Full Stack Engineering

Engineering / Product Full-time Remote (United States, San Francisco preferred) Nursing Excellence Leadership Platform (NELP) is the only unified platform for ANCC Designations, Professional Governance, Clinical Ladders, and EBP. About NELP Building the system of record for nursing excellence NELP improves patient outcomes and nurse retention across the country's largest health systems. Nursing leaders drive retention, patient safety, quality improvement, and workforce development, but the programs behind that work (Magnet®, Pathway to Excellence®, clinical ladders, shared governance, EBP) are still run on spreadsheets and shared drives. The impact nursing creates every day goes unmeasured and invisible to the executives who fund it. NELP is the only unified platform for ANCC designations, professional governance, digital clinical ladders, and clinical inquiry. Four integrated products, one shared evidence repository. Work done once compounds across every program. Leadership gets real visibility, and nursing's impact becomes quantifiable, defensible, and tied to patient outcomes. Our vision There is no system of record for nursing excellence. NELP is building it One platform where every council decision, clinical ladder submission, EBP project, and designation narrative is captured, connected, and tied to measurable outcomes. When nursing excellence has real infrastructure, it stops being invisible. It becomes a visible driver of quality, retention, and patient care across the entire health system. The role What you’ll be doing Own architecture and ship production features across four integrated products Design data models and services for complex multi-hospital, multi-unit organizational structures Build AI workflows for exemplar writing, evidence organization, and document retrieval across large program datasets Implement enterprise infrastructure: SSO/SAML, role-based access, audit logging, HRIS integration Sit in customer calls, hear problems firsthand, and turn them into shipped product within days Set engineering standards, CI/CD, testing strategy, and architectural patterns for the team to scale on What we’re looking for 5+ years building production SaaS products Experience designing backend systems for multi-tenant, workflow-heavy applications Comfortable owning both architecture and implementation in an early-stage environment Experience with authentication systems (SSO/SAML) and enterprise integrations Clear communicator who works well with non-technical domain experts Ability to empathize with users and not overengineer for the sake of it Impact The software you build will directly affect how hospitals retain nurses and deliver patient care. This isn't abstract. Health systems rely on NELP to run programs that shape outcomes for thousands of nurses and the patients they serve. Ownership You'll shape the product, the architecture, and the company direction from day one. Healthcare vertical SaaS for a massive, underserved market. The problem is deep, the domain is fascinating, and health systems that use NELP consistently say it's what they've needed for years. Team You'll work directly with an experienced founder and CEO who has successfully sold two previous companies. The team moves fast, builds with care, and has a lot of fun doing it.

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