Job Description

GoTo Telemed is seeking experienced, licensed Physician Assistants (PA-C) to join our growing network of independent telehealth providers. This is a flexible, 1099 independent contractor opportunity allowing you to practice across multiple states with complete autonomy over your schedule while maintaining collaborative relationships with supervising physicians. We provide comprehensive support infrastructure including training, HIPAA-compliant digital platforms, EHR/EDI systems, collaborative practice agreement templates, and optional malpractice insurance coverage, enabling you to focus on delivering quality patient care.

Position Type: 1099 Independent Contractor (Self-Employed)
Work Schedule: Flexible – Set Your Own Hours
Location: Remote (Multi-State, U.S.)
Compensation Structure: Fee-for-Service Model
Collaboration Model: Remote Supervision via Telehealth/Chart Review/Secure Messaging

Clinical Care Delivery & Patient Assessment

• Conduct comprehensive virtual consultations via secure HIPAA-compliant video conferencing platform (GoTo Telemed)
• Perform thorough patient assessment including chief complaint, history of present illness, past medical history, past surgical history, social history, family history, allergies, medications, and review of systems
• Develop appropriate differential diagnoses based on available telehealth assessment techniques
• Provide evidence-based medical evaluation, diagnosis, treatment recommendations, and prescriptions as clinically appropriate within PA scope of practice
• Document all clinical encounters accurately, completely, and timely in integrated Electronic Health Records (EHR) system
• Generate and transmit prescriptions electronically through certified pharmacy networks
• Communicate findings, diagnoses, and treatment plans clearly to patients, ensuring informed consent and patient understanding
• Establish appropriate diagnostic and follow-up plans aligned with standard of care
• Recognize and appropriately refer conditions outside PA scope of practice or requiring higher level of care
• Maintain professional communication and comprehensive clinical documentation standards across all patient interactions
• Perform clinical triage and determine appropriateness of telehealth vs. in-person evaluation

Collaborative Practice Agreement & Physician Supervision

• Establish and maintain collaborative practice agreements with supervising physician(s) in all states where patient care is delivered
• Communicate clinical decisions, complex cases, and treatment plans with supervising physician(s) via telehealth, secure messaging, phone, or chart review
• Seek consultation from supervising physician for cases outside established protocols or requiring additional clinical guidance
• Ensure collaboration arrangements meet state-specific supervision requirements and regulatory standards
• Maintain documentation of collaborative communications and supervision activities
• Comply with state-specific collaborative practice agreement requirements including:
• Written agreement between PA and supervising physician(s)
• Delineation of scope of practice within collaboration
• Method and frequency of supervision (varies by state: chart review, phone consultation, bi-weekly meetings, etc.)
• Documentation of supervision activities
• Notify state licensing boards of collaborative practice agreement execution and maintain current copies
• Ensure supervising physician is immediately available for consultation via phone, secure messaging, or videoconference when indicated

Multi-State Licensure & Compliance

• Maintain active, unrestricted PA-C license(s) in all states where patient care is delivered
• Maintain current PANCE certification (Physician Assistant National Certification Examination) or PANCA recertification
• Ensure DEA registration in all states where controlled substance prescribing occurs
• Verify state-specific telehealth regulations and patient location requirements prior to each consultation
• Maintain current knowledge of state-specific PA scope of practice, prescriptive authority, and telehealth-specific compliance rules
• Comply with each state's controlled substance prescribing rules, including Prescription Monitoring Program (PMP) requirements
• Comply with federal HIPAA Privacy Rule, Security Rule, and Breach Notification requirements
• Ensure compliance with all state medical board regulations specific to PA practice in each jurisdiction
• Maintain proper documentation of licensure status, DEA registration, and collaborative agreements

Digital Platform & Technology Competency

• Utilize GoTo Telemed video conferencing and appointment scheduling system proficiently
• Access and document patient information in integrated EHR system (GoTo Telemed platform)
• Understand and comply with EDI (Electronic Data Interchange) standards for claims submission and eligibility verification
• Maintain competency with secure messaging, appointment reminders, and patient communication features
• Troubleshoot basic technical issues; escalate technical problems to platform support team
• Protect patient privacy and maintain confidentiality within digital environment
• Complete all mandatory HIPAA and platform-specific security training
• Maintain awareness of telehealth-specific documentation and billing requirements

Nurse Collaboration & Team Coordination (if applicable)

• If applicable, collaborate with assigned RN/LPN staff for patient screening, triage, and care coordination
• Communicate clinical decisions clearly to nursing team
• Ensure proper coordination between PA care delivery and nursing supervision
• Participate in case conferences and clinical consultations as needed
• Maintain professional documentation of all coordinated care encounters

