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The START Center for Cancer Research

<div>The START Center for Cancer Research (&ldquo;START&rdquo;) is the world&rsquo;s largest early phase site network, fully dedicated to oncology clinical research. To date, over 45 therapies conducted at START locations have obtained FDA/EMA approval. 


The START Center for Cancer Research is seeking a Director of Nursing &amp; Study Operations. The Director of Nursing &amp; Study Operations is a dual-function leadership role responsible for the oversight and performance of START&rsquo;s nursing teams and clinical research operations. This role ensures compliant, efficient, and high-quality care and study conduct across departments, while supporting START&rsquo;s goals for study growth, operational excellence, and patient care. The Director leads Clinical Research Coordinators, Medical Records, Data Coordinators, Clinic Nurses, Infusion Nurses, Nurse Navigators, Referral Intake and Scheduling teams. The position works collaboratively across departments including Quality, Regulatory, Finance, and Site Development. 
Work Schedule: 
Monday-Friday 8:00am-5:00pm 
Essential Responsibilities

Leadership &amp; Oversight
<ul>
<li>Provide effective, proactive leadership to Clinical Research Coordinators, Data Coordinators, Medical Records staff, Clinic Nurses, Infusion Nurses, Nurse Navigators, Referral Intake and Schedulers.</li>
</ul><ul><li>Provide training, coaching, and development for direct reports, ensuring ongoing competency and alignment with START&rsquo;s values and expectations.</li>
</ul><ul><li>Promote high-quality, patient-centered care and research delivery across clinical and study workflows.</li></ul> 


Operational Management
<ul>
<li>Oversee processes for referral intake, scheduling, patient navigation, study startup, and protocol feasibility.</li>
<li>Supervise implementation of CTMS, EHR, and other clinical documentation systems.</li>
<li>Ensure accurate and timely data capture, monitor engagement, and audit preparedness across departments.</li>
<li>Oversee use of effective workflows and SOPs; lead ongoing review and revision efforts.</li></ul> 


Clinical &amp; Study Collaboration
<ul>
<li>Serve as clinical and operational liaison to investigators, quality team, regulatory, pharmacy, and global shared services.</li>
<li>Partner with leaders to ensure compliant delivery of care within the scope of research protocols.</li>
<li>Support review and feasibility assessment of new protocols with attention to nursing and operational capacity.</li>
<li>Ensure equitable study allocation and ongoing support for study teams.</li></ul> 


Process Improvement &amp; Strategic Support
<ul>
<li>Use continuous improvement techniques to streamline workflows and resolve care or operational bottlenecks.</li>
<li>Track key metrics across referrals, screening, enrollment, and patient satisfaction.</li>
<li>Participate in strategic initiatives and regional projects to expand access and improve operational performance.</li>
<li>Collaborate with quality and compliance teams to uphold all applicable federal, GCP, and GDPR regulations.</li>
<li>Other duties may be assigned at any time.</li></ul> 


Required Education and Experience:
<ul>
<li>Bachelor&rsquo;s degree in Nursing or Health-related field</li>
<li>RN license in good standing with state</li>
<li>Minimum 5 years of leadership experience in oncology clinical research</li>
<li>CITI GCP training</li>
<li>Strong working knowledge of federal clinical research regulations, GCP, and GDPR</li>
<li>Familiarity with Microsoft Office applications and EHR/CTMS systems</li></ul> 


Preferred Education and Experience:
<ul>
<li>Advanced degree (MSN, MHA, MBA, or related)</li>
<li>ONS/ONCC chemotherapy immunotherapy certificate</li>
<li>Oncology Certified Nurse (OCN)</li></ul> 


Physical &amp; Travel Requirements:
<ul>
<li>Approximately 80% of time is spent sitting</li>
<li>Very fast-paced and ever-changing healthcare environment</li>
<li>Demanding deadlines and constant knowledge updates required</li>
<li>Works closely with physicians and cross-functional teams</li>
<li>Intermittent travel to support site activation and training (&lt;10%)</li></ul> 


