Sixty million Medicare seniors live with chronic disease. The care system sees most of them twice a year. Cadence is building the infrastructure to support them every day. Cadence is a clinical AI company that delivers continuous, proactive care for older adults with chronic conditions like hypertension, heart failure, and diabetes. We pair patients with a dedicated clinical team, integrate deeply into health system EMRs and workflows, and use our Clinical Intelligence platform to monitor vitals, surface risk early, optimize medications, and close care gaps between visits. The result: patients engage with care 100x more than before Cadence, clinicians focus on judgment instead of administrative work, and Medicare saves $2M a week. We operate as a full clinical care delivery organization, not a software vendor. Our clinicians work alongside health system partners, extending the reach of local primary care providers into patients' homes. We're now applying AI agents across these workflows – from alert review and medication titration to lifestyle coaching and care coordination – with clinicians always in control of clinical decisions. We're hiring a Registered Nurse to own after-hours patient monitoring, triage, and clinical escalation for Cadence's chronic care population. This is a high-stakes, independent clinical role operating when primary care offices are closed - covering the hours when patients with hypertension, heart failure, and diabetes need a skilled clinician to respond, not a voicemail. You will work directly with patients and the Cadence care team to ensure continuity of care and clinical safety across every after-hours interaction. Available schedules: * Thursday, Friday, Saturday, and every other Wednesday, 7:00 PM - 7:00 AM ET. * Sunday, Monday, Tuesday, and every other Wednesday, 7:00 PM - 7:00 AM ET. WHAT YOU'LL DO * Triage inbound patient calls and alerts using standardized clinical protocols (including Schmitt-Thompson telephonic triage guidelines), escalating appropriately from after-hours clinic referrals to emergency dispatch when clinical status requires it. * Monitor patient vitals, symptoms, and labs in real time to identify patients requiring clinical intervention and execute the appropriate escalation pathway within established care guardrails. * Follow up with patients presenting abnormal readings to gather clinical history, assess acuity, and triage to the correct level of care. * Document patient case notes in the Cadence platform and log follow-up tasks in ZenDesk to ensure the full care team has a complete clinical record for every after-hours interaction. * Respond to inbound patient questions and clinical escalations by phone and text message, maintaining the continuity and trust that define the Cadence care relationship. * Conduct outreach to patients with lapses in vital sign adherence and support rescheduling for patients who have missed follow-up touchpoints. * Uphold clinical care standards in every patient interaction, reflecting Cadence's commitment to the experience goals of health system partners and the well-being of each patient served. These responsibilities are intended to describe the general nature and level of work being performed by personnel assigned to this job classification. They are not to be construed as an exhaustive list of job duties performed by personnel in this classification. Other job related duties may be assigned by management. WHAT YOU NEED * Active RN compact (multi-state) licensure required. * 4+ years of clinical experience treating patients with CHF, hypertension, and diabetes in an inpatient or outpatient setting. * Experience in a CHF bridge clinic or equivalent high-acuity chronic disease management environment. * Experience with remote patient monitoring technology and the ability to interpret continuous vital sign data in a clinical context. * Demonstrated ability to conduct independent clinical triage and make sound escalation decisions without in-person oversight. * Fluency with AI-assisted clinical tools (such as Gemini, Open Evidence, or comparable platforms) and the ability to speak credibly with providers and patients about where AI supports care delivery and where human judgment remains non-negotiable. COMPENSATION The anticipated salary range for this role is $80,000 to $90,000, which is based on role scope, level, and location. In addition to base compensation, this role may be eligible for incentive compensation as part of the overall total rewards package. This position is remote and based in the United States. Actual compensation will be determined based on factors including experience, skills, internal equity, and applicable law.   Benefits & Perks * Competitive pay & equity* * Fully remote * Comprehensive health coverage: Medical, dental & vision * Paid time off * 401k plan + matching * Paid parental leave * Home office stipend *benefit offerings may vary depending on job profile, job level and worker type Cadence is committed to equal opportunity and fairness regardless of race, color, religion, sex, gender identity, sexual orientation, nation of origin, ancestry, age, physical or mental disability, country of citizenship, medical condition, marital or domestic partner status, family status, family care status, military or veteran status or any other basis protected by local, state or federal laws.  A notice to Cadence applicants: Our Talent team only directs candidates to apply through our official careers page at https://www.cadence.care/our-team.  Cadence will never refer you to external websites, ask for payment or personal information, or conduct interviews via messaging apps. We receive all applications through our website and anyone suggesting otherwise is not with Cadence. If you require a reasonable accommodation during the hiring process, please contact [email protected]