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Clinical Care Specialist, Registered Nurse (1099)

join9am

Remote
Uncategorized

Job Score

70 pts
On-site model (+70)

About 9amHealth

9amHealth is an AI-enabled virtual specialty care platform focused on managing high-cost chronic conditions at scale. The company partners with employers, health plans, and pharmacy benefit managers to deliver comprehensive, cost-effective medical care for individuals living with obesity, diabetes, hypertension, and dyslipidemia. Members receive access to specialized clinicians, including endocrinologists, obesity medicine specialists, and clinical pharmacists, at-home lab testing, prescription medications, and lifestyle support.

9amHealth was founded in 2021 and is backed by leading healthcare investors like Define Ventures, SemperVirens, 7Wire Ventures, and The Cigna Group Ventures.

About the Engagement

9amHealth is seeking experienced Registered Nurses (RNs) to provide virtual nursing services to members living with chronic cardiometabolic conditions.

This is an independent contractor engagement. RNs use their professional nursing judgment and expertise to conduct virtual nursing visits, perform clinical intake and assessments, triage messages, provide member education and coaching, and identify concerns requiring escalation to the appropriate clinical provider.

Services are provided within the RN's professional scope of practice and in accordance with applicable laws, regulations, clinical standards, and established care protocols.

Services You’ll Provide

Virtual Nursing Visits
Conduct scheduled telehealth nursing visits with members managing chronic cardiometabolic conditions, including obesity, diabetes, hypertension, and dyslipidemia. Visits may include structured clinical intake and assessment, medication reconciliation, symptom and side-effect review, and identification of clinical concerns requiring escalation.

Member Messaging

Provide nursing support to members through messaging. Review and respond to member questions related to symptoms, medications, side effects, chronic disease management, and established care plans within the RN scope of practice. Gather relevant clinical information, provide appropriate education and guidance, and identify messages requiring escalation to a provider.

Member Education and Support
Provide evidence-based education within the RN scope of practice, including medication support, side-effect education, lifestyle guidance, and chronic disease self-management.

Care Coordination and Clinical Escalation
Identify and communicate acute clinical findings, medication-related concerns, changes in member status, or other issues requiring review by the appropriate provider or care team. Coordinate follow-up information as necessary to support continuity of member care.

Clinical Documentation
Ensure accurate and timely documentation of each encounter in the designated electronic health record, including relevant assessment findings, education provided, clinical escalations, and identified follow-up needs.

Professional Practice and Clinical Standards
Provide nursing services consistent with applicable state laws and regulations, professional nursing standards, scope-of-practice requirements, and applicable clinical and escalation protocols.



Qualifications

Licensure

  • Active, unrestricted Registered Nurse license in good standing.

  • Nurse Licensure Compact (NLC) multistate license or privilege required, where applicable.

  • Ability and willingness to obtain and maintain additional state licenses necessary to provide contracted services, including licensure in applicable non-compact states.

Education

  • Bachelor of Science in Nursing (BSN) required.

  • Certified Diabetes Care and Education Specialist (CDCES) or other relevant clinical certification preferred.

Experience

  • Minimum of five years of clinical nursing experience.

  • At least one year of experience providing care in a telehealth, virtual care, or ambulatory care environment.

  • Two or more years of experience supporting individuals with diabetes, obesity, hypertension, dyslipidemia, or other cardiometabolic conditions strongly preferred.

Clinical and Technical Skills

  • Strong clinical assessment, critical thinking, and escalation judgment.

  • Ability to provide clear, evidence-based member education within the RN scope of practice.

  • Proficiency with electronic health records and technology used to support virtual member care.

  • Excellent verbal and written communication skills, with the ability to translate complex medical information into clear, practical guidance for members.

  • Ability to independently manage assigned visits, required clinical documentation, and associated follow-up responsibilities.

Independent Contractor Engagement

This position is structured as a 1099 independent contractor engagement and not an employment relationship.

Independent contractors are not employees of 9amHealth and are not eligible to participate in employee benefit programs.

Contractors independently determine their availability and may accept available service opportunities consistent with the terms of their independent contractor agreement. Once a contractor accepts a scheduled visit or service commitment, the contractor is responsible for fulfilling that commitment in accordance with applicable clinical, legal, regulatory, documentation, privacy, and member-care requirements.

Contractors are responsible for maintaining all licenses, credentials, certifications, equipment, insurance, and other professional requirements applicable to the services they provide, as specified in the independent contractor agreement.

Contractors are responsible for their own federal, state, and local tax obligations and other obligations associated with independent contractor status.

The engagement is non-exclusive. Contractors may provide professional services to other organizations, provided doing so does not interfere with accepted service commitments or create a conflict with applicable contractual, confidentiality, privacy, or professional obligations.