Best-in-Class Benefits and Perks

We value our employees&rsquo; time and efforts. Our commitment to your success is enhanced by a competitive compensation, depending on experience, and an extensive benefits package including:
<ul>
<li>Comprehensive health coverage: Medical, dental, and vision insurance provided</li>
<li>Robust retirement planning: 401(k) plan available with employer matching</li>
<li>Financial security: Life and disability insurance for added protection</li>
<li>Flexible financial options: Health savings and flexible spending accounts offered</li>
<li>Well-being and work-life balance: Paid time off, flexible schedule, and remote work choices provided</li>
<li>Plus, we work to maintain the best environment for our employees, where people can learn and grow with the company. We strive to provide a collaborative, creative environment where everyone feels encouraged to contribute to our processes, decisions, planning, and culture.</li></ul> 


More about The START Center for Cancer Research

Deeply rooted in community oncology centers globally, The START Center for Cancer Research provides access to specialized preclinical and early-phase clinical trials of novel anti-cancer agents. START clinical trial sites have conducted more than a thousand early-phase clinical trials, including for 43 therapies that were approved by the FDA. START represents the world&rsquo;s largest roster of Principal Investigators (PIs) across its eight clinical trial sites. Committed to accelerating passage from trials to treatments, START delivers hope to patients, families, and physicians around the world. 


Learn more at STARTresearch.com. 


Ready to be part of a team changing the future of cancer treatment?

Join us in our mission to conquer cancer, one clinical trial at a time. Your expertise and dedication can help us bring hope and healing to patients worldwide. Please submit your application online. 


We are an equal opportunity employer that welcomes and encourages diversity in the workplace. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.</div>

Director of Nursing & Study Operations

Nicklaus Children's Health System

<div>
 
 Description
 
 
 
 
 Job Summary
 
 
 
 Assumes responsibility in association with Physicians and Leaders to serve as a liaison for the "community" (referring physicians, patients and families) and other MCH Physicians. Assesses, plans, implements, evaluates, and supervises individual patient care according to organizational policies and procedures. Establishes early contact with first year cancer patients to eliminate barriers to timely diagnosis and treatment by coordination of referrals from physicians and health care facilities. Providing a significant level of patient education related to illness and planned treatment. Providing patients with resources and linkages including community and patient/family support and assisting in meeting cancer-related needs as identified by patients and families.
 
 
 
 Job Specific Duties
 
 
 
 <ul>
 <li>
 Ensures safe and efficient patient care. Works closely with physicians in all specialty areas to coordinate and communicate the patient&rsquo;s care plan.
 </li>
 <li>
 Ensures further development of a collaborative and streamlined transitional patient and family process and physicians in the community and/or other related services.
 </li>
 <li>
 Works and collaborates with multidisciplinary teams to maintain and implement up-to-date coordinated patient care; communicates with all members of the healthcare team on behalf of the patient.
 </li>
 <li>
 Ensures clinical protocols to refer patients to appropriate specialist for diagnosis and treatment. Assists patients/families in obtaining referrals/appointments with needed specialists.
 </li>
 <li>
 Collaborates w/ multi-disciplinary team to provide support as appropriate to the clinical situation.
 </li>
 <li>
 Identifies and eliminates health care system barriers to ensure timely access to quality medical and clinical care.
 </li>
 <li>
 Proactively develops &amp; enhances clinical processes with the goal of providing an excellent quality clinical experience for patients. Assures smooth transition of inpatient/outpatient experiences.
 </li>
 <li>
 Communicates with referring physician&rsquo;s office for the patient&rsquo;s and physician&rsquo;s needs. Serves as liaison to community organizations for ongoing information and support services.
 </li>
 <li>
 Identifies, informs &amp; educate patients about their disease. Provides educational &amp; materials to parents. Develops care plans to enhance education &amp; satisfaction; addresses clinical concerns.
 </li>
 <li>
 Works with Marketing and outreach departments to educate referring physicians and facilities on available services.
 </li>
 <li>
 Collaborates in the screening and referral of patients for eligibility for research clinical trials.
 </li>
 <li>
 Serves as a nurse liaison to facilitate services on patient management and leads in the coordination of complex care across a continuum of care from admission and procedure through outpatient follow-up.
 </li>
 <li>
 Ensures communication between staff &amp; physicians; responsible for arranging appointments &amp; follow-up; serve as a front-line resource to obtain records, test results, &amp; other clinical information.
 </li>
 <li>
 Functions as clinical expert/role model for the Pediatric Oncology Department, identifying clinical and communication issues.
 </li>
 <li>
 Utilizes data obtained to integrate evidence practice into patient care processes.
 </li>
 <li>
 Along with administrative staff, keeps meticulous data of physician and patient inquiries, including outcomes related to timeliness of communication, completed referrals and outcomes.
 </li>
 <li>
 Disseminates new information across the institution and the community, and remains current and at the cutting edge of specialty.
 </li>
 <li>
 Promotes a safe &ldquo;error free&rdquo; working environment by consistently performing thorough hand-offs, supporting infection prevention, and other patient safety measures.
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
 
