CareRev is the nurse-founded and nurse-led leading workforce platform built for the dynamic needs of acute healthcare. Our app-based, dual-sided solution empowers hospitals and health systems to better manage their internal staffing resources while seamlessly connecting with a flexible, local network of per diem clinicians. By integrating with existing scheduling systems, CareRev enables real-time self-scheduling, enhances internal float pools with smart automation, and gives clinicians the freedom to pick up shifts that fit their lives, all while supporting facilities with scalable, cost-effective staffing strategies. With over a decade of experience, CareRev has partnered with nearly 40 healthcare organizations and filled more than half a million shifts. Our two core solutions, IRP+ and Marketplace, are designed to give healthcare leaders control, agility, and confidence in today’s complex workforce environment. For more information, visit www.carerev.com or follow us on LinkedIn.
We’re looking for a Senior Full-Stack Engineer to join our Integrations Team. This person will be responsible for designing, building, and maintaining the systems that power our external integrations. This role is ideal for someone comfortable working across the stack, with a strong foundation in Ruby on Rails (or a similar MVC framework), solid system design capabilities, and enough frontend experience (ideally React) to build intuitive user interfaces and integration workflows.
As a senior engineer, you’ll play a critical role in shaping the architecture and scalability of our integrations platform, mentoring other engineers, and collaborating cross-functionally with product managers, design, and partner-facing teams.
What You’ll Do
- Design and implement scalable, secure, and maintainable systems that interface with third-party APIs and services.
- Build backend services and integration logic using Ruby on Rails or similar technologies.
- Contribute to tooling components and workflows.
- Collaborate with product and partner teams to scope new integrations and improve existing ones.
- Participate in code reviews, architectural discussions, and technical planning.
- Drive best practices in API design, testing, and documentation.
- Mentor junior team members and help elevate engineering standards across the team.
What We’re Looking For
- 6+ years of experience as a software engineer with a focus on fullstack development
- Proficiency in Ruby on Rails or another similar web framework
- Experience building and maintaining systems based on event-driven architecture
- Experience with streaming technologies such as Kafka or similar
- Strong command of SQL and experience working with relational databases (e.g., Postgres, MySQL)
- Solid understanding of system design, data modeling, and building scalable APIs
- Experience integrating with third-party APIs (REST, GraphQL, webhooks)
- Ability to write clean, maintainable, and well-tested code
- Strong communication skills and a collaborative mindset
Nice to Have
- Experience in a high-growth or startup environment
- Working knowledge of React, or similar frontend frameworks
- Familiarity with asynchronous processing systems (e.g., Sidekiq, Resque)
- Understanding of OAuth, authentication flows, and security best practices
- Prior experience building internal tooling or partner developer experiences
The anticipated salary range for this position is $147,827.00 - $265,296.00. Equity, bonus or commission, and benefits may also be provided as part of the total compensation package, depending on the position offered. If given an offer, the exact salary amount offered will ultimately depend on multiple factors, which may include the successful candidate's skills, experience, education, and other qualifications, as well as the candidate's location of residence.
Reasons to Consider Us:
- Fully remote company with flexibility to work from anywhere in the US
- Self-managed PTO
- Generous paid holidays, including a winter break between Christmas Eve and New Year's Day
- Company-wide Summer Fridays: rotation of monthly afternoons off in the summer
- Comprehensive medical, dental, and vision benefits
- Supplemental health benefits
- Life insurance covered by CareRev
- Short-term disability 100% covered by CareRev and voluntary long-term disability
- Paid parental leave
- Pet Insurance
- 401k plans with company matching
- Competitive stock options
- Office equipment stipend
- Monthly work-from-home stipend
- Monthly well-being stipend
- Learning reimbursement program
- Legal benefits
- Wellness (Calm) subscription
Physical Requirements:
- Prolonged periods of sitting and/or standing at a desk
- Prolonged periods of working on a computer
- Repeating motions that may include the wrists, hands, and/or fingers
- Ability to lift up to 15 pounds of work equipment
- Ability to set up home office to include desk and chair
CareRev is committed to the full inclusion of all qualified individuals. In keeping with our commitment, we will take the steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please discuss with your Recruiter.
We are an equal opportunity employer and will not discriminate against any employee or applicant for employment in an unlawful manner. We celebrate diversity and are committed to creating an inclusive environment for all individuals. CareRev treats all employees and job applicants based on merit, qualifications, and competence without regard to any qualified individuals' sex, race, color, religion, national origin, ancestry, gender (including pregnancy, breastfeeding, or related medical condition), sexual orientation, gender identity, gender expression, age, physical or mental disability, medical condition, genetic characteristic or information, marital status, military, and veteran status, or any other characteristic protected by state or federal law. CareRev also considers qualified applicants with criminal histories consistent with applicable local, state, and federal law.
CareRev participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. We can only use E-Verify once you have accepted a job offer and completed the Form I-9.
Top Skills
What We Do
CareRev is a technology platform empowering healthcare professionals to take control of their careers. CareRev provides a direct line between healthcare facilities and local clinical talent, cutting out the middleman and enabling professionals to work where and when they want. Together, we’re building the local, resilient, flexible healthcare workforce of the future. CareRev serves over 32 major metropolitan areas nationwide at over 70 hospitals and health systems, and over 540 outpatient centers and skilled nursing facilities. More than 22,000 clinical professionals (and growing!) are included in CareRev’s network. For more information, visit www.carerev.com or follow us on LinkedIn.
CareRev is funded by Y Combinator (S16), FundRx (https://fundrx.com/success_stories), Industry Ventures, and an extraordinary group of business angels including several Y Combinator partners and alumni.
Why Work With Us
We celebrate team members showing up as our authentic selves. We curate teams to build a sustainable future for healthcare professionals. We prioritize processes that center diversity, equity, inclusion, and belonging. We challenge leaders to cultivate a culture of advocacy and accountability, making CareRev a better employer for everyone.
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