Job Description

GoTo Telemed seeks experienced, certified CRNAs for remote anesthesia consultation, patient education, and post-operative follow-up services. This 1099 independent contractor position provides flexibility while supporting surgical teams across multiple states.

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/Hourly Model

CORE JOB RESPONSIBILITIES

• Conduct comprehensive pre-operative telemedicine consultations with surgical patients
• Perform detailed anesthesia history and physical assessment via telehealth
• Assess anesthetic risk and discuss anesthesia options with patients
• Educate patients on anesthesia procedures, risks, benefits, and pre-operative requirements
• Conduct post-operative virtual visits assessing pain levels and monitoring for complications
• Provide anesthesia consultation to surgical teams for complex cases
• Document all assessments and interventions in EHR system
• Maintain current CRNA licensure, NBCRNA certification, and DEA registration in all practice states
• Comply with HIPAA and state-specific telehealth regulations
• Maintain professional liability insurance and complete ongoing compliance training

REQUIRED QUALIFICATIONS

• Bachelor of Science in Nursing (BSN) minimum; Master of Nursing in Nurse Anesthesia (MSN) or Doctor of Nursing Practice (DNP) preferred
• Current, active RN license in at least one U.S. state
• Current, unrestricted CRNA licensure in at least one U.S. state
• Current certification from National Board on Certification and Recertification for Nurse Anesthetists (NBCRNA)
• Current DEA registration (or eligible to obtain)
• Minimum one year acute care (ICU) RN experience
• Current BLS, ACLS, and PALS certifications
• Valid professional liability insurance
• Clean background check with no disciplinary actions
• Proficiency with video conferencing, EHR systems, and secure data handling
• Reliable high-speed internet (minimum 10 Mbps) and private secure workspace

PREFERRED QUALIFICATIONS

• Prior telehealth experience (1+ years)
• Multi-state CRNA licensure
• CCRN (Critical Care Registered Nurse) certification
• Experience with high-risk surgical populations
• Bilingual capabilities
• Familiarity with specific EHR platforms (Epic, Cerner, Athenahealth)

COMPENSATION & BENEFITS STRUCTURE

Compensation Model:

• Fee-for-Service or Hourly Structure: Varies by complexity and utilization
• Payment Schedule: Bi-weekly via direct deposit

1099 Contractor Responsibilities:

• Responsible for self-employment taxes (15.3%)
• Must secure own health insurance, disability, and retirement savings
• NOT eligible for unemployment insurance or workers' compensation
• Maintain autonomy over work schedule and patient volume
• Responsible for professional liability insurance (discounted group rates available through GoTo Telemed)

Optional Benefits Provided by GoTo Telemed:

• Discounted group professional liability insurance rates
• HIPAA-compliant platform access at no cost
• Integrated EHR/EMR system with EDI capabilities
• Comprehensive onboarding and platform training
• Credentialing support and license verification
• 24/7 technical support
• Access to GoTo Telemed provider network

SECTION 2: CLINICAL NURSE SPECIALIST (CNS) - 1099 INDEPENDENT CONTRACTOR

POSITION OVERVIEW

GoTo Telemed seeks Clinical Nurse Specialists for telehealth roles spanning three spheres of practice: direct patient care consultation, nursing practice leadership, and healthcare systems development. This flexible 1099 position enables practice across multiple states with autonomy and comprehensive support.

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/Project-Based Model

CORE JOB RESPONSIBILITIES

Direct Patient Care Sphere:

• Conduct comprehensive virtual consultations within CNS specialty area
• Assess and diagnose patients using advanced assessment techniques
• Develop evidence-based treatment plans for complex health conditions
• Prescribe medications and treatments where state scope allows
• Order and interpret diagnostic tests
• Provide patient education and health coaching
• Document clinical encounters in integrated EHR system

Nursing Practice Leadership Sphere:

• Provide clinical guidance and mentorship to nursing staff
• Develop telehealth protocols and clinical guidelines for nursing practice
• Conduct educational programs for nurses on telehealth best practices
• Lead quality improvement initiatives for nursing telehealth services
• Evaluate nursing competency in telehealth settings
• Assess educational needs and develop interventions

Healthcare System Development Sphere:

• Assist in developing and implementing telehealth programs
• Evaluate effectiveness and outcomes of telehealth initiatives
• Conduct needs assessments for telehealth service expansion
• Lead evidence-based practice and quality improvement projects
• Collaborate on healthcare system initiatives and policy development
• Contribute to performance improvement and outcome tracking

Requirements

Direct Patient Care Sphere:

• Conduct comprehensive virtual consultations within CNS specialty area
• Assess and diagnose patients using advanced assessment techniques
• Develop evidence-based treatment plans for complex health conditions
• Prescribe medications and treatments where state scope allows
• Order and interpret diagnostic tests
• Provide patient education and health coaching
• Document clinical encounters in integrated EHR system

Nursing Practice Leadership Sphere:

• Provide clinical guidance and mentorship to nursing staff
• Develop telehealth protocols and clinical guidelines for nursing practice
• Conduct educational programs for nurses on telehealth best practices
• Lead quality improvement initiatives for nursing telehealth services
• Evaluate nursing competency in telehealth settings
• Assess educational needs and develop interventions

Healthcare System Development Sphere:

• Assist in developing and implementing telehealth programs
• Evaluate effectiveness and outcomes of telehealth initiatives
• Conduct needs assessments for telehealth service expansion
• Lead evidence-based practice and quality improvement projects
• Collaborate on healthcare system initiatives and policy development
• Contribute to performance improvement and outcome tracking

REQUIRED QUALIFICATIONS

• Master of Science in Nursing (MSN) or higher with CNS specialization (preferred) OR Bachelor's + CNS preparation
• Current, active RN license in at least one U.S. state
• Current, national CNS certification in specialty area (Adult Health, Acute & Critical Care, Psychiatric/Mental Health, Women's Health, Pediatric, Gerontology, or other NACNS recognized specialties)
• Current DEA registration (if prescribing controlled substances)
• Minimum 2 years RN clinical experience in specialty area plus 1+ year post-CNS graduation practice
• Current BLS and ACLS certifications (per specialty requirements)
• Valid professional liability insurance
• Clean background check with no disciplinary actions
• Proficiency with video conferencing, EHR systems, and secure data handling
• Reliable high-speed internet (minimum 10 Mbps) and private secure workspace

PREFERRED QUALIFICATIONS

• Prior telehealth experience (1+ years)
• Multi-state licensure capability
• Program development and quality improvement expertise
• Bilingual capabilities
• Advanced certifications in specialty area
• Familiarity with specific EHR platforms (Epic, Cerner, Athenahealth)

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