 Minimum Job Requirements
 
 
 
 <ul>
 <li>
 Bachelor's Degree in Nursing - BSN degree or currently enrolled in accredited BSN program with expected graduation date within 6 months of hire date
 </li>
 <li>
 American Heart Association BLS - maintain active and in good standing throughout employment
 </li>
 <li>
 RN Licensure within the State of Florida or Multi-State Enhanced Nursing License Compact (eNLC) &ndash; maintain active and in good standing throughout employment
 </li>
 <li>
 2-4 years of experience in oncology nursing
 
 
 </li>
 </ul>
 
 Knowledge, Skills, And Abilities
 
 
 
 <ul>
 <li>
 Master&rsquo;s degree in Nursing preferred.
 </li>
 <li>
 Specialty certification is preferred.
 </li>
 <li>
 Pediatric nursing in an acute care setting preferred.
 </li>
 <li>
 Strong interpersonal communication skills.
 </li>
 <li>
 Ability to communicate effectively both verbally and in writing.
 </li>
 <li>
 Well versed in conflict management skills.
 </li>
 <li>
 Good analytical and deduction skills.
 </li>
 <li>
 Sympathetic and emotionally supportive to patients and families.
 </li>
 <li>
 Strong organizational skills.
 </li>
 <li>
 Able to multi-task.
 
 
 </li>
 </ul>
 
 Job
 
 
 
 Nursing - Clinical
 
 
 
 Department
 
 
 
 NURSING PROFESSIONAL PRACTICE-2100-860010
 
 
 
 Job Status
 
 
 
 Professional
</div>

Nurse Navigator- Pediatric Oncology (Full Time, Days)

