# Teledentistry Dental Hygienists **Company:** [GoToTelemed](http://jobs.workable.com/companies/i49tpLBHb5Ka87rWRm2EH8.md) **Location:** Remote **Workplace:** remote **Employment type:** Full-time [Apply for this job](http://jobs.workable.com/view/d6647d6f-1664-4989-8531-131ca0ccae48) ## Description GoTo Telemed is seeking experienced, licensed Registered Dental Hygienists (RDH) to join our expanding teledentistry network. This is a flexible, 1099 independent contractor opportunity allowing you to deliver preventive dental care and patient education across multiple states using secure telehealth technology. We provide comprehensive support infrastructure including complete training, HIPAA-compliant digital platforms, insurance credentialing, billing services, supervising dentist network access, integrated EHR/EDI systems, professional liability insurance options, and an average of **200 network patients per month** to ensure consistent patient volume and income potential. **Position Type:** 1099 Independent Contractor **Work Schedule:** Flexible – Set Your Own Hours **Location:** Remote (Multi-State, U.S.) **Compensation Structure:** Fee-for-Service Model **Patient Volume:** Approximately 200 average monthly network patients assigned **Supervision Model:** Licensed Dentist Available (Varies by State Regulations) ### Clinical Patient Care & Assessment - Conduct comprehensive teledentistry consultations with patients via secure, HIPAA-compliant video conferencing platform (GoTo Telemed) - Perform virtual patient assessments including review of dental history, current complaints, past dental treatment, medical history relevant to oral health, and medication review - Assess patient oral health status through synchronous (real-time video) and asynchronous (store-and-forward) teledentistry modalities - Collect and transmit digital intraoral and extraoral images, radiographs, and clinical data to supervising dentist via secure platform - Provide professional oral health assessments, screening for dental pathology, and identification of treatment needs - Screen for early signs of dental caries, periodontal disease, oral cancer, and other pathological conditions - Document all clinical assessments, findings, and recommendations in integrated Electronic Health Record (EHR) system - Develop and implement individualized treatment recommendations within RDH scope of practice - Educate patients on oral hygiene techniques, preventive care strategies, and disease management protocols ### Preventive Care & Patient Education - Provide comprehensive dental hygiene education addressing oral health maintenance, disease prevention, and treatment protocols - Educate patients on proper brushing and flossing techniques using evidence-based methodologies - Provide nutritional counseling related to oral health and dietary impact on dental disease - Counsel patients on tobacco cessation, alcohol use reduction, and other lifestyle modifications affecting oral health - Provide guidance on at-home fluoride varnish applications, antimicrobial rinses, and other preventive treatments (as permitted by state scope) - Develop patient-specific home care instructions adapted for teledentistry delivery - Support pain management strategies and post-operative guidance following dental procedures - Conduct pre- and post-operative consultations with patients undergoing dental treatment - Provide oral health instruction to patients with special needs, including pediatric, geriatric, and medically complex populations - Create and share educational materials addressing common dental conditions, prevention strategies, and treatment options ### Collaboration with Supervising Dentist - Maintain regular, professional communication with assigned supervising dentist(s) through secure messaging, phone consultation, or videoconference - Transmit comprehensive patient assessment data, digital images, radiographs, and clinical findings to supervising dentist for diagnosis and treatment planning - Obtain supervising dentist approval for treatment recommendations before communicating final plans to patients - Seek consultation from supervising dentist regarding complex cases, medically compromised patients, or findings outside standard assessment protocols - Comply with all state-specific supervision requirements including chart review, treatment plan approval, and documentation standards - Ensure all teledentistry patient encounters comply with supervising dentist-approved protocols and clinical guidelines - Document all consultations with supervising dentist including date, time, nature of consultation, and clinical decisions made - Maintain professional relationship with supervising dentist through regular case discussions, quality review, and continuous improvement feedback ### Interprofessional Collaboration with Medical Practitioners - Participate in interprofessional care coordination between teledentistry and medical practitioners when indicated - Identify and communicate oral-systemic health connections relevant to patients' medical conditions (diabetes, hypertension, cardiovascular disease, etc.) - Coordinate care with physicians, nurse practitioners, and other medical professionals when oral health impacts medical management - Utilize integrated electronic health records for seamless information sharing with medical team members - Refer patients to medical practitioners when dental findings suggest need for medical evaluation or follow-up - Receive referrals from medical practitioners for dental evaluation of conditions with oral-systemic implications - Participate in interdisciplinary case conferences regarding complex patient presentations - Maintain awareness of