Nurse Practitioner — Hypermobility Concierge Medicine, Founding Chicago Clinician

About Gandham Family Hypermobility Medicine

Gandham Family Hypermobility Medicine is a growing specialty medical practice dedicated to patients with hypermobility and the complex conditions that frequently accompany it.

We are one of the nation’s only practices providing integrated care for hypermobility and its related conditions, including MCAS, dysautonomia/POTS, gastrointestinal disorders, sleep disorders, and chronic pain, all under one roof.

Our patients often arrive after years of fragmented care across multiple specialties. Rather than treating each problem in isolation, we work to understand how these systems interact and build a coordinated treatment strategy around the whole patient.

The practice was shaped by both clinical experience and lived family experience with hypermobility. Our care model is highly longitudinal: we do not simply evaluate a patient, provide recommendations, and send them away. We remain involved as treatments are introduced, responses are observed, priorities change, setbacks occur, and patients gradually build greater capacity for everyday life, work, exercise, and recreation. We have developed a growing library of clinical protocols, treatment playbooks, decision frameworks, patient education resources, and follow-up pathways to help clinicians navigate complex care in a structured and consistent way while preserving individualized clinical judgment.

Movement and physical capacity are also central to our approach. We incorporate strength, proprioception, motor control, biomechanics, exercise tolerance, and progressive rehabilitation into the broader medical picture rather than treating them as separate from medical care.

GFHM is currently based in New York and is preparing to build its first Chicago‑area clinical team.

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About the Opportunity

This is a part‑time role intentionally designed to become a full‑time role.

We are not looking for someone who simply wants occasional weekend shifts. We are looking for the clinician we hope will ultimately become our full‑time Chicago Nurse Practitioner.

The role will begin with approximately 1 to 2 weekend clinic days per month, allowing you to maintain your current position while we train together, build your patient panel, and make sure the fit is strong in both directions.

As the Chicago practice grows, our intention is to expand the role toward substantial part‑time and ultimately full‑time employment.

This structure allows the right clinician to join a growing specialty practice without immediately taking the risk of leaving a stable full‑time position.

Our Clinical Model

GFHM cares for patients across several interconnected areas, including:

• Hypermobility and joint instability
• Dysautonomia and POTS
• MCAS and mast‑cell‑related symptoms
• Sleep and recovery
• Headache and chronic pain
• Exercise intolerance
• Movement, strength, proprioception, and biomechanics

Our clinicians work from structured protocols and treatment playbooks, but care is not algorithmic.

The goal is to understand the patient’s overall pattern, identify the highest‑priority problems, introduce treatment thoughtfully, monitor response, and adapt the plan over time.

A major part of the role is learning how to sequence care rather than simply generating a long list of possible treatments.

Movement and Biomechanics

Movement is an important part of how we think about hypermobility care. We pay close attention to:

• Joint stability
• Proprioception and motor control
• Breathing mechanics
• Rib cage and pelvic mechanics
• Scapular function
• Cervical mechanics
• Exercise tolerance
• Return to meaningful physical activity

You do not need to join us as a biomechanics expert.

You do need to be genuinely curious about movement and excited to learn.

We are particularly interested in clinicians who have a meaningful personal or professional relationship with training, movement, or physical practice.

The specific activity matters less than having a real appreciation for how physical capacity is built over time.

What You’ll Do

During the initial phase, your work will focus primarily on comprehensive new‑patient diagnostic evaluations and learning the GFHM clinical model. Responsibilities will include:

• Conducting comprehensive evaluations of patients with hypermobility and complex multisystem presentations
• Reviewing patient histories, prior evaluations, and relevant records
• Developing integrated assessments and treatment plans
• Learning and applying GFHM clinical protocols and treatment playbooks
• Participating in structured case review with our Medical Director
• Documenting visits clearly and thoroughly
• Learning GFHM’s approach to dysautonomia, mast‑cell symptoms, GI dysfunction, sleep, pain, headache, and movement‑related care
• Incorporating movement, strength, stability, and biomechanics into the clinical picture
• Participating in ongoing clinical education and Clinical Patterns discussions
• Gradually assuming longitudinal responsibility for patients who enter your panel