Cardiovascular Associates of America

<div>Clinical Research Data Assistant 
This will be an in-person position in South Miami, Florida
Position Summary
The Clinical Research Data Assistant provides administrative, data management, and study support services for clinical research studies. This position is responsible for sponsor system data entry, study reporting, document management, regulatory support, and research communications.
The Clinical Research Data Assistant works closely with Clinical Research Coordinators, investigators, sponsors, and the regulatory team to ensure accurate, timely, and compliant study documentation and reporting.
Essential Responsibilities
Data Management<ul><li>Enter study data into sponsor electronic data capture (EDC) systems.</li><li>Transcribe source documentation into sponsor systems accurately and timely.</li><li>Review entered data for completeness and accuracy.</li><li>Resolve basic data discrepancies and escalate complex issues.</li><li>Maintain study tracking logs and databases.</li></ul>
Sponsor Systems Management<ul><li>Maintain user access and system tracking documentation.</li><li>Upload required documents into sponsor portals.</li><li>Monitor sponsor system notifications and alerts.</li><li>Support completion of sponsor-required documentation.</li></ul>
Screening, Enrollment, and Study Reporting<ul><li>Prepare routine reports on screening, enrollment, randomization, and retention metrics.</li><li>Track recruitment and enrollment performance.</li><li>Maintain study enrollment dashboards and tracking tools.</li><li>Generate reports for site leadership and study teams.</li></ul>
Regulatory and Document Support<ul><li>Route study documents for review and signature.</li><li>Assist with collection of regulatory documents.</li><li>Maintain electronic and paper study files.</li><li>Support regulatory filing activities.</li><li>Assist with investigator and staff training documentation.</li></ul>
Communication Management<ul><li>Manage study email inboxes.</li><li>Route sponsor communications to appropriate team members.</li><li>Track action items from sponsor correspondence.</li><li>Assist with scheduling sponsor meetings and study-related calls.</li></ul>
Coordinator and Site Support<ul><li>Provide administrative support to Clinical Research Coordinators and investigators.</li><li>Assist with study start-up documentation.</li><li>Support study close-out activities.</li><li>Assist with preparation for sponsor monitoring visits, audits, and inspections.</li></ul>
Quality and Compliance<ul><li>Maintain confidentiality of participant information.</li><li>Ensure data accuracy and completeness.</li><li>Follow Good Clinical Practice (GCP), sponsor requirements, and site SOPs.</li><li>Participate in quality improvement initiatives.</li></ul>
Qualifications
Education<ul><li>High School Diploma required.</li><li>Associate's degree or Bachelor's degree preferred.</li></ul>
Experience<ul><li>Previous healthcare, data entry, administrative, research, or regulatory experience preferred.</li><li>Experience with electronic systems and databases preferred.</li></ul>
Knowledge, Skills, and Abilities<ul><li>Exceptional attention to detail.</li><li>Strong data entry and computer skills.</li><li>Strong written and verbal communication skills.</li><li>Ability to manage multiple deadlines.</li><li>Strong organizational skills.</li><li>Proficiency in Microsoft Office applications, particularly Excel.</li><li>Ability to learn sponsor systems, CTMS, eSource, and eRegulatory platforms.</li></ul>
Physical Requirements<ul><li>Ability to perform prolonged computer-based work.</li><li>Ability to review detailed documentation for extended periods.</li><li>Ability to occasionally lift and move files or supplies up to 15 pounds.</li></ul> 

GHHwR9Xt8Y</div>

Clinical Research Data Assistant

Evolution Research Group

<div>
 
 
 
 About Company:
 
 
 
 
 Evolution Research Group (ERG) is dedicated to delivering high-quality Phase I&ndash;IV clinical trial execution to help sponsors bring lifesaving and life-enhancing therapies to market quickly and safely. Founded in 2014, ERG has grown into a leading neuroscience clinical development company, with affiliate sites across the U.S. and deep expertise in clinical pharmacology, psychiatry, neurology, acute pain, and metabolic disorders. &nbsp;ERG has completed over 5,000 trials and continues to expand into high-need therapeutic areas in the U.S. and globally.
 
 
 
 
 Why join us?
 
 We offer a supportive culture, meaningful work, and the opportunity to contribute to cutting-edge research alongside industry leaders. Plus, we offer competitive benefits include medical and dental coverage, a matching 401(k), and paid time off to recharge.&nbsp;
 
 
 
 
 Job Description:
 
 
 
 
 The Clinical Research Coordinator is responsible for the overall coordination, organization, management, and efficient implementation of clinical trials. The CRC completes all study related procedures and distributes study medication and instructions to research subjects under the direction of the Principal Investigator and the Site Director. They maintain accurate, confidential files and documentation of study participants. In executing these position responsibilities, the Clinical Research Coordinator is guided by FDA regulations, Good Clinical Practice (GCP), and company standard operating procedures and policies.
 