Additional terms governing the engagement are outlined in the applicable Independent Contractor Agreement.

What you can expect at 9amHealth

At 9amHealth, you'll join the exciting environment of a startup with the stability of highly experienced founders that have successfully built a business from scratch. We foster a collaborative learning mindset and a passion for improvement. You'll work with a brand-new product alongside a small, flexible team of people eager to shape technology, infrastructure, and culture.

Our team members are spread across the globe, with physical sites in San Diego, California, and Vienna, Austria, but we value your culture regardless of where you work.

We offer a comprehensive benefits package, including health, dental, and vision insurance, along with flexible PTO and work from home options. We provide a professional development budget and support continuing education, empowering our team to grow alongside the company. Team members have the opportunity to make a meaningful impact on chronic disease management and patient outcomes while contributing to a collaborative, mission driven culture focused on improving healthcare accessibility and affordability.

Our commitment to diversity and inclusion

Diabetes disproportionately impacts BIPOC (black, indigenous, and people of color) communities. We are committed to creating a workforce that reflects our patients and creating a positive healthcare experience for them. We welcome applications from people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, and foreign born residents.

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Understand the scope of work, key skills, and tools used in different career areas.

About Digital Marketing

Digital Marketing is a constantly expanding field, driven by e-commerce growth and the need for a strong digital presence. Marketing professionals master tools like Google Ads, Meta Ads, HubSpot, Google Analytics, and automation platforms.

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The Design field, especially UX/UI and Product Design, has experienced significant growth in recent years. With accelerated business digitization, the demand for professionals who can create intuitive and pleasant digital experiences has never been higher.

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DevOps engineers and SREs are highly sought-after professionals, with salaries among the highest in the technology sector.

About Business Analysis

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Tech & Remote Glossary

Stop getting lost in interviews and job descriptions

The job market, especially within tech and global companies, has developed its own dialect. Not understanding these acronyms can make you lose valuable opportunities or poorly negotiate your contract. To end this problem, we created the Definitive Glossary for the Remote Professional.

🏢 Work Models & Routine

Async (Asynchronous Work)
A communication model where responses don't need to be immediate. Instead of back-to-back meetings, the team relies on well-structured documents, threads, and messages. It's the gold standard for global companies spanning multiple time zones.
Sync (Synchronous Work)
The opposite of Async. It requires the team to be online and available at the same time for meetings, live chats, and real-time collaboration.
Daily / Stand-up
A quick daily meeting (usually 15 minutes) common in Agile (Scrum) methodologies. The team answers three questions: What did I do yesterday? What will I do today? Are there any blockers?
All-Hands / Town Hall
A company-wide meeting involving all employees. Usually led by the founders (C-Levels) to present results, new goals, and answer team questions.
1:1 (One-on-One)
A recurring individual meeting between a professional and their direct manager. It is used for career alignment, feedback, and problem-solving, not just for project status updates.

💰 Contracts, Benefits & Compensation

PTO (Paid Time Off)
Instead of strict, categorized leave policies, modern US companies usually offer a flexible pool of days (e.g., 20 days of PTO, or even "Unlimited PTO") that you can use for vacations, sick days, or personal matters, while receiving your regular compensation.
Equity / Stock Options
Company ownership. The startup offers you the right to buy shares at a heavily discounted strike price in the future. If the company grows, goes public, or is acquired, these shares can be highly lucrative.
Vesting (Vesting Schedule)
The rule that controls your Equity. It usually lasts 4 years. You don't get all the shares on day one; you "earn" them gradually as you stay with the company. A "1-year Cliff" means you must stay for at least one year to receive your first batch of shares.
RSUs (Restricted Stock Units)
Unlike Stock Options (where you have the right to buy the stock), RSUs are actual shares the company grants you as a bonus or part of your compensation package, following a strict Vesting schedule.
Independent Contractor (1099 / B2B)
The most common international hiring model for global talent working for US companies. You act as a service provider (business-to-business), receiving the gross salary (often six-figure compensation) without standard local payroll tax deductions at the source.

🤖 Recruitment & Hiring Process

ATS (Applicant Tracking System)
The "robot" that reads your resume. Software like Greenhouse, Ashby, and Workday are used to filter candidates by keywords before a human even looks at the document. (Pro tip: this is why your resume must be clean, semantic, and have the right keywords).
JD (Job Description)
The document that lists the responsibilities, technical requirements, and benefits of the open position.
Cultural Fit
The interview stage that evaluates if your core values, communication style, and worldview align with the company's culture. This is the ultimate test of your Soft Skills.
Onboarding
The integration process. It's the period of your first few weeks at the company, where you get your access credentials, learn about the culture, study the internal documentation, and understand how the product works.

🚀 How to use this to your advantage?

