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About Atria: 

The Atria Health Institute is a membership-based primary and specialty health care practice with a focus on prevention and longevity. We bring together a multidisciplinary team of renowned physicians to provide proactive, preventive, and precision-based care for Atria members and their families. All care, including primary care, advanced screening and diagnostics, urgent care, specialty care, 24/7 home visits, and imaging is included in members' annual fee.

Our mission is to make healthspan and lifespan equal for all by translating science into medicine in real-time, all while bringing humanity back into health care. Delivering such robust, personalized, and preventive health care is complex and requires a team-wide dedication to excellence. 

We successfully opened our flagship Institute in New York in 2022, expanded to South Florida in 2024, and will be bringing the Atria experience to the West Coast with the launch of our Los Angeles Institute in late spring 2026.

About the Role

Atria is seeking an experienced Advanced Care Provider (Nurse Practitioner or Physician Assistant) to work directly alongside Dr. Ilene Ruhoy, Director of Neuroimmune and Connective Tissue Neurology. 

This highly specialized role is designed for a clinician who thrives in the evaluation and management of medically complex patients with chronic neurological, neuroimmune, connective tissue, and multisystem disorders. The ideal candidate will possess exceptional clinical reasoning skills, intellectual curiosity, empathy, and the ability to synthesize large amounts of clinical information into thoughtful care plans. 

Working as Dr. Ruhoy's dedicated clinical partner, this ACP will support patients who have often spent years searching for answers and may present with extensive medical histories, multiple prior specialist evaluations, and complex diagnostic challenges. The ACP will play an integral role in patient assessments, care coordination, longitudinal disease management, and collaboration with specialists across multiple disciplines. 

This position offers a unique opportunity to work within a highly personalized, concierge-style medical practice focused on uncovering root causes of illness, delivering comprehensive neurological care, and improving quality of life for patients with complex chronic conditions.

• Partner closely with Dr. Ruhoy to conduct comprehensive patient assessments, including detailed medical, neurological, environmental, and exposure histories, diagnostic testing, and evaluation of complex neurological, neuroimmune, connective tissue, and multisystem disorders.
• Develop differential diagnoses and contribute to individualized treatment plans.

• Collaborate with Dr. Ruhoy to manage patients with chronic and complex neurological conditions.
• Order, review, and interpret diagnostic tests and laboratory studies within scope of practice.
• Monitor treatment response and adjust care plans in collaboration with supervising physicians.
• Assist in developing comprehensive care strategies that integrate specialty recommendations and patient goals.

• Perform extensive chart reviews and synthesize outside medical records, imaging, laboratory data, and specialist evaluations.
• Coordinate multidisciplinary care across neurology, rheumatology, genetics, immunology, cardiology, gastroenterology, rehabilitation medicine, and other specialties as needed.
• Facilitate referrals, testing, and follow-up care to ensure continuity across healthcare systems.

• Support the development and execution of strategic clinical initiatives, longitudinal patient programs, specialty care pathways, and scalable workflows, documentation standards, and operational processes that support growth of the Neuroimmune and Connective Tissue Neurology practice.
• Participate in comprehensive case reviews, patient data organization, longitudinal outcome tracking, advanced diagnostics, biomarker tracking, clinical data review, and longitudinal disease management initiatives.
• Collaborate with physicians, product teams, clinical operations, and external partners to improve care delivery models for patients with complex neurological and chronic illnesses.
• Contribute to research, quality improvement, educational initiatives, innovation projects, multidisciplinary analyses, and special projects.

• Educate patients and families on diagnoses, treatment options, symptom management, lifestyle interventions, and preventive care strategies.
• Support patients navigating complex healthcare journeys with empathy, compassion, and attention to detail.
• Reinforce Atria's commitment to personalized, relationship-based care.

• Perform clinical procedures within scope of practice, including phlebotomy, IV insertion, EKG acquisition, specimen collection, and other clinical support activities.
• Support urgent clinical needs as appropriate.

• Maintain accurate and comprehensive medical records, including assessments, treatment plans, progress notes, and care coordination activities.
• Complete clinical documentation, testing requisitions, referrals, and medical necessity documentation.
• Ensure compliance with regulatory, legal, and organizational requirements.

• Work closely with Atria physicians, specialists, nurses, care coordinators, product teams, external healthcare providers, and other stakeholders to deliver exceptional patient care.
• Participate in case discussions, clinical meetings, and quality improvement initiatives.

• Current New York State Nurse Practitioner or Physician Assistant license.
• Minimum 3-5 years of clinical experience as a practicing NP or PA.

Requirements

Current New York State Nurse Practitioner or Physician Assistant license

Minimum 3-5 years of clinical experience as a practicing NP or PA.

Prior experience in one or more of the following areas: 

• Neurology 
• Neuroimmunology 
• Neuromuscular Medicine 
• Rheumatology 
• Genetics 
• Integrative Medicine 
• Internal Medicine with significant medically complex patient populations
• Demonstrated experience caring for patients with complex chronic illnesses and multisystem disorders. 
• Strong ability to review, interpret, and synthesize extensive medical records, diagnostic evaluations, and specialist recommendations. 
• Exceptional communication and interpersonal skills. 
• BLS and ACLS certification through the American Heart Association.

Preferred Qualifications

• Strongly preferred experience with one or more of the following: 
• Ehlers-Danlos Syndrome (EDS) 
• Dysautonomia and Postural Orthostatic Tachycardia Syndrome (POTS) Mast Cell Activation Syndrome (MCAS) 
• Autoimmune neurological disorders 
• Long COVID and post-viral syndromes 
• Myalgic Encephalomyelitis / Chronic Fatigue Syndrome (ME/CFS) 
• Mitochondrial disorders 
• Neuromuscular diseases 
• Seizure disorders 
• Traumatic Brain Injury (TBI) 
• Additional preferred experience: 
• Multidisciplinary specialty care environments. 
• Environmental medicine, toxicology, functional medicine, or integrative medicine.
• Clinical research, academic medicine, or clinical trial experience. 
• Passion for caring for diagnostically complex and medically underserved patient populations.

Schedule

• Four 10-hour shifts per week, shifts between 7am - 7pm
• Availability for occasional weekend coverage as needed. 

Compensation

$160,000 - $190,000, based on years of experience

Benefits

At Atria, we are proud to offer every member of the Atria team:

• Excellent health and wellness benefits, 100% paid by Atria effective date of hire
• Flexible Time Off 
• 401k contributions and 4% match starting after 6 months
• Opportunity to participate in continuing medical education programs for maintenance of Continued Medical Education and CEUs for professional licensure
• Fitness Perks including Wellhub +
• Time to give back and make an impact in underserved communities