 
 
 
 Responsibilities:
 
 
 
 
 
 General
 
 
 
 <ul>
 
 <li>
 Obtain&nbsp;detailed knowledge of all components of each study protocol through review and analysis of study information with Principal Investigator and Site Director prior to the effective date of the study.
 </li>
 
 <li>
 Assist to develop draft source documents and review the documents for accuracy and clarity prior to study start up.
 </li>
 
 <li>
 Review&nbsp;with Principal Investigator and Site Director, any components of the study for which additional information or clarification are required prior to the initiation of the study.
 </li>
 
 <li>
 Manage&nbsp;studies with direct oversight from Site Director, and Principal Investigator to ensure compliance with protocol requirements.
 </li>
 
 <li>
 Manage studies with Principal Investigator, Site Director, and Recruitment Manager to develop effective programs for study enrollment.&nbsp;
 </li>
 
 <li>
 Contribute to the SOP review and development as delegated by the Site Director.&nbsp;
 </li>
 
 </ul>
 
 
 
 Study Management
 
 &nbsp;
 
 
 <ul>
 
 <li>
 Perform study activities as delegated by the Principal Investigator and under the supervision of the Site Director.
 </li>
 
 <li>
 Attend the investigator meeting for each assigned protocol, as appropriate with directive from Site Director.&nbsp;
 </li>
 
 <li>
 In conjunction with Site Director and Principal Investigator, ensure adherence to the protocols and document breaches or violations with sponsors and appropriate Institutional Review Boards (IRBs) and other outside regulatory organizations, as required.
 </li>
 
 <li>
 Screen, enroll subjects and schedule subject visits in conjunction with Principal Investigator
 </li>
 
 <li>
 Review and obtain informed consent from with potential study volunteer
 </li>
 
 <li>
 Document all written and phone correspondences with sponsor, labs, IRB other regulatory organizations
 </li>
 
 <li>
 Maintain organized, accurate and complete study records
 </li>
 
 <li>
 Assist Principal Investigator in conducting studies in manner to ensure integrity of data and safety of subjects.
 </li>
 
 <li>
 Enter data as appropriate for protocol (paper-electronic data capture)
 </li>
 
 <li>
 In conjunction with Principal Investigator, accurately report and track adverse events as defined by each study protocol.
 </li>
 
 <li>
 Perform study close-out procedures.
 </li>
 
 <li>
 Store study records appropriately
 </li>
 
 <li>
 Additionally, this role may encompass responsibilities beyond those outlined above, as required by the evolving needs of the organization. This job description is intended as a foundation and may be subject to expansion or modification to best suit ERG&rsquo;s objectives.
 </li>
 
 </ul>
 
 
 
 Skills and Qualifications:
 
 
 
 <ul>
 
 <li>
 
 Education and experience
 
 
 <ul>
 
 <li>
 High School Diploma or its equivalent; College degree preferred.
 </li>
 
 <li>
 Able to communicate with providers, co-workers, sponsors, and others in a collaborative and courteous manner.&nbsp;
 </li>
 
 <li>
 Knowledgeable in medical terminology to communicate with physician office and laboratory staff.&nbsp;
 </li>
 
 <li>
 Demonstrate&nbsp;the initiative to act independently, initiate activity as required and make appropriate decisions within the constraints of study protocols, regulatory requirements, and company policy.
 </li>
 
 <li>
 Able to initiate or modify behavior to achieve desired outcomes in spite of environmental factors, priorities, or problems that might not be well defined or that are subject to change.
 </li>
 
 </ul>
 </li>
 
 <li>
 
 Requirements
 
 
 <ul>
 
 <li>
 Understand regulatory requirements, as well as Good Clinical Practices (GCP) and International Conference of Harmonization (ICH) guidelines.&nbsp;
 </li>
 
