Supervising Physician - Telehealth

GoTo Telemed is seeking experienced, licensed nationwide Physicians (Multistate, 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.

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