This role starts part-time, with a mix of telehealth and in-office care in the Albany area, at roughly 1 to 2 days per week, and is weekend and moonlighting friendly. It is intentionally designed to grow into a full-time role as your patient panel fills.
About Gandham Family Hypermobility Medicine
GFHM is a growing New York specialty practice, and one of the nation's only practices providing integrated care for hypermobility and its related conditions under one roof: MCAS, dysautonomia/POTS, gastrointestinal and sleep disorders, headache, chronic pain, and exercise intolerance. We are growing our clinical team in the Albany area.
Our patients often arrive after years of fragmented care. Rather than treating each problem in isolation, we look at how these systems interact and build a coordinated plan around the whole patient. Shaped by both clinical experience and lived family experience with hypermobility, our care is highly longitudinal. We stay involved as treatments are introduced, responses are observed, priorities change, setbacks occur, and patients build greater capacity for everyday life, work, exercise, and recreation.
Clinicians work from a growing library of protocols, treatment playbooks, decision frameworks, and patient education resources, but care is not algorithmic. A major part of the work is identifying the highest-priority problems and sequencing care thoughtfully rather than generating a long list of possible treatments.
Movement is central to our approach. We integrate joint stability, proprioception and motor control, strength, breathing, rib cage, pelvic, scapular, and cervical mechanics, progressive loading, exercise tolerance, and return to meaningful activity into the medical picture. You do not need to be a biomechanics expert, but you should be curious about movement and excited to learn. Ideally, you have personal or professional experience or interest in movement-based care, such as exercise prescription, physical therapy collaboration, or joint stability and strengthening approaches. This is not a requirement.
Learn more at www.hypermobilitymedicine.com.
About the Opportunity
We are looking for the clinician we hope will ultimately become a full-time NP with our practice. Starting at about 0.3 FTE lets you keep your current position while we train together, build your panel, and make sure the fit is strong in both directions, without the risk of immediately leaving a stable job.
What You'll Do
Early on, you will focus on comprehensive new-patient evaluations: reviewing histories and prior records, developing integrated assessments and treatment plans, applying GFHM protocols, documenting thoroughly, and joining structured case review and Clinical Patterns discussions.
As your panel grows, you will take on longitudinal care, including membership care, telehealth follow-ups, asynchronous communication, treatment monitoring and adjustment, coordination with nursing staff, contributions to protocols, patient education, and quality improvement, and care for patients across multiple states.
Training and Mentorship
We do not expect you to arrive knowing our approach or to have prior experience with this patient population. You will be trained in hypermobility and Ehlers-Danlos presentations, dysautonomia, mast-cell symptoms, GI and sleep dysfunction, treatment sequencing, medication and non-medication strategies, rehabilitation and movement, patient communication, and documentation. You will work closely with Dr. Vijaya Gandham, MD, Medical Director, through regular case review, feedback, and clinical coaching. As we grow, this will expand to include outcomes tracking, chart review, clinical standards, and nursing support.
Who We're Looking For
- Licensed as a Nurse Practitioner in New York
- Able to practice with full practice authority in New York (more than 3,600 hours of NP practice, so no written collaborative agreement is required)
- Clinically thoughtful, comfortable with complex patients and with questions that lack obvious answers
- Curious, an excellent listener and communicator, and receptive to feedback
- Drawn to longitudinal patient relationships and to protocols that preserve clinical judgment
- Interested in helping build a specialty practice and in growing into a full-time role
Experience in family or internal medicine, cardiology, neurology, allergy/immunology, gastroenterology, rheumatology, rehabilitation, sports, pain, or headache medicine, or complex chronic illness may be helpful.
Schedule and Compensation
- Initial schedule: about 0.3 FTE (roughly 1 to 2 days per week), a mix of telehealth and in-office days in the Albany area. Weekend and moonlighting schedules welcome.
- Part-time: $90 to $120 per hour, depending on experience and clinical background.
- Future full-time, as the role grows: $130,000 to $180,000 annual.
Growth and Multi-State Licensure
After an initial 60 to 90 day period of working together, GFHM will support and pay for licensure in additional states. This lets you build a larger multi-state panel, care for patients beyond New York, and take on increasing clinical and leadership responsibility as the practice expands nationally.
Why This Role
Develop deep expertise in an underserved area of medicine, with longer visits, smaller panels, close physician mentorship, and a highly engaged patient population. For the right person, this is a lower-risk path into a long-term clinical home and a major role in the practice's growth.
Benefits:
- Flexible schedule
- Paid licensure in additional states
- Close physician mentorship and training
People with a criminal record are encouraged to apply
Work Location: Hybrid (Albany, NY area and telehealth)
