We do not place virtual assistants.We place nurses.
Every CloudNook MVA is a registered nurse with real clinical experience, fluent in your EHR and in modern AI tools. We work with independent and small-group practices in functional medicine, telehealth, psychiatry, geriatrics, family medicine, and home care.
The form takes 2 minutes. A nurse-reviewed shortlist reaches your inbox in minutes.
We built CloudNook on one rule: nurses only.
Every MVA is a registered nurse.
We verify licensure directly with the board and require at least 18 months of hands-on clinical experience. There are no exceptions.
Every match is vetted by nurses.
Each candidate passes six gates, ending with a chart review by our clinical director, who is an RN. Most applicants do not make it through.
Every nurse works clinical, not clerical.
Your MVA reads and writes SOAP notes, preps charts for your signature, and gives you clinical support the way a nurse provides it, because they have worked the floor.
Every placement fits your kind of practice.
We work with independent and small-group care, where the provider carries the operational load. We do not staff hospitals or health systems.
Meet a few of the nurses.
Every nurse on this page passed all six vetting gates before appearing here. That is the point.
Our nurses trained in the Philippines. American medicine already knows them.
Philippine-trained nurses are the largest group of internationally trained nurses in US healthcare, and they have been for decades. About one in every twenty registered nurses working in the United States trained in the Philippines, where nursing education runs on an English-language, US-aligned curriculum. If you have practiced in this country, you have almost certainly worked beside one.
CloudNook MVAs work remotely from HIPAA-audited home offices in the Philippines, on your schedule and inside your EHR. You are not hiring a stranger to your system. You are adding an extension of your clinical team, from a training tradition American hospitals have trusted for more than half a century.
We also hold ourselves to a standard on the other side of the placement. Our nurses earn well above local hospital wages, keep their clinical skills in practice, and stay home with their families. Clinicians who are treated well stay, and that stability is part of what you are buying.
You spend two hours on paperwork for every hour with a patient.
That is the current ratio for US physicians. It is why your notes finish at 10 PM and the inbox never reaches zero.
Physicians average a 2:1 documentation-to-patient-care ratio.
Providers receive 40+ portal messages every day.
Evenings and weekends disappear into charts.
One nurse changes that math.
One nurse takes the admin load off your plate.
The scope is set in writing on day one, and we defend it. Your MVA is your clinical right hand: they prepare, surface, and execute, and every clinical decision, order, and signature stays yours.
Documentation.
They draft and prep SOAP notes, keep the chart accurate, and queue every encounter for your review and signature, so you sign a full clinic day in under 25 minutes.
Inbox and patient communication.
They answer routine messages in your voice and escalate clinical ones with a one-line summary. Your inbox hits zero by 3 PM.
Prior auths and insurance verification.
They verify coverage and benefits, submit authorizations the same day, appeal denials within 48 hours, and prep peer-to-peer packets you can read in 90 seconds.
Prescriptions and lab orders.
They phone in refills for non-controlled medications as your authorized agent and stage lab orders in your EHR, ready for your signature.
Chart prep.
They reconcile problem lists and build visit briefs before every clinic day.
Scheduling and coordination.
They manage the schedule, intake, referrals, and follow-ups, and keep your telehealth visits running without technical friction.
Billing support.
They prepare superbills, assist with claims preparation, and track payments. Billing disputes route to your biller, because that is a different job.
You go from form to shortlist in minutes.
Fill out the 2-minute form.
Tell us your specialty, your EHR, and your three biggest time-sucks.
Receive your shortlist in minutes.
You get matched RNs reviewed by our clinical director, with the reasoning written out.
Meet your match.
You get a 30-minute call with the nurse. Ask anything. If the fit is wrong, we re-match at our cost.
Start with a structured first week.
Your MVA begins with a written onboarding plan, measured baselines, and daily written handoffs, so you always know what moved.
One flat monthly fee. No payroll. No recruiting cycle.
- Your full-time or part-time, RN-trained MVA
- The vetting and match, done by our clinical director
- Structured onboarding and daily written handoffs
- Ongoing training, upskilling, and certifications
- Priority support
- Standing check-ins every two weeks for the first 90 days
- A re-match guarantee if the fit is wrong
For comparison, a part-time local hire runs $2,400 to $3,800 a month fully loaded. Our MVA packages start at less than $1,000 USD a month.
We are small by design, and we know both sides of the work.
Our founding team is built from the two disciplines this work requires: registered nurses and clinical instructors who have taught at the university level, and healthcare operators who have scaled real practices. We have the medicine covered, and we have the operations covered.
Our clinical director, a registered nurse, personally handles the vetting: they screen, interview, and verify the credentials of every RN we place. Our training director makes sure every MVA is CloudNook certified, HIPAA and EHR certified, and regularly upskilled as the tools and workflows change. We train our own people, so the standard your nurse arrives with is one we built and keep raising.
Every nurse carries board-verified licensure, has passed six vetting gates, works from a HIPAA-audited home office, and operates under a signed BAA. Every engagement gets standing check-ins every two weeks for the first 90 days, and each practice gets the kind of attention only a small, deliberate company can give.