Telehealth Physician na GoToTelemed
GoToTelemed · Jacksonville, Vereinigte Staaten Von Amerika · Remote
Description
GoTo Telemed is seeking experienced, licensed Physicians (MDs and DOs) to join our growing network of independent telehealth providers. This is a flexible, 1099 independent contractor opportunity allowing you to practice medicine across multiple states with complete autonomy over your schedule. We provide comprehensive support infrastructure including training, HIPAA-compliant digital platforms, EHR/EDI systems, and optional malpractice insurance coverage, allowing you to focus on delivering quality patient care.
Position Type: 1099 Independent Contractor
Work Schedule: Flexible – Set Your Own Hours
Location: Remote (Multi-State, U.S.)
Compensation Structure: Fee-for-Service Model
CORE JOB RESPONSIBILITIES
Clinical Care Delivery
- Conduct comprehensive virtual consultations via secure HIPAA-compliant video conferencing platform (GoTo Telemed)
- Assess patient presenting complaints, medical history, allergies, current medications, and relevant clinical symptoms
- Perform appropriate clinical decision-making and differential diagnosis using available telehealth examination techniques
- Provide evidence-based medical evaluation, treatment recommendations, and prescriptions as clinically appropriate
- Document all clinical encounters accurately and timely in integrated Electronic Health Records (EHR) system
- Generate and transmit prescriptions electronically through certified pharmacy networks
- Communicate findings and treatment plans clearly to patients, ensuring informed consent and patient understanding
- Establish appropriate diagnostic and follow-up plans aligned with standard of care
- Maintain professional communication and clinical documentation standards across all patient interactions
Multi-State Licensure & Compliance
- Maintain active, unrestricted medical license(s) in all states where patient care is delivered
- Comply with the Interstate Medical Licensure Compact (IMLC) pathway requirements where applicable
- 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 scope of practice, billing regulations, and telehealth-specific compliance rules
- Adhere to federal HIPAA Privacy Rule, Security Rule, and Breach Notification requirements
- Comply with the Ryan Haight Consumer Protection Act for controlled substance prescribing via telehealth
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
Nurse Supervision & Team Collaboration (Optional)
- If applicable, collaborate with assigned RN/LPN supervisory staff for patient screening, triage, and care coordination
- Communicate clinical decisions clearly to nursing team
- Ensure supervision meets state regulatory requirements for nurse-physician relationships
- Participate in case conferences and clinical consultations as needed
- Maintain professional documentation of all supervised encounters
Professional Development & Quality Assurance
- Complete comprehensive onboarding and platform training program
- Participate in ongoing competency assessments and quality improvement initiatives
- Respond to peer review and credentialing inquiries within required timeframes
- Maintain current certifications, licenses, and Board Certification status
- Engage in continuing medical education (CME) as required by state medical boards and professional standards
- Adhere to evidence-based clinical guidelines and best practices in telehealth
- Participate in quality audits, chart reviews, and compliance monitoring activities
- Report clinical or technical issues that may impact patient safety immediately
Administrative & Business Responsibilities
- Submit accurate timesheets, encounter documentation, and billing records
- Maintain organized records of patient consultations for compliance and malpractice insurance purposes
- Communicate availability and scheduling changes proactively
- Respond promptly to administrative inquiries and requests from GoTo Telemed operations team
- Comply with all contract terms, compensation terms, and payment processing requirements
- Maintain proper business records and invoicing documentation as 1099 contractor
COMPENSATION & BENEFITS STRUCTURE
Compensation Model
- Fee-for-Service Structure: Per-consultation compensation model
- Rate Range: Compensation varies based on complexity, specialty, state, and experience
- Payment Schedule: Bi-weekly via direct deposit or ACH transfer
- Billing Responsibility: GoTo Telemed handles claims submission and payer management; contractor receives guaranteed compensation regardless of payer denials (where applicable per contract)
1099 Contractor Considerations
- No Traditional Benefits: As a 1099 independent contractor, you are responsible for all benefits
- Health Insurance: You must secure your own health insurance (not provided)
- Retirement Planning: You are responsible for retirement savings (SEP-IRA, Solo 401k, etc.)
