Telehealth nurses must possess an RN license, which requires an associate degree in nursing (ADN) or a bachelor of science in nursing (BSN) and a passing score on the National Council Licensure Examination for RNs (NCLEX-RN). Virtual nurses undergo training in telecommunication, including video conferencing, email, and messaging. Most practice for a few years caring for patients in person before transitioning to telehealth and earning telehealth certification. Depending on the state and telehealth company, the RN may need to be licensed through a multistate or compact license agreement.