 <li>
 Excellent communication skills (interpersonal, written, verbal)&nbsp;
 </li>
 
 <li>
 Basic computer skills to include Word, Excel, as well as proprietary applications unique to the clinical research industry (such as Study Manager)
 </li>
 </ul>
 </li>
 </ul>
</div>

Clinical Research Coordinator

Mount Sinai Medical Center

<div>As Mount Sinai grows, so does our legacy in high-quality health care.
Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.
Culture of Caring: The Sinai Way
Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.
Department:
CC019980 Research Admin Payroll Control
Job Description Summary:
The Urology Research Registry Abstractor is responsible for reviewing patient medical records to extract, code, analyze, and enter detailed urologic clinical data into institutional, state, and national research and quality registries. This role supports clinical outcomes research, quality improvement initiatives, resident and fellow education, grant-funded research projects, and regulatory reporting within the Department of Urology. Proficiency with redcap software and database management.
Position Responsibilities<ul><li>
Performs the screening of participant patients, following the assigned research requirements and protocol.</li><li>
Proficiency with REDCap software and database management.</li><li>
Review inpatient and outpatient medical records for urologic conditions, including but not limited to:<ul><li>
Prostate, bladder, kidney, and testicular cancers</li><li>
Benign prostatic hyperplasia (BPH)</li><li>
Nephrolithiasis (kidney stones)</li><li>
Reconstructive urology procedures</li><li>
Robotic and minimally invasive surgical procedures</li></ul></li><li>
Abstract and code diagnoses, procedures, pathology findings, cancer staging, biomarkers, complications, treatments, recurrence data, and clinical outcomes.</li><li>
Enter, validate, and maintain high-quality data in institutional databases and specialty registries.</li><li>
Perform case finding through pathology reports, operative reports, clinic schedules, tumor boards, and EHR reporting tools.</li><li>
Conduct regular data audits ensuring completeness and accuracy.</li><li>
Ensure compliance with registry standards, accreditation requirements, research protocols, and reporting deadlines.</li><li>
Assist faculty, fellows, residents, and medical students with retrospective chart reviews and research dataset preparation.</li><li>
Generate datasets for abstracts, manuscripts, presentations, quality improvement projects, and grant submissions.</li><li>
Participate in departmental research meetings, tumor boards, and quality improvement committees as needed.</li><li>
Support preparation of reports for internal review, institutional benchmarking, and national comparisons.</li><li>
Assist with preparation and submission of IRB applications, amendments, continuing reviews, and study closures.</li><li>
Maintain study documentation, regulatory binders, and research files in accordance with institutional and federal guidelines.</li><li>
Ensure all data abstraction activities align with approved IRB protocols.</li></ul>
Qualifications<ul><li>
License/Registration/Certification<ul><li>
Preferred: RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), CCS (Certified Coding Specialist), CPC (Certified Professional Coder), or Active CITI Program certification in Human Subjects Research.</li></ul></li><li>
Education<ul><li>
Bachelor&rsquo;s degree in Health Information Management, Nursing, Public Health, Clinical Sciences, or related field required.</li></ul></li><li>
Experience<ul><li>
2+ years of clinical data abstraction, registry management, coding, or clinical research experience required.</li><li>
Experience in surgical, oncology, or urology preferred.</li><li>
Experience in an academic medical center or teaching hospital preferred.</li><li>
Experience working with IRB protocols and regulatory documentation preferred.</li></ul></li></ul>
Benefits:
We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:<ul><li>
Health benefits</li><li>
Life insurance</li><li>
Long-term disability coverage</li><li>
Healthcare spending accounts</li><li>
Retirement plan</li><li>
Paid time off</li><li>
Pet Insurance</li><li>
Tuition reimbursement</li><li>
Employee assistance program</li><li>
Wellness program</li><li>
On-site housing for select positions and more!</li></ul>
Degree Requirements:
Certification:</div>