Professional Development & Quality Assurance

• Complete comprehensive onboarding and platform training program
• Maintain current Physician Assistant Certification through NCCPA (National Commission on Certification of Physician Assistants)
• Participate in ongoing competency assessments and quality improvement initiatives
• Respond to peer review, credentialing inquiries, and licensing board communications within required timeframes
• Maintain current certifications including BLS and ACLS (or equivalent)
• Engage in continuing education and professional development as required by state licensing boards and professional standards
• Participate in quality audits, chart reviews, and compliance monitoring activities
• Report clinical or technical issues that may impact patient safety immediately
• Maintain compliance with prescriptive authority limitations and state pharmacy board regulations

Requirements

Education & Certification (Non-Negotiable)

• Graduation from an accredited Physician Assistant Program (Master's degree minimum)
• Active certification by the National Commission on Certification of Physician Assistants (NCCPA) - PA-C credential required
• Current, passing score on the Physician Assistant National Certification Examination (PANCE) within past recertification period
• Active, unrestricted PA-C license in at least one U.S. state (multi-state preferred)
• Current DEA registration (or eligible to obtain) for controlled substance prescribing states
• Unrestricted medical license/certification with no disciplinary history, sanctions, or criminal convictions
• Clean background check with no criminal convictions or pending charges

Clinical Experience

• Demonstrated clinical competency in patient assessment and diagnosis
• Experience in primary care, urgent care, internal medicine, family medicine, or telehealth preferred
• Demonstrated ability in virtual patient assessment and diagnosis
• Experience managing acute and chronic conditions in clinical setting

Collaborative Practice & Physician Supervision Experience

• Understanding of collaborative practice models and supervision requirements
• Experience working under collaborative practice agreements with supervising physicians
• Familiarity with state-specific PA supervision and collaboration regulations
• Ability to communicate effectively with supervising physicians and seek appropriate consultation
• Experience with chart review, secure messaging, and remote communication for consultation

Prescriptive Authority & Controlled Substances Knowledge

• Understanding of state-specific prescriptive authority limitations for PAs
• Knowledge of controlled substance prescribing regulations and DEA requirements
• Familiarity with Prescription Monitoring Program (PMP) requirements and registration
• Understanding of state-specific controlled substance restrictions and limitations
• Ability to maintain proper documentation of prescription orders and controlled substance usage

Technical & Compliance Requirements

• Proficiency with video conferencing technology and digital platforms
• Understanding of HIPAA regulations, patient privacy, and secure data handling
• Familiarity with EHR systems and EMR navigation
• Reliable, high-speed internet connection (minimum 10 Mbps upload/download speeds recommended)
• Access to private, secure workspace free from patient confidentiality breaches
• Competency with email, scheduling systems, and basic computer applications
• Understanding of EDI standards and medical billing basics

Professional Requirements

• Valid professional liability/malpractice insurance (contractor responsible; GoTo Telemed offers optional coverage with preferred rates)
• Current BLS (Basic Life Support) certification
• Current ACLS (Advanced Cardiac Life Support) certification or ability to obtain within 30 days
• Ability to obtain multi-state PA-C licenses if multi-state practice intended
• Commitment to continuous compliance monitoring and quality improvement
• Professional references available from prior employers or supervising physicians

Communication & Patient Care Skills

• Excellent verbal and written communication skills
• Ability to clearly explain complex medical information to diverse patient populations
• Strong professional demeanor and patient rapport-building abilities
• Ability to work independently within collaborative practice framework
• Responsive to patient questions and clinical concerns
• Strong time management and organizational skills
• Ability to communicate effectively with supervising physicians and healthcare team

PREFERRED QUALIFICATIONS

• Prior telehealth/telemedicine practice experience (1+ years)
• Multi-state PA-C licensure (IMLC compact member states preferred)
• Board certification completion (PANCE within 2-3 years vs. recertification eligible)
• Experience with rural or underserved patient populations
• Bilingual or multilingual capabilities
• Experience with specific EHR platforms (Epic, Cerner, Athenahealth, NextGen)
• Advanced clinical certifications (PALS, ACLS + additional specialties)
• Experience with asynchronous patient communication and chart-based care
• Strong knowledge of medical coding (CPT, ICD-10, E/M codes)
• Prior experience with medical billing and insurance claim submission
• Experience working with Prescription Monitoring Programs (PMP)
• Familiarity with state-specific telehealth laws and coverage policies

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