Mobile Registered Nurse; RN SNP; Cincinnati, OH

About Avail Health

Avail Health is a Nurse Practitioner–founded healthcare organization focused on improving access to care for Medicare-age individuals. We combine clinical expertise, technology, and operational support to deliver virtual and mobile care for complex senior populations.

Avail Health is seeking an experienced Mobile Registered Nurse (RN) to provide in-person clinical assessment services for Medicare Advantage Institutional Special Needs Plan (I-SNP) members residing in long-term care facilities within the assigned service area.

The role includes two primary areas of clinical service: independently completing Health Risk Assessments (HRAs) and related documentation to support member-driven Individualized Care Plans (ICPs), and partnering with Avail Health Nurse Practitioners to support Chronic Disease Assessments (CDAs) through in-person clinical assessment and facilitation of virtual NP visits.

This opportunity is well suited for an experienced RN who is comfortable providing services independently in long-term care environments, engaging members and their authorized representatives, and collaborating with NPs, facility staff, and interdisciplinary care teams.

The contractor will exercise independent professional and clinical judgment in performing accepted clinical services within RN scope of practice and applicable clinical, payer, regulatory, facility, privacy, security, and documentation requirements.

Health Risk Assessments & Individualized Care Planning

• Independently conduct in-person Health Risk Assessments (HRAs) with I-SNP Medicare Advantage members residing in long-term care facilities.

• Complete comprehensive assessments addressing applicable medical, functional, cognitive, behavioral health, psychosocial, and other required assessment domains.

• Document assessment findings accurately and thoroughly to support development and ongoing maintenance of member-driven Individualized Care Plans (ICPs).

• Engage members in discussions regarding their health needs, goals, preferences, and priorities to help ensure individualized care planning reflects what matters to the member.

• Communicate with and engage authorized representatives (ARs) when applicable, including when AR participation is needed to complete assessment or care‑planning activities.

• Coordinate with facility staff and members of the interdisciplinary care team as clinically appropriate to obtain relevant information and support assessment and care‑planning activities.

• Identify potential changes in condition, care gaps, or unmet needs and communicate findings through established clinical escalation and care coordination processes.

• Complete required HRA and supporting clinical documentation accurately and within applicable time frames.

Chronic Disease Assessments & NP Collaboration

• Partner with Avail Health Nurse Practitioners to support Chronic Disease Assessments (CDAs) for I-SNP members.

• Obtain required clinical information, vital signs, and designated screening information in support of the assessment.

• Facilitate virtual NP encounters, including technology setup and real‑time coordination among the member, facility team, and NP.

• Provide on‑site clinical support during virtual encounters, including physical assessment components within RN scope of practice and applicable clinical protocols.

• Communicate relevant clinical findings and follow‑up needs to the NP and other members of the care team as clinically appropriate.

• Complete applicable clinical documentation and support timely completion of accepted CDA services.

Mobile Clinical Services

• Provide services at long-term care facilities within the designated service area for accepted assignments.

• Coordinate accepted member and facility assignments…