Job Description

GoTo Telemed is seeking experienced, credentialed Registered Dietitian Nutritionists (RDN) to join our telehealth network. This flexible, 1099 independent contractor opportunity allows you to provide evidence-based medical nutrition therapy (MNT) across multiple states via secure telehealth platforms. We provide comprehensive support infrastructure including HIPAA-compliant digital platforms, professional billing services with specialized nutrition coding expertise, supervising physician/provider network access, integrated EHR/EDI systems, insurance credentialing, malpractice insurance options, and consistent patient volume through our provider network.

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 (CPT 97802, 97803, 97804)
Practice Scope: Medical Nutrition Therapy (MNT), Individual & Group Nutrition Counseling
Supervision Model: Physician/Provider Referral Based (Varies by Patient & Payer)

Medical Nutrition Therapy Assessment & Intervention

• Conduct comprehensive telehealth consultations with patients via secure, HIPAA-compliant video conferencing platform (GoTo Telemed)
• Perform detailed nutrition assessments including medical/nutrition history, dietary intake analysis, anthropometric assessment, and laboratory/biomarker review
• Identify nutrition-related medical problems and develop personalized medical nutrition therapy (MNT) interventions
• Assess patients for conditions requiring MNT including but not limited to: diabetes mellitus, cardiovascular disease, renal disease, gastrointestinal disorders, weight management, cancer nutrition, HIV/AIDS, metabolic disorders, food allergies/intolerances
• Perform nutrition-focused physical examination and assessment of nutritional status
• Develop evidence-based individualized nutrition care plans aligned with medical diagnosis and treatment protocols
• Provide nutrition interventions through counseling, education, and behavior modification strategies
• Monitor patient progress, adjust nutrition care plans based on patient response and medical status changes
• Document all assessments, interventions, and monitoring in integrated Electronic Health Record (EHR) system with appropriate CPT coding (97802 initial, 97803 follow-up, 97804 group)

Patient Education & Counseling

• Provide comprehensive nutrition education addressing medical conditions and evidence-based dietary modifications
• Counsel patients on medical nutrition therapy specifics: macronutrient distribution, micronutrient needs, therapeutic diet modifications, food selection strategies
• Educate patients on condition-specific nutrition management (diabetic meal planning, sodium restriction for hypertension/CHF, renal nutrition, etc.)
• Teach patients to read and interpret food labels, assess portion sizes, and implement dietary changes
• Address behavioral and lifestyle factors impacting nutrition and health outcomes
• Provide family/caregiver education when appropriate for patient support and adherence
• Utilize evidence-based counseling techniques including motivational interviewing and cognitive behavioral approaches
• Create personalized meal plans adapted to patient preferences, cultural considerations, and medical needs
• Provide education on supplement use, herbal products, and medication-nutrient interactions

Interprofessional Collaboration & Provider Communication

• Maintain regular communication with referring physicians and interdisciplinary healthcare team members
• Transmit nutrition assessments, recommendations, and progress reports to referring providers via secure channels
• Participate in virtual case conferences and interdisciplinary care planning when indicated
• Collaborate with nurses, physicians, pharmacists, and other healthcare professionals on patient care coordination
• Identify and communicate relevant nutrition-medical interactions to healthcare team
• Provide nutrition expertise regarding medication-nutrient interactions and supplement considerations
• Coordinate nutrition interventions with medical treatment plans and other therapeutic modalities
• Seek consultation from supervising provider for complex cases or clinical questions requiring physician input

Telemedicine-Specific Clinical Practice

• Conduct comprehensive nutrition assessments via telehealth with appropriate documentation of limitations
• Utilize synchronous (real-time video), asynchronous (store-and-forward), and hybrid telehealth modalities as appropriate
• Collect, organize, and transmit relevant clinical data (labs, medications, medical history) for comprehensive assessment
• Adapt nutrition counseling strategies for virtual delivery while maintaining clinical effectiveness
• Recognize limitations of telehealth assessment and appropriately escalate to in-person evaluation when needed
• Utilize remote monitoring tools and apps for patient tracking between visits (blood glucose monitors, food tracking apps, etc.)
• Document telemedicine-specific considerations in patient records (technology used, patient engagement level, assessment limitations)
• Maintain security and confidentiality of patient information in virtual environment

