Sr. Full-Stack Engineer

Noria Health, Inc.; Northern (KY); Hybrid; USD 120,000 - 180,000; Full time

Benefits offered by this job

Remote-first

Equity

Job summary

Noria Health, Inc. is seeking a seasoned full-stack developer to build the clinical app used by nurses each shift, featuring a React Native frontend, NestJS backend, and FHIR R4 integration with Epic.

You will own features end-to-end from database schema to UI, shipping code that saves time and improves patient safety, with a focus on performance and reliability in hospital environments.

Qualifications

• 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.

Responsibilities

• 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

Skills

React Native

React

Node.js

TypeScript

PostgreSQL

REST API design

GraphQL API design

Jest

React Testing Library

Tools

Docker

AWS ECS

Job description

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