Job Opportunities API

Nurse Practitioner - Sphere Senior Department: Clinical Operations, Sphere Senior Reports To: Medical Director / Geriatric Care Operations Director Employment Type: Full-Time Schedule: 4 × 10-Hour or 3 × 12-Hour Shifts/Week Setting: Field-Based (In-Home) + Remote Clinical Support About Sphere Senior Sphere Senior is an AI-native, home-based primary care program built for older adults with serious, complex medical needs, people who deserve more than rushed office visits and reactive emergency care. We deliver primary care, chronic disease management, care transitions support, and serious illness/palliative care directly in the home. Our proprietary clinical intelligence platform, SphereOS, works alongside you in real time, surfacing risk flags, streamlining documentation, tracking care gaps, and keeping the full care team coordinated. You'll practice at the top of your license, supported by technology that actually reduces your cognitive load instead of adding to it. You won't be doing this alone. You'll have a supervising Medical Director, a dedicated interdisciplinary team, and a care infrastructure designed so you can focus on what you do best: caring for patients. The Role As a Nurse Practitioner at Sphere Senior, you are the primary clinical presence for a panel of complex, high-needs older adults, in their homes, where they live and where care has the most impact. You'll manage chronic conditions, navigate serious illness conversations, prevent avoidable hospitalizations, and build the kind of longitudinal patient relationships that define exceptional primary care. This is a high-autonomy role, you own your panel, you drive care planning, and you make real clinical decisions. It's also a high-support role for SphereOS, your Medical Director, care coordinators, and the broader team are with you every step of the way. What You'll Do Direct Patient Care Conduct comprehensive in-home assessments, physical exams, acute visits, and longitudinal follow-ups for a complex geriatric patient panel Diagnose and manage multi-morbidity with clinical precision: heart failure, COPD, diabetes, dementia, CKD, frailty syndromes, polypharmacy, and fall risk Develop individualized, patient-centered care plans in collaboration with patients, caregivers, and the interdisciplinary care team and actively monitor and adjust them over time Prescribe medications and therapies in accordance with state scope-of-practice regulations and evidence-based protocols Conduct advance care planning and goals-of-care conversations with sensitivity and clinical skill Provide serious illness and palliative care support, including symptom management and family guidance Care Transitions & Utilization Own post-hospitalization and SNF discharge follow-up to prevent avoidable readmissions, bridge visits, medication reconciliation, care plan updates Collaborate with care coordinators on real-time ED diversion and transition-of-care workflows Identify and escalate high-risk patients proactively using SphereOS risk stratification tools before crises occur Team & Quality Participate in risk stratification reviews, interdisciplinary care team huddles, and care committee meetings Collaborate with care coordinators, social workers, behavioral health staff, and the Medical Director on complex cases Contribute to quality improvement initiatives, readmission reduction, HEDIS/Stars gap closure, advance care planning rates Document all clinical encounters accurately and promptly within SphereOS/EHR — complete, billable, compliant Urgent & On-Call Support Respond to urgent clinical needs during shift hours in coordination with on-call protocols Participate in structured after-hours on-call rotation (low-burden, shared with Medical Director and APP team) Who You Are Required: Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DN