patients' medical conditions, medications, and medical history impacting dental care planning - Support chronic disease management through oral health interventions and patient education ### Digital Platform & Technology Proficiency - Utilize GoTo Telemed secure video conferencing platform proficiently for all patient consultations - Access and document patient information accurately in integrated Electronic Health Record (EHR) system - Operate intraoral camera equipment to capture high-quality digital images for clinical assessment - Understand and comply with Electronic Data Interchange (EDI) standards for claims submission and insurance verification - Maintain competency with secure messaging system for patient and provider communication - Use appointment scheduling and patient management features within GoTo Telemed platform - Troubleshoot basic technical issues independently; escalate complex technical problems to dedicated platform support team - Complete all mandatory HIPAA security and privacy training prior to patient contact - Maintain awareness of telehealth-specific documentation requirements and billing code standards (D9995, D9996) - Protect patient privacy and maintain confidentiality at all times during digital interactions ### Administrative & Business Responsibilities - Submit accurate, timely documentation of all patient encounters for billing and compliance purposes - Coordinate appointment scheduling and patient communication through GoTo Telemed platform - Respond promptly to patient inquiries and follow-up requests - Communicate availability and scheduling changes proactively to GoTo Telemed operations team - Maintain organized records of patient consultations, assessments, and treatment recommendations - Comply with all contract terms, compensation arrangements, and billing requirements - Maintain proper business records as 1099 independent contractor - Respond to credentialing verification inquiries from insurance companies and regulatory agencies - Cooperate with quality assurance audits, chart reviews, and compliance monitoring activities - Provide feedback regarding patient flow, scheduling efficiency, and platform functionality ### Professional Development & Quality Assurance - Complete comprehensive initial training program covering teledentistry platforms, protocols, clinical guidelines, and compliance requirements - Maintain current, unrestricted RDH licensure in all states where patient care is delivered - Maintain current CPR/BLS certification - Participate in ongoing competency assessments and quality improvement initiatives - Engage in continuing education per state dental board requirements and professional standards - Participate in peer review and quality improvement processes as scheduled - Report clinical or technical issues impacting patient safety immediately to supervising dentist and GoTo Telemed management - Stay current with evidence-based teledentistry practices and evolving regulations - Pursue expanded function certification opportunities where applicable (SDF, fluoride varnish, sealants, etc.) ## Requirements ### Education & Licensure (Non-Negotiable) - Graduation from an accredited Dental Hygiene Program (Associate degree minimum; Bachelor's degree preferred) - Current, active Registered Dental Hygienist (RDH) license in at least one U.S. state - Unrestricted RDH license with no disciplinary history, sanctions, or board actions - Current CPR/BLS (Basic Life Support) certification or ability to obtain within 30 days of hire - Clean background check with no criminal convictions or pending charges - Ability to obtain multi-state RDH licensure (via Dentist and Dental Hygienist Licensure Compact or individual state licensure) ### Clinical Experience - Minimum 2 years of clinical dental hygiene practice experience in direct patient care setting - Demonstrated competency in dental hygiene assessment, patient education, and preventive care delivery - Experience with digital imaging, intraoral cameras, and electronic health records preferred - Prior teledentistry or telehealth experience preferred but not required - Experience in preventive dentistry, patient education, and health coaching - Evidence of ability to work independently and make appropriate clinical decisions 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 and basic EMR navigation - Reliable, high-speed internet connection (minimum 15 Mbps upload/download speeds recommended for HD video) - Access to private, secure workspace free from patient confidentiality breaches - Backup internet connection or mobile hotspot capability recommended - Competency with email, scheduling systems, and digital documentation - Ability to operate or quickly learn to use intraoral camera equipment - Understanding of EDI standards and dental billing basics ### Professional Requirements - Valid professional liability/malpractice insurance (contractor responsible; GoTo Telemed offers optional coverage with preferred rates and group discounts) - Commitment to continuous compliance monitoring and quality improvement - Professional references available from prior employers or supervising dentists - Demonstrated reliability and professional responsibility - Willingness to participate in teledentistry-specific training and competency assessment - Agreement to maintain confidentiality and comply with all HIPAA requirements ### Communication & Patient Care Skills - Excellent verbal and written communication abilities - Ability to clearly explain complex dental information to diverse patient populations - Strong listening and empathy skills for patient-centered care delivery - Professional demeanor and positive patient rapport-building abilities - Ability to