Posted Oct 21, 2026

Sr. Full-Stack Engineer

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Noria is an AI-powered nursing workflow platform that saves inpatient bedside RNs 30-60 minutes per 12-hour shift. We aggregate patient data, generate handoffs, and eliminate documentation busywork — so nurses can focus on patients instead of computers. The Role Build the clinical app that nurses use every shift — React Native frontend, NestJS backend, FHIR R4 integration with Epic. You'll own features end-to-end, from database schema to pixel-perfect UI, shipping code that directly saves nurses time and improves patient safety. What You'll Do Build and iterate on the Patient Cockpit — the shift-start view nurses rely on for vitals, labs, meds, tasks, and AI-powered watch-outs Design and implement FHIR R4 client services that reliably pull clinical data from Epic and other EHR systems Build GraphQL and REST APIs with NestJS, ensuring sub-2-second response times for clinical workflows Implement real-time task management with WebSocket updates and optimistic UI patterns Architect offline-first data persistence so the app works reliably on hospital Wi-Fi Own the CI/CD pipeline — GitHub Actions, Docker, ECS Fargate deployments Optimize React Native performance for older devices commonly found in clinical settings What We're Looking For 5+ years of full-stack development experience Strong React Native or React experience with production mobile apps Node.js and TypeScript proficiency (we use strict mode everywhere) PostgreSQL experience including schema design and query optimization REST and/or GraphQL API design experience Testing discipline — we target 80%+ coverage with Jest and React Testing Library Nice to Have Healthcare or FHIR experience Epic integration or App Orchard certification AWS ECS, Terraform, or infrastructure-as-code experience Competitive salary + meaningful equity Remote-first — work from anywhere in the US Mission that matters — measurable impact on nurse burnout Experience: 5 years required