Professional Development & Quality Assurance

• Maintain current RDN credentials through Commission on Dietetic Registration (CDR)
• Maintain appropriate state licensure/certification per state requirements and patient locations
• Engage in continuing education (minimum 75 hours per 5-year recertification cycle) to maintain current knowledge
• Pursue specialty credentials when aligned with practice focus (CDCES for diabetes, CSO for oncology, etc.)
• Participate in quality improvement initiatives and chart audits
• Respond to credentialing inquiries and licensing board communications
• Report clinical issues or concerns immediately to supervising provider and GoTo Telemed management
• Stay current with evidence-based nutrition practice guidelines and research

Digital Platform & Technology Proficiency

• Utilize GoTo Telemed secure video conferencing system proficiently for patient consultations
• Access and document comprehensively in integrated EHR system with appropriate detail for medical and billing purposes
• Understand and comply with CPT coding standards for MNT services (97802, 97803, 97804, modifiers)
• Utilize secure messaging for patient communication and provider collaboration
• Operate appointment scheduling and patient management features
• Complete mandatory HIPAA security and privacy training
• Troubleshoot basic technical issues; escalate complex problems to support team
• Maintain awareness of telehealth-specific documentation and compliance requirements

Administrative & Business Responsibilities

• Submit accurate, timely documentation of all patient encounters for billing accuracy
• Ensure proper CPT code selection and supporting documentation for claim submission
• Coordinate appointment scheduling and patient communication through platform
• Respond to patient inquiries and follow-up requests promptly
• Maintain detailed clinical records supporting medical necessity and treatment decisions
• Comply with all contract terms, compensation arrangements, and billing guidelines
• Maintain proper business records as 1099 independent contractor
• Respond to insurance audits and medical necessity reviews
• Provide feedback on platform functionality and patient flow optimization

Requirements

Education & Credentials (Non-Negotiable)

• Bachelor of Science degree minimum in Nutrition, Dietetics, or Food Science from accredited university
• Completion of ACEND-accredited Dietetic Internship or Graduate Dietetic Program
• Passed Commission on Dietetic Registration (CDR) Registered Dietitian Nutritionist Examination
• Current RDN credential (RD or RDN credential designation)
• Current state licensure/certification in states where patient care is delivered (if required by state)
• Unrestricted credential with no disciplinary history or sanctions
• Clean background check with no criminal convictions

Clinical Experience

• Minimum 2 years post-RDN credential clinical nutrition practice experience
• Demonstrated competency in nutrition assessment, diagnosis, and intervention
• Experience providing medical nutrition therapy for chronic disease management
• Prior telehealth experience preferred but not required
• Experience with electronic health records and nutrition-specific EHR functions
• Evidence of ability to work independently within scope of practice

Technical & Compliance Requirements

• Proficiency with video conferencing technology and digital platforms
• Understanding of HIPAA Privacy Rule, Security Rule, and Breach Notification requirements
• Familiarity with Electronic Health Records (EHR) systems
• Knowledge of medical nutrition therapy CPT codes (97802, 97803, 97804) and coding requirements
• Reliable, high-speed internet connection (minimum 15 Mbps recommended for HD video)
• Access to private, secure workspace free from patient confidentiality breaches
• Competency with email, scheduling systems, and digital documentation
• Understanding of insurance billing basics and claim submission

Professional Requirements

• Valid professional liability/malpractice insurance (contractor responsible; GoTo Telemed offers discounted group rates)
• Ability to obtain multi-state licensure/certification if multi-state practice intended
• Professional references from prior employers or supervising healthcare providers
• Demonstrated reliability and commitment to professional standards
• Willingness to maintain telehealth-specific training and competency
• HIPAA confidentiality and compliance commitment

Communication & Patient Care Skills

• Excellent verbal and written communication abilities
• Ability to explain complex nutrition and medical information clearly
• Strong patient education and counseling skills
• Professional demeanor and patient rapport-building abilities
• Active listening and empathetic communication style
• Responsive to patient questions and concerns
• Strong time management and organizational skills
• Ability to work independently and manage complex patient caseloads

PREFERRED QUALIFICATIONS

• Prior telehealth/remote nutrition practice experience (1+ years)
• Master's degree in Nutrition, Clinical Nutrition, or Dietetics
• Specialty credential (CDCES, CSO, RDN-AP, or other CDR credential)
• Multi-state licensure capability
• Experience with specific EHR platforms
• Bilingual or multilingual capabilities
• Experience with medical nutrition therapy billing and insurance reimbursement
• Familiarity with diabetes management, cardiovascular disease, or other chronic disease nutrition
• Prior experience with medical insurance documentation and prior authorization processes
• Knowledge of ICD-10 coding for nutritional diagnoses

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