Nurse Practitioner

Job description

**What is Ansible Health?** Ansible Health unites physicians, nurses, respiratory therapists, and tech experts from Columbia, Johns Hopkins, Google, Amazon, and other top institutions to revolutionize care for chronic disease patients. We combine elite clinical expertise with cutting-edge technology to deliver personalized, efficient care at scale. Our team's groundbreaking research, published in leading journals like Nature and PLOS, demonstrates our commitment to innovation. Backed by Bessemer, First Round Capital, AlleyCorp, Breyer Capital, and Inflect Capital, we're a Series A startup partnering with leading healthcare systems nationwide. Our mission is to genuinely improve patient outcomes, not just optimize metrics. If you're passionate about transforming healthcare through technology, join our diverse team in making a real impact. **The Job at a Glance** We are seeking a **Nurse Practitioner (NP)** with a passion for caring for patients with complex chronic medical conditions, focusing on cardiac and respiratory disorders such as congestive heart failure and chronic obstructive pulmonary disease (COPD). We are searching for a compassionate, smart, and slightly rebellious individual who has found their true calling in patient care, and who is pulled towards using their heart, soul, and mind in new and creative ways. If you are a self-driven and intellectually curious learner with a growth mindset, we would love to hear about this in your cover letter. If you make flashcards for self-study when you encounter an unfamiliar medical term or drug name; if you ask a lot of questions (particularly, “why”); if you enjoy brainstorming about patient care with your colleagues; if you have a secret mental list of ideas for care improvement, and are looking for the opportunity to try them out; if you sometimes brush your teeth for too long because you are lost in thought about a patient case; we would love to interview you. We believe in the raw potential of an individual to become the best clinician possible when immersed in a supportive environment with high-quality mentorship. **What is the Role?** You will provide direct care via telemedicine to patients suffering from advanced chronic lung and heart disease. We treat an elderly patient population that is medically complex, very ill at baseline, frequently hospitalized, and often burdened by psychosocial challenges. You will collaborate closely with other medical team members, often speaking multiple times per day with the supervising nurse practitioners, physicians, and medical directors. Examples of patient care tasks include: - Performing telemedicine visits with our patients, including intake H&P and follow-up care - Serving as the provider of record and maintaining a sizable active panel of patients - Assessing, diagnosing, and treating adult outpatients with multiple chronic medical conditions, with an emphasis on lung disease - Coordinating care with primary care providers, specialists, and external care agencies - Advocating for patients who are experiencing major social stressors by activating community resources to improve access to medications, transportation, healthy nutrition, and safe housing - Serving as the continuous point of contact for patients and families across the entire care spectrum, ranging from transitional post-acute care, to medical stabilization, to rehabilitation, to advanced care planning and dying with dignity - Engaging with our interdisciplinary team of physicians, engineers, designers, and other care team members to continuously optimize the care we deliver to our patients Intimately related to patient care, you will also play a role in promoting our program and answering questions from referring providers and practices as we become more established in your local community. This versatile role requires the clinician to wear many different hats throughout the week, blending aspects of medical care, education, case management/social work, marketing, and advocacy. We believe in nurturing these transferable skills within one individual, rather than creating silos of expertise across rigid professional categories. This is an unorthodox approach that challenges the current trend in healthcare, which has moved towards more and more specialization, leading to further care fragmentation. We believe that the future of healthcare rests in the hands of a new kind of cross-functional clinician. **Responsibilities** You will join a diverse, talented, and meritocratic team of clinicians from all walks of life who are excited about working at the frontier of healthcare. This is a challenging role that will involve a very steep learning curve, feeling more like a training program for the first year. As with any innovation, a degree of organized chaos is expected. Changing the culture of healthcare is hard. It will often feel like it is “us against the world”, but you will be in good company. You bring your energy, wisdom, and passion for learning. We will bring intensive mentorship to grow your skills and help you to become the best clinician possible. This is a fantastic opportunity for an entrepreneurial and self-directed advanced care practitioner who is excited to be at the absolutely leading edge of the future of healthcare. ## **Required Qualifications, Experience & Certifications** Qualified candidates will possess any combination of education and experience that demonstrates the knowledge, skills, licenses, and certifications required to practice as a competent Nurse Practitioner. **Education** - Completion of an accredited graduate-level Nurse Practitioner program (Master’s degree required). **Licensure / Certification** - Current Nurse Practitioner licensure in Virginia and Pennsylvania. - Ability to obtain Full/Independent Practice Authority within 6 months of appointment. - Active national certification through the American Academy of Nurse Practitioners Certification Board (AANPCB). - Maintenance of certification and completion of required continuing nursing education (CNE/CE). **Experience** - 5+ years of experience caring for adult patients across the acute and chronic spectrum, with a strong foundation in Primary Care, Internal Medicine, Geriatrics, and Urgent Care settings. - 1+ year of experience caring for adult outpatients with chronic cardiopulmonary conditions, such as COPD, congestive heart failure, and coronary artery disease. **Technical Requirements** - Reliable high-speed internet connection (minimum 25 Mbps). **Job Details** Shift Schedule - Monday–Friday, 8:00 AM–5:00 PM (ET) - Alternating weekly on-call coverage shared with other providers ------------------------------------------------------------------------------------------ Here a few examples of our recent success stories: - A socially isolated 50-year-old woman with COPD and several overlapping anxiety disorders was frequently seen in the ED with dyspnea related to panic attacks and psychological distress. Multiple psychotropic medications were added over time, leading her to feel like a “zombie” and drink 10 caffeinated soft drinks per day to compensate, which fueled a vicious cycle of anxiety. The patient’s Ansible clinician connected her to a psychotherapist, convinced her to adopt a dog, and collaborated with her providers to discontinue and taper off several medications. The patient is now doing well at home, no longer going to the ED, and on a much safer medication regimen. - A 67-year-old man with very severe COPD and pulmonary cachexia (BMI 17.3 kg/m2) was declined for lung transplantation due to being severely underweight and unable to access a pulmonary rehabilitation facility. The patient lived in a rural Appalachian town with no cellular or internet service. The patient’s Ansible clinician found a public library 3 miles from the patient that housed a WiFI-enabled conference room for telemedicine. The clinician coordinated transportation with his church, provided guidance on nutritional supplementation, and supervised the patient through pulmonary telerehabilitation. The patient’s functional status improved, his BMI increased to 21.5 kg/m2, and he was listed for transplantation.