Research Registry Abstractor Urology

Di Rezze Family Office

<div>Nurse Practitioner - Sphere Senior

Department: Clinical Operations, Sphere Senior

Reports To: Medical Director / Geriatric Care Operations Director

Employment Type: Full-Time

Schedule: 4 &times; 10-Hour or 3 &times; 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
<ul>
<li>Conduct comprehensive in-home assessments, physical exams, acute visits, and longitudinal follow-ups for a complex geriatric patient panel</li>
<li>Diagnose and manage multi-morbidity with clinical precision: heart failure, COPD, diabetes, dementia, CKD, frailty syndromes, polypharmacy, and fall risk</li>
<li>Develop individualized, patient-centered care plans in collaboration with patients, caregivers, and the interdisciplinary care team and actively monitor and adjust them over time</li>
<li>Prescribe medications and therapies in accordance with state scope-of-practice regulations and evidence-based protocols</li>
<li>Conduct advance care planning and goals-of-care conversations with sensitivity and clinical skill</li>
<li>Provide serious illness and palliative care support, including symptom management and family guidance</li>
</ul>
Care Transitions &amp; Utilization
<ul>
<li>Own post-hospitalization and SNF discharge follow-up to prevent avoidable readmissions, bridge visits, medication reconciliation, care plan updates</li>
<li>Collaborate with care coordinators on real-time ED diversion and transition-of-care workflows</li>
<li>Identify and escalate high-risk patients proactively using SphereOS risk stratification tools before crises occur</li>
</ul>
Team &amp; Quality
<ul>
<li>Participate in risk stratification reviews, interdisciplinary care team huddles, and care committee meetings</li>
<li>Collaborate with care coordinators, social workers, behavioral health staff, and the Medical Director on complex cases</li>
<li>Contribute to quality improvement initiatives, readmission reduction, HEDIS/Stars gap closure, advance care planning rates</li>
<li>Document all clinical encounters accurately and promptly within SphereOS/EHR &mdash; complete, billable, compliant</li>
</ul>
Urgent &amp; On-Call Support
<ul>
<li>Respond to urgent clinical needs during shift hours in coordination with on-call protocols</li>
<li>Participate in structured after-hours on-call rotation (low-burden, shared with Medical Director and APP team)</li>
</ul>
Who You Are

Required:
<ul>
<li>Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP)</li>
<li>Active, unrestricted NP license in the state(s) of practice</li>
<li>National certification: ANCC (AGPCNP-BC preferred, FNP-BC accepted) or AANP (FNP-C)</li>
<li>Active DEA registration (or ability to obtain prior to start)</li>
<li>BLS certification; ACLS preferred</li>
<li>2+ years of NP experience in geriatrics, primary care, home-based care, SNF/LTC, or complex care management</li>
<li>Demonstrated comfort with telehealth, digital health tools, and AI-assisted clinical workflows</li>
<li>Strong interpersonal skills &mdash; clear communicator across varying health literacy levels</li>
<li>Valid driver's license and reliable transportation (in-home travel required)</li>
</ul>
Strongly Preferred:
<ul>
<li>Experience in home-based primary care (HBPC), PACE, or value-based care programs</li>
<li>Palliative care training or certification (ACHPN or equivalent)</li>
<li>Familiarity with risk stratification tools: HCC coding, LACE index, CMS-HCC models</li>
<li>Experience with ACO, MSSP, or Medicare Advantage quality programs</li>
<li>Bilingual &mdash; Spanish, Mandarin, Cantonese, Vietnamese, or other languages spoken by patient communities</li>
<li>Comfort working independently in field-based settings with minimal on-site supervision</li>
</ul>
Schedule

