independently
Remote employers cannot observe your clinical judgment in person, so your application needs to show it. Quantify patient outcomes, protocol improvements, or care team results you owned without direct supervision, because autonomous performance is the core screen for remote cns roles.
Remote CNS Jobs: Frequently Asked Questions
How do I get a remote cns job?
Remote cns roles go to candidates who can demonstrate clinical judgment, independent decision-making, and strong written communication without in-person oversight. Telehealth companies, behavioral health platforms, and large health systems with distributed care teams hire cnss remotely. What gives you an edge is documenting outcomes you drove autonomously, showing comfort with async collaboration tools, and making your clinical reasoning clear on paper, not just in person.
Which companies hire remote cnss?
Companies hiring remote cnss right now include Berry Street, Otsuka, and Eli Lilly, based on current remote listings on Migrate Mate as of November 2026. Telehealth platforms, national behavioral health networks, and large health systems running distributed care programs are the most consistent sources of remote cns openings.
Can you get a remote cns job with no experience?
Yes, but remote entry-level cns roles are harder to land because employers expect you to work independently from day one without on-site mentorship. Telehealth startups and behavioral health platforms occasionally hire new cnss for defined-scope remote roles. Showing clinical rotations with documented outcomes, strong written case notes, and any experience with remote patient communication tools can open the door when direct experience is limited.
Do you need a degree for remote cns jobs?
Usually, yes. Most remote cns roles require at minimum a master's degree in nursing and an active CNS certification for the relevant population focus area. Remote employers weigh your specialty certification, scope of practice documentation, and evidence of autonomous clinical outcomes heavily, but the degree and licensure baseline is rarely waived for clinical roles at this level.
See All 31 Remote CNS Jobs
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