Location & Practice Overview

This per-diem Nurse Practitioner position is based in the San Francisco area and involves on-site clinical support across partnered skilled nursing facilities. The practitioner travels among designated facilities rather than remaining embedded at a single site, working alongside facility clinical teams within a regional coverage model.

Practice Setting Partnered skilled nursing facilities
Coverage Model Multi-facility regional rounding
Geographic Area San Francisco and surrounding designated sites
Work Format On-site facility visits with local travel
Team Context Collaboration with facility-based clinical staff

Responsibilities

  • Perform initial and follow-up assessments of residents identified through clinical alerts, facility referrals, and new admissions.
  • Evaluate clinical needs and initiate or adjust care plans within applicable NP scope and clinical requirements; coordinate with facility providers and the care team.
  • Review predictive health signals and patient trends to prioritize assessments and support timely interventions.
  • Train and coach facility staff on practical use of the monitoring technology and support its integration into daily clinical workflows.
  • Complete encounter documentation and clinical notes within 24 hours using AI-assisted tools; obtain required patient consents.
  • Share clinical observations with Circadia clinical operations and product teams; support onboarding of additional Nurse Practitioners.

Qualifications & Requirements

Candidates must meet California licensure and certification standards and demonstrate relevant experience with complex adult populations. Preferred skills are listed separately from required credentials.

Licensure
Current California Nurse Practitioner licensure appropriate for practice in the state
National Certification
ANCC or equivalent certification in Adult, Family, Geriatric, or Acute care
Experience
At least two years of Nurse Practitioner experience with complex adult patient populations
Medicare & Practice Readiness
Eligible to participate in Medicare; able to practice independently within applicable professional, legal, and clinical requirements
Travel & Language
Valid California driver’s license; willingness to travel locally between clinical sites; proficiency in English
Preferred Skills
Familiarity with multiple EMRs, Google Workspace, Slack, and AI-assisted documentation tools; Spanish-language proficiency

Compensation & Benefits

The employer lists a published hourly rate of $62.50 and also describes a separate per-visit payment model. An illustrative conversion under the per-visit model is described as approximately $187–$234 per hour equivalent; this figure is a calculated illustration based on visit assumptions and is not a guaranteed hourly rate. Exact payment formulas, treatment of documentation and travel time, and benefit eligibility should be confirmed with the employer.

  • Published hourly rate: $62.50
  • Per-visit payment model also described (separate from the hourly rate)
  • Illustrative per-visit conversion referenced as approximately $187–$234 per hour equivalent (not guaranteed)
  • Travel reimbursed at the applicable federal mileage rate
  • Mileage and lodging support for sites outside the usual coverage radius per company policy

Schedule & Work Environment

Employment Type Per diem
Expected Commitment Approximately 2–4 days per month
Work Pattern On-site facility rounding across designated skilled nursing sites
Visit Volume Target Employer references a target of 45 patient visits per day
Alternate Volume Guidance 25 or more visits may be appropriate in certain skilled nursing facility settings
Shift Details Exact working days, shift hours, and scheduling arrangements not specified in the available posting

Patient Population & Clinical Setting

The role centers on medically complex adults receiving care in skilled nursing facilities. Residents include individuals at various points in the post-acute pathway, such as new admissions and those identified by facility staff as needing further evaluation.

Population Medically complex adults
Care Setting Skilled nursing facilities
Care Stage Post-acute and ongoing facility-based care
Resident Mix New admissions, facility-referred residents, and others requiring clinical assessment

Clinical Focus & Key Services

Clinical work emphasizes technology-supported prioritization and evaluation of post-acute residents. Monitoring data related to respiration and movement informs which residents may benefit from timely assessment, while care-plan decisions and coordination remain within the NP’s professional scope and facility collaboration.

Monitoring-Supported Prioritization Use of predictive health signals and trends to help identify residents who may need assessment
Clinical Evaluation Assessment of clinical status and needs in the skilled nursing environment
Care-Plan Support Initiation or adjustment of plans within applicable scope, coordinated with facility providers
Workflow Integration Practical incorporation of monitoring information into established facility clinical processes

Role Highlights

Distinctive features of this position relative to many traditional single-site skilled nursing NP roles include the explicit pairing of bedside assessment with technology adoption and the multi-facility regional structure.

  • Clinical practice combined with hands-on support for adopting monitoring technology at the facility level
  • Regional multi-facility coverage rather than exclusive assignment to one site
  • Direct contribution of frontline observations to clinical operations and product teams
  • Opportunity to support onboarding and knowledge-sharing for other Nurse Practitioners

About Circadia Health

Circadia Health is a healthcare technology company focused on contactless monitoring and predictive insights for senior and post-acute care. The organization works with skilled nursing and related facilities to support earlier identification of potential clinical change and to reduce avoidable rehospitalizations through technology-assisted clinical workflows.

Organization Type Healthcare technology company
Primary Domain Contactless monitoring and predictive health insights for post-acute and senior care
Care Settings Served Skilled nursing facilities and related post-acute environments

Frequently Asked Questions

How should candidates interpret the hourly rate versus the per-visit model?
The published rate is $62.50 per hour. The employer also describes a per-visit payment model and an illustrative conversion of approximately $187–$234 per hour equivalent under certain visit assumptions. That conversion is not a guaranteed hourly rate. Confirm the exact payment formula and how documentation and travel time are treated with Circadia Health.
How do the visit-volume targets apply on a low monthly schedule?
The expected commitment is approximately 2–4 days per month. Separately, the employer references a target of 45 patient visits per day and notes that 25 or more visits may be appropriate in certain skilled nursing settings. Candidates should ask how these targets are applied at individual facilities and how clinical complexity affects daily workload.
How are facility assignments and travel coverage determined?
The role involves designated skilled nursing sites in the San Francisco area under a regional coverage approach. Exact facility lists and any flexibility beyond the usual coverage area should be confirmed with the employer; travel support for sites outside the usual radius is described under company policy.
What level of clinical decision-making does the role involve?
The position expects the ability to practice independently within applicable professional, legal, and clinical requirements in California, including evaluating residents and initiating or adjusting care plans in coordination with facility providers. It does not redefine state scope-of-practice rules.
What documentation and response expectations apply?
Encounter notes are expected within 24 hours. The employer also identifies performance expectations such as a target acknowledgement rate of at least 80% and acknowledgement of relevant health signals in less than 24 hours.
Does this per-diem role include employee benefits?
The available posting does not list insurance, retirement, paid leave, or other benefits for this position. Candidates should ask Circadia Health directly about benefit eligibility for per-diem status.

Per Diem Nurse Practitioner in San Francisco, CA

In San Francisco’s dense network of skilled nursing facilities, Nurse Practitioners increasingly bridge bedside assessment and data-informed prioritization. A per-diem role with Circadia Health places the clinician inside that intersection: evaluating medically complex adults across multiple partnered sites while helping facility teams interpret monitoring signals related to respiration and movement. Rather than anchoring to a single unit, the NP moves among designated facilities, aligning clinical judgment with facility providers and supporting practical use of technology-assisted workflows. The format suits experienced practitioners who value intermittent, high-focus days in post-acute settings and who are comfortable translating trend information into timely, scope-appropriate decisions without displacing the facility’s own care structure. This professional context—multi-site post-acute practice paired with technology-supported prioritization—defines the distinctive character of the position for candidates considering San Francisco–area NP work.

Submit Application

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