Nurse Practitioner (In Home Family Care)

About Nest Health

As the first value-based care provider built for families, Nest is on a mission to make comprehensive medical, behavioral, and social care radically accessible to America’s highest risk families. Founded in 2022 by Former Secretary of Health of Louisiana and practicing OB-GYN, Dr. Rebekah Gee, and Rebecca Kavoussi, Nest is the first-of-its-kind family-based, in-home, and virtual care model. This includes primary adult and pediatric care, mental health and nutrition support, vaccinations and labs, same-and-next-day acute visits, chronic condition and transitions of care management, social services and navigation, and more. Nest’s innovative model has resulted in partnerships, unlocking care for thousands of families across our markets. Nest’s early success has led to national traction across states and payers, laying the groundwork for future expansion to families across the United States.

About Working at a Startup

Working at a healthcare startup can be a unique experience with a fast-paced, ever-changing environment that can involve varied workloads, quick changes, and high expectations. Here are some things you can expect:

• Role Breadth: Your role may be less defined than in other settings, with the need to wear multiple hats and juggle various responsibilities.
• Learning opportunities: You will have the opportunity to function outside of your standard position and learn about new roles and areas.
• Fast Paced: Startups often move faster than traditional large companies, requiring you to cope with or advise on quick changes regarding systems or processes.
• Autonomy: You will need to be highly autonomous, as there is less structure and learning and development than at large organizations. This requires you to learn asynchronously and raise your hand when help is needed or gaps are identified.
• Collaboration: With many opportunities to build processes and improve care delivery, we rely heavily on one another to communicate changes effectively and ensure seamless support across functions. This requires frequent feedback and clear communication of challenges or opportunities.

About the Role

The Nurse Practitioner (NP) is the primary care provider, delivering whole-family primary, acute, chronic, and pediatric care to adult and pediatric family members in the home setting. The NP acts as both a health practitioner and educator, providing care in a culturally congruent, non-judgmental manner while collaborating closely with a clinical team that includes physicians, behavioral health counselors, registered dieticians, and medical assistants upskilled to support social services navigation during home visits.

Responsibilities

• Manage a panel of families as the primary care provider to improve whole-family health through longitudinal primary and preventive care, care management, and care coordination in the home setting and via telehealth and virtual care modalities (video, phone, SMS).
• Practice with the support of a robust interdisciplinary team, including MDs, LCSWs, RNs, psychiatrists, dieticians, and medical assistants.
• Utilize Nest Health’s electronic health record and care management tools to collect data, document member interactions in the field, organize information, track tasks, and communicate with your team, members, and community resources.
• Attend daily team huddles and weekly case conferences to advise on physical health needs and establish health goals as part of each member’s Nest Action Plan (NAP).
• Propose treatments for chronic and infectious diseases, prescribe and reconcile appropriate medications, and educate patients about their conditions and medications.
• Order, administer, obtain, and record diagnostic tests.
• Provide information and assistance through advocacy, navigation support, and education to Nest families on the availability and eligibility of health and social care services.
• Participate in outreach efforts to Nest families, including explaining program details to potential families.

Requirements

• Completion of a Physician Assistant or Nurse Practitioner accredited program and an active, unrestricted license to practice in Louisiana.
• At least 2 years of experience providing clinical services to pediatric (including newborns) and adult patients with both chronic medical and behavioral health conditions, and an interest in serving underserved, vulnerable populations.
• Demonstrated proficiency, prior experience, and/or willingness to train in clinical nursing skills such as blood drawing (venipuncture and phlebotomy), patient assessments, and care plan reinforcement for common adult and pediatric chronic conditions (e.g., diabetes, respiratory concerns, hypertension, CHF, depression).
• Proven skills, knowledge base, and judgment necessary for independent clinical decision-making and problem-solving.
• Available to work a full-time, five-day work week and participate in a rotating call schedule that includes occasional evening and weekend days each month.
• Maintains current CPR certification (BLS).
• Experience working as the leader of an interdisciplinary care team is preferred.
• Experience in a startup environment is a plus but not required.
• Access to reliable transportation and willingness to comply with all terms of the Nest Motor Vehicle Safety Policy.
• This position involves educating and encouraging vaccination against COVID-19.

Travel & Physical Requirements

• This is a traveling nurse practitioner role providing service in family homes.
• Must have a driver’s license, a car (mileage is reimbursed), auto insurance, and the ability to drive to the homes of Nest families and carry portable healthcare supplies.
• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift up to 25 pounds at times.

Benefits

• Competitive compensation packages reflecting skills and contributions.
• Employer-sponsored health, dental, and life insurance options.
• Generous PTO.
• Family-centric health support with access to Lyric’s comprehensive services for urgent care, behavioral health, psychology, and psychiatry for you and your entire family, including virtual veterinary care for pets.
• Company-supported Parental Leave for both primary and non-primary caregivers, with options for a tiered return to work and eligibility for additional PTO for prenatal care and backup childcare.
• Reimbursement for work-related vehicle expenses, including commuting and travel costs.
• Up to $3,000/year in Tuition Reimbursement to support educational and professional development.
• Employer-sponsored short-term and long-term disability benefits.
• Enrollment in a 401(k) Retirement Plan through Human Interest with flexible contribution options.

Why Choose Nest Health?

Nest and its leaders have won multiple awards, including Rock Health's Next-Gen Pediatric Innovations, New York Times Top Five Who Spread Hope, New Orleans City Business Power 50, and CB Insights Digital 150. Nest has also been recognized on Inc.'s Female Founder 500 List for 2025 and has garnered national attention from outlets such as 60 Minutes, Business Insider, NYTimes, Fierce Healthcare, Axios, and others.

Nest Health celebrates the diversity of our patient population and seeks diversity on our team. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristics.