Node.js Backend Developer

Brief DescriptionExperience: 3+ years in backend development About ContinuousCare At ContinuousCare.io, we’re building the future of digital healthcare through a unified platform for virtual care, remote patient monitoring, care plans, and AI-powered engagement. Our technology supports patients, doctors, hospitals, insurers, and governments across multiple regions—delivering continuous, accessible, and personalized healthcare experiences. We're growing rapidly and expanding our AI-first capabilities to transform healthcare delivery and infrastructure. Join us to build systems that not only scale technically but impact lives directly. Role Overview We are looking for a highly skilled Node.js Backend Developer to join our team. You’ll take ownership of critical backend services, APIs, and infrastructure that power our patient-provider interactions, AI workflows, and healthcare data systems. This role is ideal for someone with deep experience in backend architecture, performance optimization, and modern cloud infrastructure—who’s also excited about the possibilities AI brings to system design, workflow automation, and healthcare intelligence. Must be willing to work in hybrid mode.Preferred SkillsRequirements Core Backend Skills

Strong proficiency in Node.js and Express.js Expertise in MySQL and Sequelize ORM, including performance tuning, schema design, and migrations Experience with ElasticSearch for full-text search, filtering, and aggregations Proficiency in Redis for caching, session management, and pub/sub Familiarity with RabbitMQ, AWS SQS for async processing and distributed job queues Experience working with WebSockets for real-time services (e.g., notifications, chat, streaming transcripts) Exposure to Next.js API routes and middleware for hybrid applications 

Cloud Infrastructure & Performance

Solid understanding of AWS services: EC2, RDS, S3, CloudWatch, IAM, SQS/SNS and Lambda Ability to design scalable, modular APIs with clear separation of concerns and robust error handling Strong debugging and profiling skills, including experience with performance bottleneck analysis and monitoring tools Awareness of API rate limiting, authentication/authorization best practices, and RESTful design principles 

AI-First Development Practices As part of an AI-native platform, you'll be expected to collaborate closely on AI-driven features and use AI tools for development and system design.

Experience integrating AI workflows and LLM APIs (e.g., OpenAI, Claude, open-source models) Understanding of prompt design, context management, and token optimization Familiarity with RAG pipelines and vector databases like pgvector or Pinecone Experience using Model Context Protocols (MCPs) to enable dynamic AI behavior in response to user/system inputs Proficient in using AI developer tools such as Cursor, Bolt.new, Copilot, or Codeium for development acceleration and refactoring Bonus: Experience with AI-powered observability, log summarization, or error classification tools 

Testing & Quality Assurance

Strong experience with unit and integration testing frameworks: Jest, Mocha, Supertest, Playwright Familiarity with API testing tools like Postman Experience writing testable and maintainable code, with attention to regression coverage 

We would be interested to know about

Experience working on healthcare-related platforms i.e. familiarity with compliance requirements for HIPAA, GDPR and standard data protection regulations. Awareness of healthcare data standards such as HL7 FHIR, ICD, LOINC etc. Exposure to microservices, event-driven architecture, or background task queues in production Experience building real-time, low-latency systems, or applications for limited-connectivity environments 

Why Join Us

Work on a mission-driven platform transforming digital healthcare Be part of a team that builds with AI-first practices and modern cloud-native tooling Contribute to a high-performance architecture supporting users across multiple countries Enjoy a collaborative, in-office development culture in our Trivandrum workspace Build backend systems that directly impact the lives of patients and care teams 

How to Apply Send your resume, GitHub/LinkedIn profile, and a short introduction to: jobs@needstreet.com