Aesthetic Nurse Injector (APRN) - Concierge Med Spa Grow your practice with flexibility on your terms Pinch is a Concierge Med Spa and we are looking for Advanced Practice Registered Nurses (APRNs) in Massachusetts for a 1099 contractor role who are ready to grow in aesthetics and deliver treatments like tox, chemical peels, and at-home facials in the comfort of clients’ homes Founded in Chicago, IL, Pinch has quickly become one of the top-rated Med Spas in the area and we are now expanding throughout Massachusetts. This is a unique opportunity to be one of our Founding Providers and represent Pinch in your local community. You will have the freedom to set your own schedule, choose your clients, and grow your practice with flexibility with the support of a nationally recognized brand We cover everything from malpractice insurance and marketing to technology and ongoing support so you can focus on making clients look and feel their best. Pinch pays top-of-market rates for treatments and covers all overhead costs, allowing you to devote your time and energy to your clients What You Will Do - Deliver safe, high-quality aesthetic treatments including tox, chemical peels, and at-home facials - Complete required live neurotoxin injectables training - Take advantage of comprehensive virtual training covering chemical peels, microneedling, skincare, and at-home facial techniques - Treat clients through Pinch marketing as well as your own personal network - Offer appointment availability that works for you, averaging 4 to 24 hours per week - Manage products and supplies responsibly - Keep accurate and timely client records - Follow Pinch protocols and best practices - Collaborate with fellow Providers and the Pinch team for support - Utilize Pinch marketing tools to retain clients, complete patient outreach, and grow your business

Aesthetic Nurse Injector (APRN) - Concierge Med Spa Grow your practice with flexibility on your terms Pinch is looking for Advanced Practice Registered Nurses (APRNs) in Michigan for a 1099 contractor role who are ready to grow in aesthetics and deliver treatments like tox, microneedling, chemical peels, and at-home facials in the comfort of clients’ homes. Founded in Chicago, IL, Pinch has quickly become one of the top-rated Med Spas in the area and we are now expanding throughout Michigan. This is a unique opportunity to be one of our Founding Providers and represent Pinch in your local community. You will have the freedom to set your own schedule, choose your clients, and grow your practice with flexibility with the support of a nationally recognized brand. We cover everything from malpractice insurance and marketing to technology and ongoing support so you can focus on making clients look and feel their best. Pinch pays top-of-market rates for treatments and covers all overhead costs, allowing you to devote your time and energy to your clients. What You Will Do: - Deliver safe, high-quality aesthetic treatments including tox, microneedling, chemical peels, and at-home facials - Complete required live neurotoxin injectables training - Take advantage of comprehensive virtual training covering chemical peels, microneedling, skincare, and at-home facial techniques - Treat clients through Pinch marketing as well as your own personal network - Offer appointment availability that works for you, averaging 4 to 24 hours per week - Manage products and supplies responsibly - Keep accurate and timely client records - Follow Pinch protocols and best practices - Collaborate with fellow Providers and the Pinch team for support - Utilize Pinch marketing tools to retain clients, complete patient outreach, and grow your business

Aesthetic Nurse Injector (APRN) - Concierge Med Spa Grow your practice with flexibility on your terms Pinch is looking for Advanced Practice Registered Nurses (APRNs) in Minnesota for a 1099 contractor role who are ready to grow in aesthetics and deliver treatments like tox, microneedling, chemical peels, and at-home facials in the comfort of clients’ homes. Founded in Chicago, IL, Pinch has quickly become one of the top-rated Med Spas in the area and we are now expanding throughout Minnesota. This is a unique opportunity to be one of our Founding Providers and represent Pinch in your local community. You will have the freedom to set your own schedule, choose your clients, and grow your practice with flexibility with the support of a nationally recognized brand. We cover everything from malpractice insurance and marketing to technology and ongoing support so you can focus on making clients look and feel their best. Pinch pays top-of-market rates for treatments and covers all overhead costs, allowing you to devote your time and energy to your clients. What You Will Do: - Deliver safe, high-quality aesthetic treatments including tox, microneedling, chemical peels, and at-home facials - Complete required live neurotoxin injectables training - Take advantage of comprehensive virtual training covering chemical peels, microneedling, skincare, and at-home facial techniques - Treat clients through Pinch marketing as well as your own personal network - Offer appointment availability that works for you, averaging 4 to 24 hours per week - Manage products and supplies responsibly - Keep accurate and timely client records - Follow Pinch protocols and best practices - Collaborate with fellow Providers and the Pinch team for support - Utilize Pinch marketing tools to retain clients, complete patient outreach, and grow your business

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