- Tax Responsibility: You are responsible for federal income taxes, self-employment taxes, and quarterly estimated tax payments
- Work Expenses: You bear the cost of supplies, technology, and office setup
Optional Benefits & Support Offered by GoTo Telemed
- Professional Liability Insurance Program: Discounted group malpractice insurance rates available (contractor responsible for premium; subsidized rates offered)
- Platform Access: Complete HIPAA-compliant telehealth infrastructure provided at no cost
- EHR/EMR System: Integrated Electronic Health Records system with EDI capabilities included
- Comprehensive Training: Initial onboarding, platform training, and ongoing compliance education provided
- Credentialing Support: Assistance with medical board verification, DEA registration, and multi-state licensing navigation
- 24/7 Technical Support: Dedicated platform support team for technical and operational issues
- Flexible Scheduling: Complete autonomy over work hours and patient volume
- Network Benefits: Access to GoTo Telemed provider network and patient matching system
WORK ENVIRONMENT & REQUIREMENTS
Physical Requirements
- Ability to sit for extended periods during virtual consultations (4-8 hours per day)
- Clear speech and hearing capability for video and phone consultations
- Visual acuity sufficient to read medical records and patient information on computer screens
- No physical limitations preventing secure documentation and medical decision-making
Technical Environment Requirements
- Private, HIPAA-compliant workspace with secure internet connectivity
- Professional background and minimal distractions visible on video
- Reliable computer or tablet with camera and microphone capabilities
- Backup internet connection or mobile hotspot recommended for reliability
- Compliance with patient confidentiality standards (closed doors, secure space, no family members visible)
Schedule & Availability
- Flexible scheduling with ability to set your own hours
- Responsiveness to scheduling requests and patient needs
- Availability for urgent/same-day consultations when contracted
- Participation in on-call rotations or scheduled availability blocks (varies by agreement)
- Ability to accommodate patient time zones across multiple states
- Reasonable notice for unavailability and schedule changes
REQUIRED KNOWLEDGE, SKILLS & ABILITIES
Clinical Knowledge & Skills
- Expert-level medical knowledge appropriate to specialty or primary care
- Proficiency in diagnostic reasoning and clinical decision-making
- Understanding of telemedicine-specific clinical limitations and appropriate patient selection
- Knowledge of prescription medications, drug interactions, and contraindications
- Ability to recognize emergency situations requiring in-person or emergency department evaluation
- Familiarity with telehealth billing codes (CPT, E/M code selection, HCPCS codes)
- Knowledge of Medicare, Medicaid, and commercial insurance policies related to telehealth
Regulatory & Compliance Knowledge
- Comprehensive understanding of HIPAA Privacy, Security, and Breach Notification Rules
- Knowledge of state medical practice acts and scope of practice limitations
- Understanding of controlled substance prescribing regulations and DEA requirements
- Familiarity with state-specific telehealth laws and patient location requirements
- Knowledge of standard medical liability and malpractice insurance requirements
- Understanding of medical record documentation requirements and retention policies
- Knowledge of business associate agreements and data security standards
Technical Skills
- Proficiency with video conferencing platforms and screen sharing
- Comfortable with EHR/EMR navigation and medical record documentation
- Basic understanding of EDI standards and claims submission processes
- Ability to troubleshoot basic technical issues independently
- Proficiency with email, scheduling software, and digital documentation
- Ability to maintain secure data handling practices
- Comfort learning new digital tools and platforms
Professional Skills & Attributes
- Strong written and verbal communication abilities
- Professional judgment and ethical decision-making
- Self-motivation and ability to work independently
- Reliability and consistent professionalism
- Problem-solving ability in ambiguous or complex situations
- Attention to detail in documentation and clinical care
- Adaptability to changing regulations and platform updates
- Commitment to patient safety and quality improvement
COMPLIANCE POLICIES & QUALITY PARAMETERS
HIPAA & Data Security Compliance
- All patient interactions must comply with HIPAA Privacy Rule regarding use and disclosure of Protected Health Information (PHI)
- Security Rule standards require implementation of safeguards for ePHI (electronic PHI) including encryption, access controls, and audit logs
- Contractors must maintain Business Associate Agreement compliance with all vendors and subcontractors
- Breach Notification Rule requires immediate reporting of any suspected data breaches or unauthorized ePHI disclosures
- All communications must occur through HIPAA-compliant channels (GoTo Telemed platform, not personal email/text)
- Patient consent must be documented for all telehealth services and maintained per retention requirements (minimum 6 years)
- Workforce security training is mandatory annually
Quality & Performance Standards
- Clinical Quality Metrics: Adherence to evidence-based care guidelines and appropriate diagnostic protocols
- Documentation Standards: Timely, complete, and accurate medical record documentation meeting medical record standards
- Patient Safety: Zero tolerance for medical errors; immediate escalation of adverse events or near-misses
- Response Time: Prompt response to patient messages, lab results, and administrative requests (within 24 hours typical)
- Customer Satisfaction: Patient satisfaction scores maintained at 4.0+/5.0 rating threshold
- Compliance Audits: Passage of periodic medical record audits and quality reviews
- Appointment Timeliness: Virtual consultations begin on time; appointment slots filled as scheduled
- Scope of Practice: Consultations limited to appropriate diagnoses and treatments; proper referral for out-of-scope conditions
- Prescription Appropriateness: Prescriptions align with evidence-based guidelines; controlled substance prescribing follows federal/state regulations
- Continuity of Care: Appropriate follow-up plans and coordination with primary care providers when applicable
Professional Conduct Standards
- Maintain professional demeanor in all patient and staff interactions
