Nurse Practitioner (In Home Family Care)

Who is Nest Health?

As the first value‑based care provider built for families, Nest is on a mission to make comprehensive medical, behavioral, and social care radically accessible to America’s highest risk families. Founded in 2022 by Former Secretary of Health of Louisiana and practicing OB‑GYN, Dr. Rebekah Gee, and Rebecca Kavoussi, Nest is the first‑of‑its‑kind family‑based, in‑home, and virtual care model; this includes primary adult and pediatric care, mental health and nutrition support, vaccinations and labs, same‑and‑next‑day acute visits, chronic condition and transitions of care management, social services and navigation, and more. Nest’s innovative model has resulted in partnerships, unlocking care for thousands of families across our markets. Nest’s early success has led to national traction across states and payers, laying the groundwork for future expansion to families across the United States.

What does it mean to be a part of a startup?

Working at a healthcare startup can be a unique experience with a fast‑paced, ever‑changing environment that can involve varied workloads, quick changes, and high expectations. Taking a position at a Healthcare startup allows for the opportunity to be high impact in disrupting the US healthcare system. You will have the chance to be creative, solution oriented, and have your voice heard! You will need to be flexible, accountable, and self‑sufficient, and you might take on multiple roles. Here are some things you can expect:

• Role Breadth- Your role may be less defined than in other settings, with the need to wear multiple hats & juggle various responsibilities
• Learning opportunities- you will have the opportunity, at times, to function outside of your standard position and learn about new roles & areas
• Fast Paced- Startups often must move faster than traditional large companies. This means you may be asked to cope with or advise on quick changes regarding systems or processes
• Autonomy- You will need to be highly autonomous, as there is less structure and learning and development than at large orgs. This requires you to be able to learn asynchronously, as well as raise your hand when help is needed, or gaps are identified
• Collaboration- With so many opportunities to build processes and improve how we deliver care to our patients, we rely heavily on one another to communicate changes effectively to ensure seamless support across functions. This often requires this individual to give and receive feedback frequently and communicate challenges or opportunities effectively.

What is the role?

The Nurse Practitioner (NP) is the primary care provider, providing whole‑family primary, acute, chronic, and pediatric care to adult and pediatric family members in the home setting. The NP is both a health practitioner and an educator, delivering care in a culturally congruent, non‑judgmental manner and collaborating closely with a clinical team comprised of physicians, behavioral health counselors, registered dieticians, and a medical assistant upskilled to help support social services navigation when conducting care in the homes.

What will you do?

• Manage a panel of families as the primary care provider to improve whole-family health through longitudinal primary and preventive care, care management, and care coordination in the home setting and telehealth and virtual care modalities as appropriate (video, phone, SMS)
• Practice with the support of a robust interdisciplinary team, including MDs, LCSWs, RNs, psychiatrists, dieticians, and medical assistants
• Utilize Nest Health’s electronic health record and care management tools to collect data, document member interactions in the field, organize information, track tasks, and communicate with your team, members, and community resources
• Attend daily team huddles and weekly case conferences to advise on physical health needs and establish health goals as part of member’s NAP (Nest Action Plan)
• Propose treatments for chronic and infectious diseases, prescribe and reconcile appropriate medications, and educate patients about their conditions and medications
• Order, administer, obtain, and record diagnostic tests
• Provide information and assistance through advocacy, navigation support, and education to Nest families on the availability and eligibility of health and social care services.
• Participate in outreach efforts to Nest families, including explaining program details to potential families.

What do you bring to the Nest?

• Completion of Physician Assistant or Nurse Practitioner accredited program and an active, unrestricted license to practice in Arizona is required
• Experience (at least 2 years) providing clinical services to pediatric (including newborns) and adult patients with both chronic medical and behavioral health conditions, and interest in serving underserved, vulnerable populations
• Demonstrated proficiency, prior experience, and/or willingness to train in clinical nursing skills such as blood drawing (venipuncture & phlebotomy), patient assessments, and care plan reinforcement for common adult and pediatric chronic conditions such as diabetes, respiratory concerns, hypertension, CHF, depression, etc.
• Proven skills, knowledge base, and judgment necessary for independent clinical decision‑making and problem‑solving
• Available to work a full‑time, five‑day work week and participate in a rotating call schedule that includes occasional evening and weekend days each month
• Maintains current CPR certification (BLS)
• Experience working as the leader of an interdisciplinary care team preferred
• Experience in a startup environment is a plus, but not required
• Access to reliable transportation and willingness to comply with all the terms of the Nest Motor Vehicle Safety Policy
• Please note, this position will involve educating and encouraging vaccination against COVID‑19

What is required (travel & physical requirements)?

• This is a mobile job that will be providing service in family homes
• Must have a driver’s license, a car (mileage is reimbursed), auto insurance, and the ability to drive to the homes of Nest families and carry portable healthcare supplies
• Prolonged periods sitting at a desk and working on a computer
• Must be able to lift up to 25 pounds at times

Nest understands that job requirements sometimes exclude people who identify with historically marginalized groups from applying to jobs for which they are qualified. Even if you don’t meet 100% of the requirements listed, or if you achieved these requirements through unconventional channels, we encourage you to apply.

What does Nest bring to the table?

• Family‑centric health support with access to Lyric’s comprehensive services for urgent care, behavioral health, psychology, and psychiatry for you and your entire family, including virtual veterinary care for your pets
• Company supported Parental Leave for both primary/non‑primary caregivers with options for a tiered return to work, and eligibility to receive additional hours of PTO for Prenatal Care and Backup Childcare
• Receive reimbursement for work‑related vehicle expenses, including commuting and travel costs, for staff who drive as part of their job responsibilities
• Opportunity to receive up to $3,000/year Tuition Reimbursement to support your educational and professional development by covering a portion of costs relating to fees, course materials, or other related expenses
• Employer‑sponsored short‑term and long‑term disability benefits to provide financial support in the event of illness or injury that prevents you from working
• Enrollment in 401(k) Retirement Plan through Human Interest to help save for your future with flexible contribution options

We are reimagining what a supportive workplace looks like, from the inside out. To ensure every team member feels valued, we provide competitive compensation packages that reflect your skills and contributions. We offer a comprehensive suite of benefits such as employer‑sponsored health, dental, and life options, generous PTO, and an all‑of‑you, inclusive approach to benefits.

Nest Health celebrates the diversity of our patient population and seeks diversity on our team. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristics.