Founding Full Stack Engineer

San Francisco · Remote$135k – $155k

About this role

About NELP

NELP is building the system of record for nursing excellence. We improve patient outcomes and nurse retention across the country's largest health systems — clients include Cleveland Clinic, Kaiser Permanente, AdventHealth, Prisma Health, Missouri Baptist, and Stamford Health.

Nursing leaders drive retention, patient safety, quality improvement, and workforce development, but the programs behind that work (Magnet, Pathway to Excellence, clinical ladders, shared governance, EBP) are still run on spreadsheets and shared drives. NELP is the only unified platform for ANCC designations, professional governance, digital clinical ladders, and clinical inquiry.

What You'll Be Doing

  • Own architecture and ship production features across four integrated products
  • Design data models and services for complex multi-hospital, multi-unit organizational structures
  • Build AI workflows for exemplar writing, evidence organization, and document retrieval across large program datasets
  • Implement enterprise infrastructure: SSO/SAML, role-based access, audit logging, HRIS integration
  • Sit in customer calls, hear problems firsthand, and turn them into shipped product within days
  • Set engineering standards, CI/CD, testing strategy, and architectural patterns for the team to scale on

What We're Looking For

  • 5+ years building production SaaS products
  • Strong full-stack experience: TypeScript, React, server-side JavaScript
  • Experience designing backend systems for multi-tenant, workflow-heavy applications
  • Comfortable owning both architecture and implementation in an early-stage environment
  • Experience with authentication systems (SSO/SAML) and enterprise integrations
  • Clear communicator who works well with non-technical domain experts
  • Ability to empathize with users and not overengineer for the sake of it

Why Join NELP

  • Impact: The software you build will directly affect how hospitals retain nurses and deliver patient care
  • Ownership: Shape the product, the architecture, and the company direction from day one
  • Problem space: Healthcare vertical SaaS for a massive, underserved market
  • Team: Work directly with an experienced founder and CEO who has successfully sold two previous companies

Tech Stack

Next.js, React, TypeScript, PostgreSQL, Supabase, Vercel, AWS S3

Benefits

  • Equity & stock options with clear career progression
  • 401(k) with company match
  • Learning & development stipend (tuition, certifications, conferences)
  • Comprehensive wellness program and mental health resources
  • Generous paid parental leave (including adoption and surrogacy)
  • Flexible/hybrid work arrangements
  • Commuter benefits and EAP

Hiring Process

  1. Apply — submit application and resume
  2. Phone Screen — 30-minute conversation with recruiting team
  3. Team Interview — meet the team, dive into skills and experience
  4. Offer

How to Apply

Email [email protected] with GitHub or portfolio, background on what you've built, and why this problem space interests you.

Company at a glance

NELP (Nursing Excellence Leadership Platform) is the only unified platform for ANCC Designations, Professional Governance, Clinical Ladders, and EBP. Four integrated products, one shared evidence repository. Work done once compounds across every program. Leadership gets real visibility, and nursing's impact becomes quantifiable, defensible, and tied to patient outcomes.

IndustryHealthcare SaaS
Team Size1-10
WorkspaceRemote
Locations
San Francisco, United States ·United States
Websitenelp.io
LinkedInLinkedIn

Top Benefits

  • Learning & Development (tuition reimbursement, professional certifications, conference stipend)
  • Wellness Program (comprehensive wellness stipend, mental health resources)
  • Equity & Growth (stock options, clear career progression)
  • 401(k) Match
  • Generous Paid Parental Leave (including adoption and surrogacy)
  • Flexible Work (hybrid arrangements, flexible scheduling)
  • Commuter Benefits (pre-tax transit and parking)
  • Employee Assistance Program (counseling, legal guidance, financial planning)

Culture & values

Mission-Driven

Collaborative Culture

Continuous Learning

Move Fast, Stay Focused

Know someone who'd be great for this?