The secret isn't just knowing what these acronyms mean, but using them actively. If during an interview for a premium tech role you ask, "How does your PTO policy and Vesting schedule work?", the recruiter will immediately perceive you as a high-level professional, familiar with the global market standards.

The remote job market requires preparation. And having the right vocabulary is the first big step to securing six-figure proposals and standing out among thousands of applicants.

Expert Tip

The Back-End Development Market

The Back-End Development Market: Barriers, Opportunities, and the Path to the Top

Behind every brilliant application, revolutionary artificial intelligence, or successful fintech, there is an invisible and robust ecosystem. Welcome to the Back-End universe.

The Modern Back-End Paradox: Did AI Steal the Jobs?

With the rise of tools like GitHub Copilot and Cursor, many junior developers wonder if the Back-End career is threatened. The short answer is: no. In fact, it has evolved.

Artificial Intelligence has made writing basic "CRUD" (Create, Read, Update, Delete) code trivial. However, the market no longer pays six-figure salaries for writing repetitive code. The global market is actively hunting for Software Engineers—professionals who understand architecture, resilience, latency, and scalability. The Back-End didn't die; the bar was simply raised.

Barriers to Entry: What Separates Juniors from Seniors

Entering Back-End development today requires overcoming technical barriers that go far beyond mastering a programming language (like Java, C#, Go, or Python). Key barriers include:

  • System Design: Knowing how to design a system that supports 100 users is easy. Designing one that handles 1 million requests per second requires deep knowledge of load balancing, caching (Redis/Memcached), and message queues (RabbitMQ/Kafka).
  • Data Complexity: The debate is no longer just "SQL vs. NoSQL". It is about data modeling, replication, sharding, and how to avoid database bottlenecks in distributed systems.
  • Security: With data breaches costing millions, companies require developers to master security practices from day one. Not knowing the vulnerabilities listed by the OWASP Top 10 is a dealbreaker for premium remote roles.
  • DevOps and Cloud Culture: The modern Back-End developer must understand containerization (Docker), orchestration (Kubernetes), and cloud infrastructure (AWS, GCP, Azure).

Golden Opportunities: Where is the Money?

For those who overcome these barriers, the market is a blue ocean of opportunities, especially for US/Global Remote work.

  • Migration to Microservices and Serverless: Corporate giants continue to dismantle legacy monoliths. Professionals who understand the patterns described by Martin Fowler are highly sought after.
  • High-Performance Languages: While traditional languages maintain their corporate strength, the use of Go (Golang) and Rust has skyrocketed for systems requiring massive concurrency and low memory footprint (Green Computing).
  • AI Infrastructure: AI models don't run in a vacuum. There is a massive demand for Back-End engineers proficient in Python and C++ to build data pipelines (MLOps) and the APIs that serve these models in real time.

Success Stories: Architectural Decisions That Changed the Game

True Back-End engineering shines when solving impossible problems. Let's look at real-market examples:

The Discord Case (Migration to Rust): Discord faced latency spikes in its core Read States service, originally written in Go. Because Go's Garbage Collector caused critical millisecond freezes, the team rewrote the service in Rust, completely eliminating latency spikes and supporting trillions of messages with absurd efficiency. This proved the value of choosing the right tool for performance limits.

The Netflix Case (Pioneering Microservices): Netflix transformed a monolithic system that broke under pressure into an architecture of thousands of independently managed microservices. They pioneered the concept of Chaos Engineering, purposely shutting down production servers to ensure their Back-End was resilient to failure.

Practical Tips: How to Land Premium Global Jobs

  1. Master the Fundamentals: Before learning the trendy framework of the month, study data structures, algorithms, and time complexity (Big-O Notation). This is exactly what will be tested in high-level technical interviews (Whiteboard interviews).
  2. Build a Problem-Focused Portfolio: A GitHub repository with a "To-Do List" won't impress anyone. Build an API that handles asynchronous image processing, create a scalable URL shortener, or engineer a messaging system using WebSockets and Redis.
  3. Study Real Cloud Architecture: Get solutions-based certifications (like AWS Certified Developer or Solutions Architect). These serve as a "Seal of Approval" to bypass strict Applicant Tracking Systems (ATS) like Greenhouse or Ashby.
  4. Flawless Technical Communication: According to the Stack Overflow Developer Survey, the highest-paying roles require asynchronous global collaboration. Your code documentation, commit messages, and PR reviews must be pristine and professional.

Verdict: Is a Career in Back-End Worth It?

Absolutely. If you are an analytical person who loves solving complex puzzles and cares about the security and efficiency of things no one sees, the Back-End is your place.

It is a career virtually immune to visual fads. While Front-End libraries change every few years, the fundamentals of relational databases, networks, and operating systems remain the same. It is a rock-solid foundation for a highly lucrative and globalized career.