Mobile Nurse Practitioner SNP

Mobile Nurse Practitioner – I‑SNP

Company:
Avail Health Medical Practice of Florida, P.A.

Reports to:

VP of Care Delivery, Katie Korte

Location:

Hybrid mobile role; must be located within Calverton, Maryland region or a reasonable commuting distance.

Avail Healthcare is a Nurse Practitioner‑founded organization dedicated to removing barriers to care for Medicare‑age individuals. We combine thoughtful technology, strong operational infrastructure, and deep respect for patient‑provider relationships to enable nurse‑led virtual and mobile care models. As a fast‑growing organization, we build durable clinical infrastructure to support innovative care programs across states, focusing on improving outcomes for complex and underserved senior populations.

The Mobile Nurse Practitioner (NP) provides comprehensive, patient‑centered care to Institutional Special Needs Plan (I‑SNP) members residing in skilled nursing facilities (SNFs). This full‑time W‑2 position runs through December 2026, with possible extension based on performance.

The NP works collaboratively with an interdisciplinary care team—including RNs, Care Coordinators, facility staff, and other healthcare professionals—to improve patient outcomes, reduce avoidable hospitalizations, and enhance quality of life while supporting efficient healthcare utilization.

This is a highly collaborative, patient‑facing role requiring strong clinical judgment, effective communication, and the ability to translate clinical findings into actionable care plans.

The NP will conduct Health Risk Assessments, develop individualized care plans, and coordinate ongoing member care, working independently in the field and continuously improving program development.

The role is primary mobile/field‑based, requiring residence in Maryland. Candidates centrally located within the coverage area and able to support efficient daily travel are preferred.

Standard hours:
Monday‑Friday, 8:00 AM – 5:00 PM EST. Remote work requires a reliable high‑speed internet connection and a dedicated HIPAA‑compliant workspace.

• Deliver comprehensive primary and acute care services to I‑SNP members in SNFs, including initial, routine, and transition of care evaluations.
• Assess, diagnose, and manage acute illnesses, chronic conditions, and geriatric syndromes in a medically complex population.
• Develop, implement, and adjust individualized, goal‑oriented care plans with patients, families, and the interdisciplinary team.
• Order, interpret, and act on laboratory and diagnostic studies to guide clinical decision‑making.
• Prescribe medications and therapeutic interventions in accordance with regulatory standards and evidence‑based practices.
• Provide ongoing, proactive follow‑up to monitor clinical status, evaluate treatment effectiveness, and prevent avoidable complications or hospitalizations.
• Manage a dedicated panel of patients across custodial (long‑term care) settings.
• Oversee transitions of care—including admissions, readmissions, and discharges—to ensure continuity and quality of care.
• Collaborate with nursing staff, rehabilitation services, specialists, and facility leadership to coordinate and optimize patient care.
• Participate in interdisciplinary care plan meetings and contribute to comprehensive care planning.
• Recognize and respond to early signs of clinical deterioration with timely intervention.
• Provide patient, family, and caregiver education to support disease management, treatment adherence, and goals‑of‑care alignment.
• Deliver palliative and supportive care as appropriate, including advanced care planning and goals‑of‑care discussions.
• Maintain accurate, timely, and compliant documentation in the electronic medical record.
• Adhere to I‑SNP program requirements, quality metrics, and regulatory standards.

• Delivers high‑quality, evidence‑based care, proactively identifying and managing clinical changes to reduce avoidable hospitalizations and ED visits.
• Effectively manages complex, high‑risk patients, improving stability, function, and quality of life.