Clinical Geneticist (Physician) - Remote Telehealth

Type: Contract, 100% telehealth | Location: Remote, United States | Positions: 6 positions (full or part time, totalling 6.0 FTE) | Start: First contract year, expected late September 2026 | Term: 12-month contract expected to start late September 2026, with up to four one-year extension options

About the assignment

A national telehealth genomic medicine program run by a large integrated health system. The program provides medical genetics evaluation and genetic counseling to adult patients by video, and currently has a shortage of genetics teleconsultation clinicians. West End Workforce is staffing six physician clinical geneticists in the first contract year, with genetic counselors joining from the second year. Positions are fully remote and are contingent on contract award and on the health system credentialing each clinician. Your West End recruiter will share the client and program details during the interview process.

Position Summary

The Clinical Geneticist performs all duties of a staff outpatient geneticist, entirely by telehealth, for adult patients of a national genomic medicine program. You see new consultations across cancer, preconception and general adult genetics indications, order and interpret genetic testing, return results directly to patients, and communicate recommendations to the referring clinician. Geneticists practice independently under this contract: you see patients, order tests and disclose results without genetic counselor support, and are not expected to supervise genetic counselors.

Essential Duties and Responsibilities

• Complete scheduled outpatient video consultations across a broad range of adult genetics indications: roughly 50 to 60% cancer genetics (personal or family history), and 40 to 50% general genetics, in descending order of frequency cardiogenetics (cardiomyopathy, aortic aneurysm, arrhythmia, familial hypercholesterolemia), preconception carrier screening, neurogenetics, endocrinology and infertility, connective tissue disorders and hematology.
• Meet the workload standard of a minimum of 12 new patient consultations and an average of 11 to 12 follow-up visits per 40-hour week or equivalent. The new-consultation expectation is not reduced by follow-up volume; more than 12 follow-ups may occasionally be needed so every result is returned within 7 days of the report.
• Evaluate patients, including physical examination by video where necessary; order the genetic test indicated by evidence-based, clinical-genetics best-practice guidelines; complete requisitions in the reference laboratory portal and facilitate order completion.
• Track completion of every test ordered, cancel orders that are not completed and document non-completion in the medical record.
• Receive, interpret and review results; discuss management plans with patients across the full range of indications.
• Communicate every ordered result to the patient and the appropriate providers within 7 days of availability, or sooner when clinically indicated, and direct scheduling of the follow-up visit for return of results.
• Update the referring clinician on the outcome of each consultation through the electronic health record, including any medical recommendations arising from the evaluation, such as cancer screening, imaging or non-genetic laboratory tests, so that care is coordinated.
• Document all patient interactions in the electronic health record, typing your own consultation and progress notes, within the clinic's required timeframe, typically 24 hours of the encounter.
• Administrative time of about 20%: four hours a week of collaboration, one hour a week with laboratories on complex test requests or results, one hour a week of case conference, and documentation across multiple record systems.
• Participate in quality improvement activities, staff meetings as required, and a monthly meeting with the program's supervisory clinical staff on quality issues.
• From the second contract year, be available for asynchronous collaboration with the program's genetic counselors when they request it (expected for fewer than 10% of their patients). No supervision of genetic counselors is expected.
• Comply with safety, security, privacy and hand-off communication policies; maintain patient confidentiality; maintain board certification, meet CME requirements and practice within the scope of privileges granted.

Education, Licensure and Certification

• Board Certified or Board Eligible in Clinical Genetics by the American Board of Medical Genetics and Genomics (ABMGG). Residency training or board certification in Internal Medicine is not required, though desirable.
• Current, full and unrestricted license to practice medicine in at least one of the program's priority states: California, Texas, Nevada, Massachusetts, Louisiana, Alabama, Arkansas, New Hampshire, Maine, Hawaii, Mississippi or Rhode Island. You see patients only at facilities in states where you hold an active license. Licensure in all 50 states is not expected; licensure in more than one state is preferred and may carry a larger FTE assignment.
• Any license that has ever been restricted, suspended, revoked, voluntarily surrendered pending action, or denied on application is disqualifying, even where other licenses are current and unrestricted.
• Current Basic Life Support (BLS) certification or equivalency, kept current.
• National Provider Identifier (NPI), with taxonomy code confirmation where applicable.

Knowledge, Skills and Abilities

• Comfortable completing medical genetics evaluations by video, including video physical examination.
• Synthesizes medical data such as radiology reports and laboratory results, not limited to genetic results, to form a diagnosis and make medical management recommendations.
• Electronic health record documentation: familiar with personal computers and Windows-based programs, with typing skills adequate to enter your own notes.
• Speaks, understands, reads and writes English fluently.
• Knowledge of federal and state regulations related to the provision of care.

Remote Work Environment

• 100% telehealth. You provide your own private workspace that meets the client's privacy and telework standards, with a reliable internet connection.
• The client furnishes a docking station, laptop, two monitors, camera and identity-card reader.
• You may work from any location in the United States and do not need to reside in the states where your patients are located, but you must be physically in the United States while providing services.
• Training on the electronic health record and the video platform is provided by the client.

Schedule and Coverage

• Monday through Friday during the business hours of the patient's local clinic, currently 8:00 am to 4:30 pm in the clinic's time zone. Eight-hour day, no call, no off-hours coverage.
• Full-time equivalent is 2,080 hours per year. Full-time and part-time arrangements are considered; part-time clinicians keep set hours within clinic hours and are reachable by phone, email and Teams during those hours.
• Observes the client's holiday calendar.
• Arrange clinical coverage for planned absences. If a scheduled clinician cannot complete a shift, replacement coverage is expected within two hours. Absences of three or more consecutive workdays require a qualified replacement.
• No substitutions in the first 90 days of the contract other than for illness, death or termination of employment.

Compliance and Credentialing

• Credentialing and privileging by the health system must be complete before the first patient is seen; the client may decline any candidate. Verifiable record of all education and training, including any gaps.
• Client background investigation and identity badge before network access: application forms in week one, adjudication typically two to three weeks.
• Health screen before start, current within the past year: negative TB skin test or IGRA, proof of MMR and varicella immunity, one dose of Tdap, and the annual influenza vaccine (or a mask during flu season if contraindicated). Hepatitis B vaccination series with post-series surface antigen result, and completion of bloodborne pathogen training.
• Completes the client's mandatory training on hire and annually (about two dozen one-hour courses, including privacy and information security, patient safety, patient rights, electronic health record, telework agreement and the genetic test ordering system), plus a minimum of two working days of training on the contracted genetic testing laboratory's portal.
• Provides current certification documents annually and copies of continuing education on request; failure to provide results in loss of privileges.
• Legally authorized to work in the United States (E-Verify). Must not appear on the HHS OIG List of Excluded Individuals/Entities.
• Referral of the program's patients to your own or your employer's practice is prohibited.
• Patient safety incidents are reported through the client's reporting system within 24 hours.

This description summarizes the principal duties of the position and is not an exhaustive list. Duties may be adjusted to meet the needs of the program. Requirements reflect the client's stated specification.