About Leland Care

The typical US senior sees seven physicians across four practices plus insurers, pharmacies, family members, and facility staff. No one has the full picture. Fragmented data in incompatible systems leaves seniors and families managing chaos instead of focusing on living well.

Leland is building the first unified system of record for aging to help seniors live longer, healthier, and happier lives. With one complete record of a senior's health and life, AI can intelligently analyze the full picture to surface risks, gaps, and opportunities, while the senior's trusted human advocate guides the next best actions and removes friction so families can actually follow through. This turns fragmented information into proactive, coordinated support that extends healthy, independent years.

We have a multi-year funding runway and are launching pilots in 2026 with providers and already in active conversations with major US health systems. The company is led by a Stanford GSB founder who built and led Sword Health’s behavioral health division and co-founded Meomind.

About the role

You are Leland's first patient advocate, the person our first families call by name. You carry their care end to end: after-hospital follow-ups, referrals, medication reconciliation across pharmacies, insurance denials and appeals, being at or on appointments, and keeping the whole family updated. You work inside a physician-led practice with the living record behind you, so you always have the full picture and the routine work is drafted and tracked for you.

What you'll do in the first 90 days

• Carry our first families end to end: Own every follow-up, referral, medication list, denial, and appointment for the seniors and families in your care. You are the one constant in their care web.
• Turn what you learn into the playbook: Capture what works, calls, scripts, escalation rules, and handoffs, so that every patient advocate who comes after you delivers the same quality you do.

Who we're looking for

• Current, unrestricted licensure in good standing as an RN, NP, or PA.
• 3+ years of patient-facing work with older adults: navigation, care coordination, nursing, case management, or social work.
• Warmth on the phone. Families should feel better the moment they hear your voice.
• Fierce follow-through. Nothing you own falls through the cracks, ever.
• Comfort working alongside AI tools that draft and track the routine work. You check everything.
• Spanish is a big plus.

Where this role can go

As Leland grows, this role can grow with it, potentially into leading care delivery and building the patient advocate team that comes after you. That path is earned, not promised. What we can promise is that you will shape how it gets built from day one.

Compensation and benefits

$85k–$105k base salary + equity. We also provide healthcare benefits.