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