Registered Nurse

GoToTelemed
Houston, TX

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)
Posted 2026-01-15

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