Per Diem Nurse Practitioner (Gallatin, TN)

Circadia NP Opportunity

Circadia Health is a growth-stage healthcare AI company on a mission to prevent avoidable hospitalizations and transform senior-care operations. Our Circadia Intelligence Platform combines:

• Contactless sensing that monitors respiration and motion with medical-grade accuracy
• Native predictive models that detect 85% of preventable adverse events several days in advance
• Enterprise integrations that operationalize predictions directly inside EHR, care-coordination, billing, and compliance workflows

Today, our technology touches 40,000+ post-acute patients daily across skilled-nursing, home-health, and home-care networks. We are backed by leading healthcare and AI investors and headquartered in El Segundo, CA.

The Role

Lead AI-enabled care at a dedicated SNF site. As a full-time Circadia NP, you will be the clinical anchor of one facility — conducting comprehensive E&M visits, initiating and adjusting plans of care, acting on real-time AI predictive signals, and building a culture of proactive intervention that measurably reduces preventable readmissions. You are not a consultant passing through; you own the clinical outcomes of your site.

What You'll Do

• AI-driven patient prioritization: Begin each day with a Circadia dashboard review — triage overnight alerts, confirm your Tier 1–4 priority queue (new admissions → AI flags → change-of-condition → high-risk chronic), and align with the nursing team before first rounds.
• Full-scope E&M visits: Conduct comprehensive assessments, initiate or adjust plans of care, place orders, reconcile medications, and document medical necessity — 20+ visits per day across new admissions, Circadia-flagged patients, COC escalations, and programmatic rounds.
• Programmatic clinical rounds: Own four structured programs — Cardiopulmonary Monitoring Program (CMP), High-Risk Patient Management (HRPM), Post-Hospitalization Follow-Up Program (PHFP), and AI-Triggered Rapid Response — each with defined visit cadences and contribution targets.
• Circadia platform integration: Reference AI trend data in every encounter note; confirm flag resolution in the platform; maintain a flag-to-visit conversion rate that supports medical necessity documentation.
• Facility workflow ownership: Partner with DON and nursing leadership on daily huddles, COC escalation protocols, and new admission workflows; serve as the on-site clinical resource for AI-platform questions and staff coaching.
• Documentation excellence: Complete all E&M notes using AI-assisted documentation tools within 24 hours; ensure CMS compliance for SNF billing including skilled care rationale and NP scope of practice standards.
• Quality & continuous improvement: Participate in monthly internal chart audits, track facility-level KPIs (readmissions, fall rates, COC response times), and surface field insights to clinical ops and product teams.

How Success is Measured (KPIs)

• Visit Volume: 20+ documented E&M visits/day; target ~400+ visits/month
• AI Alert Response: ≤ 24-hour flag-to-visit conversion; ≥80% Time to Acknowledgement Rate
• Documentation: 100% of notes completed within 24 hours of each encounter using AI-powered tools
• Readmission Impact: Demonstrated trend toward reduced 30-day readmissions, ED visits, and transfers over time
• Facility Adoption: Consistent Circadia workflow adherence and nursing team engagement; NP-led daily huddle participation

Must-Have Qualifications

• Licensed & certified NP in TN — ANCC (or equivalent) in Adult / Family / Geriatric / Acute Care
• Full practice authority: able to initiate and adjust plans of care, place orders, and practice independently per TN scope of practice
• Medicare eligible: company bills on your behalf; must be eligible for Medicare participation
• 2+ years NP experience with complex adult populations in SNF, LTC, or post-acute settings
• Thrives in a startup environment: comfortable with evolving protocols, iterative workflows, and rapid growth
• English required

Nice-to-Haves

• Tech-forward: proficiency in Google Suite, multiple EMRs, Slack, AI transcription/documentation tools
• Geriatric or cardiopulmonary focus: experience with CHF, COPD, CKD, or complex wound management highly valued
• Spanish preferred
• SNF billing literacy: familiarity with E&M coding, Medicare Part A/B documentation requirements

Compensation & Perks

Full-Time Salaried Role: $140k+ competitive base salary commensurate with experience and TN market rates Benefits package: health, dental, vision, and PTO per company policy Mission + ownership: lead a high-impact, AI-enabled clinical program at a dedicated facility — own your outcomes and your site Tools that work: AI documentation, Circadia in-app training, integrated clinical workflows; company laptop and mobile tools provided Dedicated site: no multi-facility travel; focus 100% of your clinical energy on one building and its patients Growth path: as the program scales, facility NP leads are first in line for regional clinical leadership roles