As the role expands, you will increasingly provide:

• Ongoing membership care
• Asynchronous clinical communication
• Treatment adjustment and monitoring
• Coordination with nursing staff
• Protocol‑driven follow‑up
• Participation in clinical quality improvement
• Contribution to protocols, playbooks, and patient education
• Support in developing GFHM’s Chicago practice
• Care for patients across multiple states as the practice expands

How We Train Clinicians

We do not expect you to arrive already knowing our approach. You will receive substantial training in:

• Hypermobility and Ehlers‑Danlos presentations
• Dysautonomia and POTS
• Mast‑cell‑related symptoms
• GI and sleep dysfunction
• Treatment sequencing
• Medication and non‑medication treatment strategies
• Exercise and rehabilitation considerations
• Movement and biomechanics
• Clinical documentation
• GFHM protocols and treatment playbooks

You will work closely with Dr. Rani Gandham, MD, Medical Director, with regular case review, feedback, and clinical coaching.

As the practice grows, the clinical infrastructure will include formal outcomes tracking, chart review, clinician coaching, clinical standards, nursing support, and ongoing protocol development. We are intentionally building an environment where clinicians can become increasingly sophisticated in this medicine over time.

Who We’re Looking For

We are looking for someone who is:

• Licensed or eligible for licensure as an APRN / Nurse Practitioner in Illinois
• Clinically thoughtful and comfortable with complex patients
• Highly curious and eager to learn
• An excellent listener and communicator
• Comfortable working in areas where the answer is not always obvious
• Receptive to feedback and structured clinical review
• Interested in longitudinal relationships with patients
• Interested in learning biomechanics, rehabilitation, strength, and human movement
• Drawn to a practice that uses protocols and playbooks while preserving clinical judgment
• Interested in helping build a specialty practice rather than simply filling a predefined role
• Genuinely interested in transitioning into a larger and ultimately full‑time role as the Chicago practice grows

Prior experience in hypermobility medicine is not required.

Experience in family medicine, internal medicine, cardiology, neurology, allergy/immunology, gastroenterology, rheumatology, rehabilitation, sports medicine, pain medicine, headache medicine, or complex chronic illness may be helpful.

Illinois Full Practice Authority is strongly preferred. Exceptional candidates without FPA may also be considered depending on licensure timing and collaborative‑practice arrangements.

Schedule

Initial schedule: Approximately 1 to 2 weekend clinic days per month, generally in the Chicago western suburbs. A typical clinic day may run approximately 9:00 AM to 6:00 PM and will initially be focused heavily on comprehensive diagnostic evaluations.

As the patient panel develops, the role will expand to additional clinic days, remote follow‑up work, and ultimately full‑time employment.

Compensation

Initial part‑time compensation: approximately $100 to $125 per hour, depending on experience, Illinois Full Practice Authority status, and clinical background.

Future full‑time compensation: anticipated $145,000 to $190,000 in total annual compensation, consisting of a competitive base salary plus performance‑based compensation as the role and patient panel grow.

Full‑Time Growth and Multi‑State Licensure

As the role transitions toward full‑time employment, GFHM expects to support and pay for licensure in additional states as part of the practice’s broader expansion.

This will allow the clinician to:

• build a larger multi‑state patient panel
• care for patients beyond Illinois
• develop broader expertise in specialty longitudinal care
• participate meaningfully in GFHM’s national expansion
• take on increasing clinical and leadership responsibility over time

We see this as an important part of the long‑term role and of our investment in the clinician joining the team.

Why This Role

• Develop deep expertise in an underserved area of medicine
• Work with a highly engaged patient population
• Practice with longer visits and smaller patient panels
• Learn within a structured clinical system
• Build real longitudinal relationships with patients
• Integrate movement and biomechanics into medical care
• Gain multi‑state licensure supported by the practice
• Help shape a growing specialty organization
• Potentially become an early clinical leader in GFHM’s Chicago expansion

For the right person, this is intended to be much more than a weekend role. It is a lower‑risk path into what we hope becomes a long‑term clinical home and a major role in the growth of the practice.

If you are an individual looking to expand a meaningful concierge medicine practice with us, we look forward to meeting you.