Registered Nurse

Job description

**What is Ansible Health?** Ansible Health is a virtual multi-speciality medical group that 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. 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 superstar registered nurse (RN) 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 be part of a team led by a nurse practitioner with a mix of respiratory therapists and registered nurses to 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 your 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 to provide education specific to their conditions - Leading exercise sessions with your team for your patients over telehealth. - Assessing/triaging adult outpatients with multiple chronic medical conditions, with an emphasis on lung disease/heart failure. - 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 - Working with your NP led team to serve 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 you 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. 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. - A 59-year-old woman with very severe COPD, HFpEF, and ischemic cardiomyopathy was admitted to the hospital 13 times within the last year for various acute issues including COPD exacerbations, pulmonary edema, and unstable atrial fibrillation. Our clinical team pursued multiple avenues of medical optimization and rehabilitation but the patient continued to deteriorate. Throughout the patient’s journey in the medical system, her Ansible clinician was the most stable contact point, and was able to use the therapeutic rapport to initiate a discussion about end-of-life care. The patient entered into a home hospice program and her symptoms were effectively managed. **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 registered nurse who is excited to be at the absolutely leading edge of the future of healthcare. **Required Qualifications, Experience & Certifications** - The qualified candidate will possess any combination of Education and Experience that will provide the required knowledge, skills, licenses, and certifications to practice as a competent registered nurse - Education: Completion of an accredited program for nursing with a minimum of an Associate's Degree. - License /Certification: - Current or compact unrestricted Nursing license in the state of Virginia, or Pennsylvania. - 5+ years of experience caring for adult patients with medical illness across the acute and chronic spectrum, substantiated by a strong foundation in Primary Care, Internal Medicine, Geriatric, and Urgent Care practice environments. Strong triage skills are a must! - 1+ years of experience caring for adult outpatients with chronic cardiopulmonary conditions such as COPD, congestive heart failure, and coronary artery disease - Maintenance of license and continuing nursing education - Technical: reliable high-speed internet connection (at least 25 Mbps) **Preferred Qualifications, Experience & Certifications** - The preferred candidate will possess a unique combination of Education and Experience that will likely provide superior knowledge, skills and licenses to practice as a Registered Nurse in the fields of telemedicine, cardiac and pulmonary disease, and polychronic disease management. - Education: Must hold an Associate’s Degree or higher in nursing.. - Licensed in good standing in Virginia or Pennsylvania - 5+ years of experience working with patients with chronic cardiopulmonary diseases such as COPD, interstitial lung disease, lung cancer, pulmonary hypertension, congestive heart failure, ischemic heart disease, and post-cardiothoracic surgery and general internal medicine. - Proficiency with telemedicine and/or remote care extension preferred. - Prior experience assisting with the coordination of designated health services such as home health, outpatient respiratory care, and DME. - Prior experience operating within Cardiac or Pulmonary Rehabilitation programs is a plus but not required. - Prior experience/education in exercise science is preferred but not required. This position does include leading patients in home bound exercises over telehealth visits. - Strong interest to learn, caring deeply about improving the lives of our patients, ability to work as a strong team player while being self-directed are a must for this position. ## **Job Details** - Full-time: 40 hours a week (Monday - Friday, 8AM - 5PM EST) - Benefits: Flexible PTO - Location: Remote