- Treat all patients with respect regardless of demographics or social factors
- Avoid conflicts of interest and disclose any potential conflicts
- Maintain confidentiality in all clinical and business matters
- Comply with anti-bribery and anti-kickback regulations
- Report violations of compliance policies immediately to management
- Participate cooperatively in peer review, audits, and quality improvement initiatives
- Respond promptly to compliance inquiries and investigations
Requirements
REQUIRED QUALIFICATIONS
Education & Licensure (Non-Negotiable)
- Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) from accredited institution
- Active, unrestricted medical license in at least one U.S. state
- Current, valid DEA registration (or eligibility to obtain)
- Unrestricted medical license with no disciplinary history, sanctions, or criminal convictions
- Completion of accredited medical education program
Clinical Experience
- Minimum 2 years post-graduate clinical practice experience (residency and/or clinical practice)
- Experience in primary care, urgent care, internal medicine, family medicine, or telehealth preferred
- Demonstrated clinical competency in virtual patient assessment and diagnosis
- Experience managing common acute and chronic conditions via telemedicine
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 basic 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
Professional Requirements
- Valid malpractice/professional liability insurance (contractor responsible; GoTo Telemed offers optional coverage with preferred rates)
- Clean background check and DEA/medical board verification
- Ability to obtain Interstate Medical Licensure Compact (IMLC) license(s) if multi-state practice intended
- Current BLS (Basic Life Support) certification or ability to obtain within 30 days of hire
- Commitment to continuous compliance monitoring and quality improvement
Communication & Patient Care Skills
- Excellent verbal and written communication skills
- Ability to clearly explain complex medical information to diverse patient populations
- Professional demeanor and strong patient rapport-building abilities
- Ability to work independently with minimal supervision
- Responsive to patient questions and clinical concerns
- Strong time management and organizational skills
PREFERRED QUALIFICATIONS
- Board Certification or Board Eligible status in relevant medical specialty
- Prior telehealth/telemedicine practice experience
- Multi-state licensure (IMLC compact member states preferred)
- Experience with rural or underserved patient populations
- Experience prescribing controlled substances via telemedicine
- Familiarity with specific EHR platforms (Epic, Cerner, Athenahealth)
- Advanced clinical certifications (ACLS, PALS, etc.)
- Experience with remote patient monitoring (RPM) technologies
- Bilingual or multilingual capabilities
Credentialing & Licensing Requirements
- Maintenance of current, unrestricted medical license(s) in all practice states
- Current DEA registration with no restrictions or sanctions
- Maintenance of professional liability insurance meeting minimum coverage thresholds
- Clean background check with no criminal convictions or pending charges
- No disciplinary actions by state medical boards or licensing agencies
- Verification of educational credentials and training completion
- Privileging and credentialing reviews completed every 2 years
- Immediate notification to GoTo Telemed of any licensing, regulatory, or legal actions
Controlled Substance Prescribing Compliance (if applicable)
- Compliance with Ryan Haight Consumer Protection Act for prescribing controlled substances via telemedicine
- DEA registration required in all states where controlled substances are prescribed
- Patient consent and identity verification required prior to prescribing controlled substances
- Prohibition of prescribing controlled substances for first-time encounters without in-person evaluation (except per federal exceptions)
- Compliance with state-specific controlled substance prescribing laws and prescription monitoring program (PMP) registration
- Appropriate use of urine drug screens and compliance monitoring for chronic pain management
- Documentation of medical necessity for all controlled substance prescriptions
- Awareness of opioid prescribing guidelines and addiction prevention standards
Documentation & Record Retention
- Complete medical record documentation within 24 hours of patient encounter
- Comprehensive encounter notes including: chief complaint, history of present illness, past medical/surgical/medication history, allergies, assessment, and plan
- Appropriate E/M code documentation supporting billing level (99212-99215 for established patients, 99201-99205 for new patients)
- Legible, organized documentation free of jargon or abbreviations unless standardized
- Proper patient identification, date/time stamp, and provider signature on all records
- Retention of all medical records for minimum 7 years post-encounter (state-specific requirements vary)
- Secure backup of all documentation on GoTo Telemed platform (contractor responsibility for external records)
- Right of access: patients have the right to access, amend, and receive copies of their medical records
Billing & Claims Compliance
- Accurate coding using appropriate CPT, HCPCS, and ICD-10 codes for all services rendered
- Compliance with Medicare, Medicaid, and commercial payer billing guidelines
- Prohibition of billing for non-delivered or substandard services
- Compliance with the Anti-Kickback Statute and Stark Law
- Accurate reporting of all services to applicable insurers and patients
- Cooperation with insurance pre-authorization and verification requirements
- Prompt response to claim denials and requests for additional documentation
- No billing for services waived or not rendered
- Compliance with patient financial responsibility policies and transparent billing practices
Malpractice Insurance & Liability
- Maintenance of professional liability insurance with minimum coverage limits as specified in contract
- Prompt reporting of adverse events, patient complaints, or potential litigation to malpractice carrier
- Cooperation with malpractice insurance defense and claim management
- Compliance with risk management best practices and patient safety protocols
- Documentation of all patient incidents and complaints for risk management purposes
- No admission of liability or settlement of claims without consultation with malpractice carrier
- Awareness of state-specific malpractice insurance requirements and coverage thresholds