Sphere Senior is designed around clinician sustainability &mdash; we don't believe 5-day weeks of 12-hour home visits produce excellent care or retain excellent people.
<ul>
<li>Option A (standard): 4 &times; 10-hour shifts/week</li>
<li>Option B: 3 &times; 12-hour shifts/week + 1 administrative/remote half-day</li>
<li>No mandatory overnight shifts</li>
<li>Structured, shared on-call rotation &mdash; low-burden and predictable</li>
<li>Weekend expectations discussed transparently during the hiring process</li>
</ul>
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 &mdash; 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 &mdash; not to churn through 25 patients a day in a 10-minute visit model &mdash; this is the role you've been waiting for.</div>

Nurse Practitioner - Sphere Senior

<div>As Mount Sinai grows, so does our legacy in high-quality health care.
Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.
Culture of Caring: The Sinai Way
Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.
Department:
Job Description Summary:<h2 class="jobSectionHeader">
Sign On Bonus: Up to $25K</h2>
Full Time, Part Time and Per Diem opportunities!<h2 class="jobSectionHeader">
Position Responsibilities</h2><ul><li>
Administers &amp; Coordinates medical prescribed therapy as assigned.</li><li>
Prioritizes Patient therapy according to patient acuity on a daily basis.</li><li>
Accountable for administration, observation, charting and reporting effects of drugs, oxygen respiratory treatments and other theraputic and diagnostic measures.</li><li>
Completes assignments on a timely basis while adapting to changing workloads when required.</li><li>
Maintains individual standard shift productivity.</li><li>
Demostrates knowledge of indications, contraindications, hazards and troubleshooting of all treatments as assigned.</li><li>
Demonstrates effective and efficient care through clinical competencies at least annually.</li><li>
Demonstrates competency in drawing and/or running arterial blood gases at least annually.</li><li>
Completes all forms in electronic medical record and departmental records accurately and legibly according to hospital/departmental policy and procedure.</li><li>
Communicates pertinent information at shift report.</li><li>
Participates in critical care program as an educator as needed</li><li>
Monitors ventilation patients according to departmental standards.</li><li>
Demonstrates ability to teach and educate patient and family according to departmental policies and procedures.</li><li>
Uses supplies, equipment and resources in a cost effective manner.</li><li>
Assists Department in Respiratory Student rotations.</li><li>
All related duties as necessary</li><li>
Provides direct assistance to patients and co-workers as assigned by the Clinical Manager.</li><li>
Demonstrates competency in performing 12 Lead EKG.</li><li>
Demonstates knowledge of crisis intervention, verbal de escalation and physical intervention (i.e. mental health, Baker Act, etc).</li><li>
Successfully completes CPI training and provides assistance with aggressive patients.</li><li>
Anticipates patients needs, provides customer service.</li><li>
Demonstrates competency in obtaining vital signs, identifying abnormal values and reporting findings.</li><li>
Provides 1:1 (sitter) care for patients as needed.</li><li>
Transports patients for tests, procedures, etc as needed.</li><li>
Assist with all patient care needs as assigned.</li></ul><h2 class="jobSectionHeader">
Qualifications</h2><ul><li><h3 class="jobSectionHeader">
License/Registration/Certification</h3><ul><li>
Florida license for Registered Respiratory Therapist. BLS Certification.</li></ul></li><li><h3 class="jobSectionHeader">
Education</h3><ul><li>
Graduate of a two-year accredited program for Respiratory Care</li></ul></li><li><h3 class="jobSectionHeader">
Experience</h3><ul><li>
1-2 years intensive care/ABG drawing/analysis</li></ul></li></ul>
Benefits:
We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:<ul><li>
Health benefits</li><li>
Life insurance</li><li>
Long-term disability coverage</li><li>
Healthcare spending accounts</li><li>
Retirement plan</li><li>
Paid time off</li><li>
Pet Insurance</li><li>
Tuition reimbursement</li><li>
Employee assistance program</li><li>
Wellness program</li><li>
On-site housing for select positions and more!</li></ul>
Degree Requirements:
Certification:</div>

Registered Respiratory Therapist I

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