$100-$280/hr inpatient stabilization work, on your schedule
Review a model's stabilization plans, escalation calls, and inpatient notes the way you check a covering clinician's overnight. Catch the quiet decompensation before the vitals confirm it.
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Hi, we're Zac and Jack, the founders of Terac. We want to talk to you directly, because you are the most important part of what we're building.
Terac is a community of experts. People who have spent years getting good at something specific and hard. The world is about to need more of you, not less. As AI takes on more of the world's work, the bottleneck shifts to the people who actually know what they're talking about.
Expert labor is the rarest resource in the world right now, and it is shockingly hard to find. The companies that need a hospitalist catching sepsis two hours before the lactate spikes spend weeks chasing people, paying placement fees, and settling for whoever is available. Meanwhile thousands of qualified people are sitting with knowledge that no one ever asks for.
That gap is what we're here to close. Every project that lands on Terac is routed to the people who actually know the answer, on their schedule, paid fairly, and only when the work is verified. No middleman taking a cut of your time. No vague gigs. No chasing checks.
We care about every single person in this community. If you join Terac, you're not a row in a database to us. We read the feedback. We answer the emails. We will fight for you when a customer is being unreasonable, and we will be honest with you when something on our side is broken. The quality of this panel is our entire company, and we owe you a serious bar.
If you've made it this far, here is what we're asking: claim your profile. Put your expertise on the record. Let the world's most ambitious teams come find you for the work only you can do.
Acute Care questions
Still curious? Write to us at support@terac.com.
Yes. The acute care track is built for hospital-based clinicians across roles: hospitalist MDs and DOs, acute care nurse practitioners (ACNP or AGACNP), and acute care physician assistants. What matters is real inpatient stabilization and deterioration-recognition experience. Your role and seniority help set your rate within the $100-$280 band.
We verify an active or recent US license appropriate to your role, plus relevant acute care certification where applicable (for example AGACNP for nurse practitioners, or hospital medicine experience for physicians). Recent inpatient practice is the key signal. We confirm these during onboarding before you are matched.
No. You evaluate the model's stabilization plans, escalation decisions, and inpatient notes as training exemplars. You never manage a live patient, never enter orders, and carry no clinical liability. You apply your inpatient judgment to written cases and model outputs, not bedside care.
You review early warning score interpretations, sepsis bundles, rapid-response decisions, escalation and level-of-care calls, cross-cover handoffs, fluid and pressor plans, and inpatient progress notes. These mirror the decisions you make on the floor and on overnight coverage, so your day-to-day instincts transfer directly.
Many tasks are built around the slow decompensation that scores and protocols miss. You judge whether the AI recognized a worsening trend early enough and escalated appropriately, not just whether its final plan looked reasonable. That focus on timing and trajectory is what makes your bedside pattern recognition the core thing recorded.
Why your expertise matters
The most dangerous moment in the hospital is the slow decompensation no one catches until the vitals crash. When a model manages an inpatient, it misses the rising respiratory rate, the subtle mental status change, the sepsis not yet declared. Reading the patient trending wrong before the labs confirm it takes an acute care clinician, not a warning score. Your corrections teach these tools when to escalate.
How pay works
Acute care projects pay $100-$280 an hour. The band spans hospitalists, acute care NPs and PAs, and stabilization specialists, so rates reflect your role, inpatient years, and depth in step-down, sepsis, or rapid response. Work is remote and asynchronous - take batches between shifts. Payment is tied to verified, completed work.
What the work looks like
A sample of the inpatient stabilization work you would pick up. Every project is scoped, remote, and paid on verified completion.
- Review an inpatient note for a post-op patient with a rising respiratory rate logged as stable, and flag the missed early sign of decompensation.
- Grade a sepsis response that started antibiotics but omitted lactate and fluid resuscitation, and explain the bundle elements it skipped against the timing window.
- Evaluate a plan that kept a deteriorating patient on the floor when the NEWS2 score warranted a higher level of care, and explain the transfer threshold ignored.
- Compare two cross-cover handoff summaries and identify which one fails to communicate the unstable trend a covering clinician would need overnight.
- Audit a fluid plan for a patient with heart failure and hypotension that recommended aggressive boluses, and flag where it should have weighed volume status first.
- Review a rapid-response recommendation that delayed activation pending labs, and explain why the trajectory alone justified calling the team immediately.
Specialties we match
Acute Care projects span a wide range of focus areas. Tell us where you go deep and we route the work that fits.
- Early warning score interpretation (NEWS2, MEWS) and escalation
- Recognition of clinical deterioration before vitals confirm it
- Sepsis identification and bundle management
- Rapid response and code-status decision-making
- Inpatient stabilization with limited resources
- Fluid resuscitation and vasopressor initiation judgment
- Step-down and intermediate-care level-of-care decisions
- Acute respiratory failure recognition and oxygen escalation
- Handoff and cross-cover continuity reasoning
- Goals-of-care and ICU-transfer timing
- Electrolyte and acid-base disturbance management
- Medication reconciliation and acute polypharmacy risk








