Nurse Practitioner - Sphere Senior

Nurse Practitioner - Sphere Senior

Department: Clinical Operations, Sphere Senior

Reports To: Medical Director / Geriatric Care Operations Director

Employment Type: Full-Time

Schedule: 4 × 10-Hour or 3 × 12-Hour Shifts/Week

Setting: Field-Based (In-Home) + Remote Clinical Support

About Sphere Senior

Sphere Senior is an AI-native, home-based primary care program built for older adults with serious, complex medical needs, people who deserve more than rushed office visits and reactive emergency care. We deliver primary care, chronic disease management, care transitions support, and serious illness/palliative care directly in the home.

Our proprietary clinical intelligence platform, SphereOS, works alongside you in real time, surfacing risk flags, streamlining documentation, tracking care gaps, and keeping the full care team coordinated. You'll practice at the top of your license, supported by technology that actually reduces your cognitive load instead of adding to it.

You won't be doing this alone. You'll have a supervising Medical Director, a dedicated interdisciplinary team, and a care infrastructure designed so you can focus on what you do best: caring for patients.

The Role

As a Nurse Practitioner at Sphere Senior, you are the primary clinical presence for a panel of complex, high-needs older adults, in their homes, where they live and where care has the most impact. You'll manage chronic conditions, navigate serious illness conversations, prevent avoidable hospitalizations, and build the kind of longitudinal patient relationships that define exceptional primary care.

This is a high-autonomy role, you own your panel, you drive care planning, and you make real clinical decisions. It's also a high-support role for SphereOS, your Medical Director, care coordinators, and the broader team are with you every step of the way.

What You'll Do

Direct Patient Care

  • Conduct comprehensive in-home assessments, physical exams, acute visits, and longitudinal follow-ups for a complex geriatric patient panel
  • Diagnose and manage multi-morbidity with clinical precision: heart failure, COPD, diabetes, dementia, CKD, frailty syndromes, polypharmacy, and fall risk
  • Develop individualized, patient-centered care plans in collaboration with patients, caregivers, and the interdisciplinary care team and actively monitor and adjust them over time
  • Prescribe medications and therapies in accordance with state scope-of-practice regulations and evidence-based protocols
  • Conduct advance care planning and goals-of-care conversations with sensitivity and clinical skill
  • Provide serious illness and palliative care support, including symptom management and family guidance

Care Transitions & Utilization

  • Own post-hospitalization and SNF discharge follow-up to prevent avoidable readmissions, bridge visits, medication reconciliation, care plan updates
  • Collaborate with care coordinators on real-time ED diversion and transition-of-care workflows
  • Identify and escalate high-risk patients proactively using SphereOS risk stratification tools before crises occur

Team & Quality

  • Participate in risk stratification reviews, interdisciplinary care team huddles, and care committee meetings
  • Collaborate with care coordinators, social workers, behavioral health staff, and the Medical Director on complex cases
  • Contribute to quality improvement initiatives, readmission reduction, HEDIS/Stars gap closure, advance care planning rates
  • Document all clinical encounters accurately and promptly within SphereOS/EHR — complete, billable, compliant

Urgent & On-Call Support

  • Respond to urgent clinical needs during shift hours in coordination with on-call protocols
  • Participate in structured after-hours on-call rotation (low-burden, shared with Medical Director and APP team)

Who You Are

Required:

  • Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP)
  • Active, unrestricted NP license in the state(s) of practice
  • National certification: ANCC (AGPCNP-BC preferred, FNP-BC accepted) or AANP (FNP-C)
  • Active DEA registration (or ability to obtain prior to start)
  • BLS certification; ACLS preferred
  • 2+ years of NP experience in geriatrics, primary care, home-based care, SNF/LTC, or complex care management
  • Demonstrated comfort with telehealth, digital health tools, and AI-assisted clinical workflows
  • Strong interpersonal skills — clear communicator across varying health literacy levels
  • Valid driver's license and reliable transportation (in-home travel required)

Strongly Preferred:

  • Experience in home-based primary care (HBPC), PACE, or value-based care programs
  • Palliative care training or certification (ACHPN or equivalent)
  • Familiarity with risk stratification tools: HCC coding, LACE index, CMS-HCC models
  • Experience with ACO, MSSP, or Medicare Advantage quality programs
  • Bilingual — Spanish, Mandarin, Cantonese, Vietnamese, or other languages spoken by patient communities
  • Comfort working independently in field-based settings with minimal on-site supervision

Schedule

Sphere Senior is designed around clinician sustainability — we don't believe 5-day weeks of 12-hour home visits produce excellent care or retain excellent people.

  • Option A (standard): 4 × 10-hour shifts/week
  • Option B: 3 × 12-hour shifts/week + 1 administrative/remote half-day
  • No mandatory overnight shifts
  • Structured, shared on-call rotation — low-burden and predictable
  • Weekend expectations discussed transparently during the hiring process

Why Sphere Senior

Most NP roles offer you a choice: autonomy or support. Private practice gives you freedom but no infrastructure. Health system roles give you resources but crush you with volume and bureaucracy.

Sphere Senior is built differently. You get a real patient panel, real clinical ownership, and real relationships — backed by a Medical Director who's in the field with you, a technology platform that makes your job easier, and a team that's invested in your success.

If you became an NP to make a difference in the lives of older adults — not to churn through 25 patients a day in a 10-minute visit model — this is the role you've been waiting for.

Back to blog

Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...