work independently while maintaining collaborative relationships with supervising dentist - Responsive to patient questions, concerns, and follow-up requests - Strong time management and organizational skills - Adaptability to diverse patient populations and clinical scenarios - Ability to follow protocols precisely while exercising clinical judgment ### PREFERRED QUALIFICATIONS - Prior teledentistry or remote patient care experience (1+ years) - Multi-state RDH licensure capability (Dentist and Dental Hygienist Licensure Compact preferred) - Bachelor of Science in Dental Hygiene degree - Expanded function certification (SDF application, fluoride varnish, sealant application, etc.) - Community health or public health dental hygiene background - Experience in school-based or community dental programs - Bilingual or multilingual capabilities - Experience with specific EHR platforms (Dentrix, Eaglesoft, Open Dental, Curve Dental) - Advanced certification in oral health education or prevention - Experience working with medically complex or underserved populations - Knowledge of medical-dental collaboration and oral-systemic health concepts - Prior experience with dental billing codes and insurance verification ## Benefits **Professional Liability Insurance Program** - Discounted group malpractice insurance rates available (you responsible for premium) - Subsidized rates negotiated with dental-specific carriers - Coverage tailored for teledentistry RDH scope of practice - Optional enrollment at discounted rates vs. individual policies **Platform & Technology Infrastructure** - Complete HIPAA-compliant teledentistry platform access provided at no cost - Secure video conferencing system with 99.9% uptime guarantee - Integrated Electronic Health Record (EHR) system with patient history, imaging, and treatment documentation - Intraoral camera and digital imaging integration - Appointment scheduling and patient management system - Secure messaging system for patient communication - Encrypted data storage and backup systems **Credentialing & Compliance Support** - Comprehensive insurance network credentialing across major dental plans - RDH license verification with state dental boards - Background check processing - Supervised practice credentialing with assigned supervising dentist(s) - Ongoing license monitoring and renewal reminders - Regulatory compliance documentation and templates - CDT code and billing code guidance **Billing & Payment Services** - Professional dental billing services with insurance expertise - Claim submission to all major payers (private, Medicaid, Medicare) - Electronic Data Interchange (EDI) integration for claims processing - Insurance eligibility verification prior to patient consultations - Explanation of Benefits (EOB) management - Claim denial response and appeal support - Patient payment processing and collections support - Detailed encounter reporting and revenue tracking - Dedicated billing team available during business hours **Patient Management & Support** - Approximately 200 average monthly network patients assigned to your profile - Appointment scheduling coordination and patient reminders - New patient intake processing and verification - Patient communication support via secure platform - Treatment plan delivery and patient engagement **Training & Professional Development** - Comprehensive onboarding program covering: - GoTo Telemed platform orientation and hands-on training - HIPAA compliance and security training - Teledentistry-specific clinical guidelines and protocols - Supervising dentist introduction and collaboration framework - Digital imaging and intraoral camera operation - EHR system navigation and documentation standards - Insurance billing, codes (D9995, D9996), and claims submission - Patient communication strategies for virtual care - Troubleshooting and technical support procedures - Competency assessment upon training completion - Ongoing continuing education opportunities and resources - Access to teledentistry webinars and training updates - Mentorship and quality improvement feedback **Supervising Dentist Network** - Access to network of licensed, credentialed supervising dentists - Supervising dentist assignment based on state regulations and patient needs - Dentist availability for real-time consultation via phone, secure messaging, or videoconference - Support for state-specific supervision requirements and compliance - Collaborative practice protocols and treatment plan approval systems - Emergency consultation availability **Technical Support & Operations** - 24/7 technical support team for platform and connectivity issues - Dedicated account manager for operational support - Regular platform updates and feature enhancements - Data security and HIPAA compliance oversight - Performance monitoring and quality assurance feedback - Scheduling support and patient flow optimization - Regular communication regarding system updates and changes **Network & Collaboration Opportunities** - Access to GoTo Telemed provider network for patient referrals - Visibility in patient directory and provider search - Collaboration with medical practitioners in interprofessional care model - Continuing education through network partnerships - Professional networking events and provider community ### PATIENT VOLUME & INCOME POTENTIAL ### Average Patient Assignment **Network Patients Provided:** - Approximately 200 average monthly network patients will be assigned to your profile - Patient volume ensures consistent consultation opportunities - Patient mix varies by geography, specialty focus, and practice setting - New patients sourced from GoTo Telemed's marketing and provider referral network