Nocturnal Nurse Practitioner

In the U.S., 60% of adults – more than 133 million people – live with at least one chronic condition. These patients need frequent, proactive support to stay healthy, yet our care system isn’t built for that level of attention. With rising clinician shortages, strained infrastructure, and reactive care models, patients too often end up in the ER or the hospital when those outcomes could have been prevented.

At Cadence, we’re building a better system. Our mission is to deliver proactive care to one million seniors by 2030. Our technology and clinical care team extend the reach of primary care providers and support patients every day at home. In partnership with leading health systems, Cadence consistently monitors tens of thousands of patients to improve outcomes, reduce costs, and help patients live longer, healthier lives.

The Cadence Health team is seeking a remote-based Nocturnal Nurse Practitioner to serve as the primary clinical point of contact for patients navigating their remote care journey. In this role, you will lead clinical decision-making with a strong emphasis on guideline-directed medical therapy for heart failure, as well as adherence to evidence-based guidelines for type 2 diabetes and hypertension, including proactive and asynchronous medication titration based on patient vitals, symptoms, and trends. You will oversee patients, manage clinical escalations, and collaborate closely with the patient’s physician or provider to optimize treatment plans, adjust medications, and determine the appropriate level of care. This role requires a high level of clinical autonomy, strong judgment, and close collaboration with Registered Nurses and Patient Success teams to deliver timely, patient-centered, and scalable remote care.

Licensure Requirements

• Required: Active Compact Multi-State RN license
• Required: Active NP licensure in at least one of the following states: TX, MI, NY, NJ, PA, CA
• Required: Active NP licensure in two or more of the following states: TX, MI, NY, NJ, PA, CA, AL, CT, HI, TN, WA, IA, IL, AK, AR, OK, OR, MT, MS, RI, or WI

Licenses must be active and in good standing at time of hire.

Available Schedules

• Thursday, Friday, Saturday, and every other Wednesday, 7 PM–7 AM Eastern Time
• Sunday, Monday, Tuesday, and every other Wednesday, 7 PM–7 AM Eastern Time

What you'll do:

• Oversee the monitoring of patient vitals, symptoms, and labs in collaboration with our team of RNs and MDs.
• Manage the patient's treatment plan and medications – with an emphasis on initiating and titrating guideline-directed medical therapy (GDMT) for Heart Failure and other appropriate guidelines for T2D and Hypertension.
• Respond to patient escalations identified via RPM – i.e. abnormal vitals, symptoms, and labs.
• Lead regular virtual check-ins with patients to review labs and GDMT optimization and adherence.
• Our programs support both primary care offices as well as cardiology offices.
• Ensuring every healthcare interaction with Cadence is an exceptional experience that prioritizes the well-being of the patient and aligns with the goals of the health system.
• Support internal growth efforts to help Cadence scale exceptional care delivery to patients with CHF and other chronic conditions including hypertension, and Type 2 diabetes.
• Be instrumental in shaping the culture of one of the fastest-growing teams at Cadence.

What you need:

• 5+ years experience treating patients with chronic diseases (T2D, Hypertension, CHF) either in an outpatient or inpatient setting at a high-performing medical center.
• Active multi-state compact RN license.
• ANCC or AANP certification required.
• Master’s Degree as a Nurse Practitioner with the willingness to expand state licensure as Cadence adds new markets and partners. 
• Experience managing CHF with GDMT.
• To ensure that our clinicians have the necessary tools for a successful remote work environment, home office setups must have consistently stable Wi-Fi with strong upload and download speeds. A Wi-Fi speed test is required before participating in the interview process to verify that these standards are met.
• Ability to thrive in an environment founded on trust, autonomy, and direct communication & feedback.
• Love of owning problems end-to-end.
• Independent thinker / operator.
• Passion for the patient / customer experience and systematically improving healthcare with digital innovation.
• Experience working in a CHF bridge clinic or T2D clinic (preferred).
• Experience working with remote patient monitoring technology (preferred).
• Experience working in a startup environment (preferred).

The anticipated base salary range for this role is $140,000 to $160,000 annual base salary, which is based on role scope, level, and location. In addition to base compensation, this role may be eligible for incentive compensation as part of the overall total rewards package. This position is remote and based in the United States. Actual compensation will be determined based on factors including experience, skills, internal equity, and applicable law.

Who we are

Cadence Health was built around a simple promise: patients always come first. Our technology-enabled remote care model pairs continuous health insights with a highly skilled clinical Care Team, empowering seniors to stay healthier, avoid complications, and live more independent, fulfilling lives, all without the limits of a traditional office visit.

Your expertise is the heart of our system.
Nurse practitioners, registered nurses, medical assistants, patient-success coordinators, and other frontline clinicians are the face and beating heart of Cadence. You’ll bring warmth, clinical precision, and the empathy that turns a virtual touchpoint into a human connection. Every chat, phone call, and care plan you deliver shapes how patients experience “what healthcare should be.”

A modern toolkit to practice top-of-license care
We’ve replaced reactive visits with real-time data, intelligent workflows, and seamless collaboration tools. That means you can spend less time on busywork and more time practicing at the top of your license, coaching patients, spotting risks early, and coordinating with physicians to keep care proactive and personal.

Thriving in a fast-moving, mission-driven culture.
Change excites us. Innovation fuels us. If you’re energized by technology, eager to re-imagine care delivery, and motivated to improve outcomes for both patients and the providers who serve them, you’ll feel at home here. We invest in continuous learning, clinical mentorship, and transparent growth paths so you can advance your skills while making a measurable impact every day.

Join us in redefining healthy aging.
If you’re passionate about compassionate care and ready to transform how seniors across the country manage chronic conditions, recover after hospitalization, and age with confidence, let’s talk. Together, we’ll build a future where exceptional care is consistent, connected, and just a call away.

What You'll Get:

Cadence full-time employees are eligible for the benefits described below. Part-time employees may qualify for benefits mandated by state or local law.

Cadence recognizes the unique needs of its diverse, distributed workforce and seeks to provide an inclusive work environment for its world-class clinicians and technologists.

• Company culture all about impact, shared growth mindset, empowerment, and integrity
• An opportunity to help improve the quality of life of millions of Americans
• Unique chance to support the development of an amazing product; Cadence’s in-house clinicians are our super users and beta testers
• Competitive salaries and quarterly incentives
• Medical, dental, and vision insurance
• Competitive PTO
• 401K and 401K match
• National and local discounts powered by TriNet
• Onboarding stipend for remote equipment and home office setup
• Paid Parental Leave
• Charitable Donation Match program

We are committed to equal opportunity and fairness regardless of race, color, religion, sex, gender identity, sexual orientation, nation of origin, ancestry, age, physical or mental disability, country of citizenship, medical condition, marital or domestic partner status, family status, family care status, military or veteran status or any other basis protected by local, state or federal laws. Candidates must be willing to comply with all pre-employment drug screening requirements and, where applicable, comply with additional drug screening requirements as a condition of continued employment in accordance with company policy and applicable law.