Remote Nurse Practitioner - TX License Required

Cadence Health
$125,000 - $150,000Remote

About The Position

Cadence is a clinical AI company focused on automating chronic disease treatment. Their Clinical Intelligence system handles routine tasks like patient monitoring, risk identification, and care coordination, allowing clinicians to focus on critical decisions. With partnerships with over 20 health systems, EMR integrations, a dedicated medical group, and experience with over 100,000 patients, the system continuously learns and improves. Cadence has been recognized by TIME and LinkedIn for its innovation in health tech and as a top startup. The Nurse Practitioner will be the primary clinical contact for patients in their remote care journey. This role involves leading clinical decision-making, with a focus on guideline-directed medical therapy for heart failure, and adherence to evidence-based guidelines for type 2 diabetes and hypertension. Responsibilities include proactive and asynchronous medication titration based on patient data, overseeing patients, managing clinical escalations, and collaborating with physicians to optimize treatment plans and determine appropriate care levels. The position requires significant clinical autonomy, strong judgment, and close collaboration with Registered Nurses and Patient Success teams to deliver timely, patient-centered, and scalable remote care. Although fully remote, this is a fast-paced, collaborative role with clear expectations for productivity, responsiveness, and quality.

Requirements

  • Active Compact Multi-State RN license.
  • Active NP licensure in TX
  • 5+ years experience treating patients with chronic diseases (CHF, Hypertension, T2D) either in an outpatient or inpatient setting at a high-performing medical center.
  • 3+ years of cardiology experience with a focus on heart failure management and guideline-directed medical therapy (GDMT).
  • Active ANCC or AANP certification.
  • Master’s Degree as a Nurse Practitioner with the willingness to expand state licensure as Cadence adds new markets and partners.
  • Home office setup with consistently stable Wi-Fi with strong upload and download speeds. A Wi-Fi speed test is required during the interview process to verify that these standards are met.
  • Demonstrated success working in fast-paced environments where priorities, workflows, and technology evolve frequently.
  • Comfortable receiving frequent feedback and continuously adapting processes.
  • Highly organized with excellent time management and the ability to balance patient care with productivity expectations.
  • Self-directed and accountable while working remotely with minimal supervision.
  • Curious, resilient, and energized by helping build new ways of delivering care.
  • Comfortable using AI-assisted clinical tools (such as Gemini, Open Evidence, or comparable platforms) while maintaining clinical judgment as the primary guide for every patient decision.

Nice To Haves

  • Experience working in a CHF bridge clinic or T2D clinic, a startup environment, and working with remote patient monitoring technology is preferred.

Responsibilities

  • Manage a panel of patients receiving remote care, making timely clinical decisions based on evidence-based guidelines for heart failure, hypertension, and type 2 diabetes.
  • Deliver high-quality, evidence-based care by following established clinical protocols and workflows while applying sound clinical judgment to individual patient needs.
  • Initiate and titrate guideline-directed medical therapy (GDMT) while collaborating closely with physicians, RNs, and care teams to optimize outcomes.
  • Respond promptly to clinical escalations generated through remote patient monitoring, including abnormal vitals, symptoms, and laboratory results.
  • Provide both synchronous and asynchronous patient care, including reviewing patient-generated health data, responding to remote patient monitoring alerts, communicating through secure messaging, and conducting scheduled virtual visits when appropriate.
  • Deliver safe, efficient, high-quality care while consistently meeting established productivity and documentation expectations.
  • Adapt quickly to evolving workflows, software enhancements, and operational processes as we continuously improve our care model.
  • Use multiple technology platforms confidently and provide feedback that helps improve our clinical operations and technology.
  • Collaborate across clinical and operational teams to identify opportunities to improve patient care, efficiency, and scalability.
  • Help shape the future of a rapidly growing digital health organization where every team member contributes to building better processes—not simply following established ones.

Benefits

  • Competitive pay & equity
  • Fully remote
  • Comprehensive health coverage: Medical, dental & vision
  • Paid time off
  • 401k plan + matching
  • Paid parental leave
  • Home office stipend
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