Physician Assistants (PA-C) - Telehealth
1 day ago
New York
OverviewGoTo 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 DetailsPosition Type: 1099 Independent Contractor (Self-Employed)Work Schedule: Flexible - Set Your Own HoursLocation: Remote (Multi-State, U.S.)Compensation Structure: Fee-for-Service ModelCollaboration Model: Remote Supervision via Telehealth/Chart Review/Secure MessagingResponsibilitiesConduct 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 systemsDevelop appropriate differential diagnoses based on available telehealth assessment techniquesProvide evidence-based medical evaluation, diagnosis, treatment recommendations, and prescriptions as clinically appropriate within PA scope of practiceDocument all clinical encounters accurately, completely, and timely in integrated Electronic Health Records (EHR) systemGenerate and transmit prescriptions electronically through certified pharmacy networksCommunicate findings, diagnoses, and treatment plans clearly to patients, ensuring informed consent and patient understandingEstablish appropriate diagnostic and follow-up plans aligned with standard of careRecognize and appropriately refer conditions outside PA scope of practice or requiring higher level of careMaintain professional communication and comprehensive clinical documentation standards across all patient interactionsPerform clinical triage and determine appropriateness of telehealth vs. in-person evaluationCollaborative Practice & SupervisionEstablish and maintain collaborative practice agreements with supervising physician(s) in all states where patient care is deliveredCommunicate clinical decisions, complex cases, and treatment plans with supervising physician(s) via telehealth, secure messaging, phone, or chart reviewSeek consultation from supervising physician for cases outside established protocols or requiring additional clinical guidanceEnsure collaboration arrangements meet state-specific supervision requirements and regulatory standardsMaintain documentation of collaborative communications and supervision activitiesComply with state-specific collaborative practice agreement requirements including: Written agreement between PA and supervising physician(s)Delineation of scope of practice within collaborationMethod and frequency of supervision (varies by state: chart review, phone consultation, bi-weekly meetings, etc.)Documentation of supervision activitiesNotify state licensing boards of collaborative practice agreement execution and maintain current copiesEnsure supervising physician is immediately available for consultation via phone, secure messaging, or videoconference when indicatedMulti-State Licensure & ComplianceMaintain active, unrestricted PA-C license(s) in all states where patient care is deliveredMaintain current PANCE certification (Physician Assistant National Certification Examination) or PANCA recertificationEnsure DEA registration in all states where controlled substance prescribing occursVerify state-specific telehealth regulations and patient location requirements prior to each consultationMaintain current knowledge of state-specific PA scope of practice, prescriptive authority, and telehealth-specific compliance rulesComply with each state's controlled substance prescribing rules, including Prescription Monitoring Program (PMP) requirementsComply with federal HIPAA Privacy Rule, Security Rule, and Breach Notification requirementsEnsure compliance with all state medical board regulations specific to PA practice in each jurisdictionMaintain proper documentation of licensure status, DEA registration, and collaborative agreementsDigital Platform & Technology CompetencyUtilize GoTo Telemed video conferencing and appointment scheduling system proficientlyAccess 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 verificationMaintain competency with secure messaging, appointment reminders, and patient communication featuresTroubleshoot basic technical issues; escalate technical problems to platform support teamProtect patient privacy and maintain confidentiality within digital environmentComplete all mandatory HIPAA and platform-specific security trainingMaintain awareness of telehealth-specific documentation and billing requirementsNurse Collaboration & Team Coordination (if applicable)If applicable, collaborate with assigned RN/LPN staff for patient screening, triage, and care coordinationCommunicate clinical decisions clearly to nursing teamEnsure proper coordination between PA care delivery and nursing supervisionParticipate in case conferences and clinical consultations as neededMaintain professional documentation of all coordinated care encountersProfessional Development & Quality AssuranceComplete comprehensive onboarding and platform training programMaintain current Physician Assistant Certification through NCCPA (National Commission on Certification of Physician Assistants)Participate in ongoing competency assessments and quality improvement initiativesRespond to peer review, credentialing inquiries, and licensing board communications within required timeframesMaintain current certifications including BLS and ACLS (or equivalent)Engage in continuing education and professional development as required by state licensing boards and professional standardsParticipate in quality audits, chart reviews, and compliance monitoring activitiesReport clinical or technical issues that may impact patient safety immediatelyMaintain compliance with prescriptive authority limitations and state pharmacy board regulationsRequirementsEducation & 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 requiredCurrent, passing score on the Physician Assistant National Certification Examination (PANCE) within past recertification periodActive, 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 statesUnrestricted medical license/certification with no disciplinary history, sanctions, or criminal convictionsClean background check with no criminal convictions or pending chargesClinical ExperienceDemonstrated clinical competency in patient assessment and diagnosisExperience in primary care, urgent care, internal medicine, family medicine, or telehealth preferredDemonstrated ability in virtual patient assessment and diagnosisExperience managing acute and chronic conditions in clinical settingCollaborative Practice & Supervision ExperienceUnderstanding of collaborative practice models and supervision requirementsExperience working under collaborative practice agreements with supervising physiciansFamiliarity with state-specific PA supervision and collaboration regulationsAbility to communicate effectively with supervising physicians and seek appropriate consultationExperience with chart review, secure messaging, and remote communication for consultationPrescriptive Authority & Controlled Substances KnowledgeUnderstanding of state-specific prescriptive authority limitations for PAsKnowledge of controlled substance prescribing regulations and DEA requirementsFamiliarity with Prescription Monitoring Program (PMP) requirements and registrationUnderstanding of state-specific controlled substance restrictions and limitationsAbility to maintain proper documentation of prescription orders and controlled substance usageTechnical & Compliance RequirementsProficiency with video conferencing technology and digital platformsUnderstanding of HIPAA regulations, patient privacy, and secure data handlingFamiliarity with EHR systems and EMR navigationReliable, high-speed internet connection (minimum 10 Mbps upload/download speeds recommended)Access to private, secure workspace free from patient confidentiality breachesCompetency with email, scheduling systems, and basic computer applicationsUnderstanding of EDI standards and medical billing basicsProfessional RequirementsValid professional liability/malpractice insurance (contractor responsible; GoTo Telemed offers optional coverage with preferred rates)Current BLS certificationCurrent ACLS certification or ability to obtain within 30 daysAbility to obtain multi-state PA-C licenses if multi-state practice intendedCommitment to continuous compliance monitoring and quality improvementProfessional references available from prior employers or supervising physiciansJ-18808-Ljbffr