Mobile Nurse Practitioner, -SNP – Northern West Virginia

Full-Time Mobile Nurse Practitioner, I-SNP – Northern West Virginia

Company Information

Company:
Avail Health Medical Practice

Reports to:

VP of Care Delivery, Katie Korte

Location:

This is a hybrid, primarily mobile role serving skilled nursing facilities across northern West Virginia. Candidates must live in or near Keyser, WV, or within a reasonable commuting distance of assigned facilities.

About Avail Health

Avail Health is a Nurse Practitioner–founded organization dedicated to removing barriers to care, access, and meaningful clinical work for Medicare-age individuals. We combine thoughtful technology, strong operational infrastructure, and deep respect for the patient–provider relationship to improve outcomes for complex and underserved senior populations.

About the Role

The Mobile Nurse Practitioner (NP) provides comprehensive, patient-centered care to Institutional Special Needs Plan (I-SNP) members residing in skilled nursing facilities. The NP delivers routine and acute care, supports longitudinal care management, and collaborates closely with facility staff and the interdisciplinary care team. Responsibilities include conducting Health Risk Assessments, developing individualized care plans, participating in weekly facility interdisciplinary team (IDT) meetings, and coordinating care to address members’ ongoing clinical and functional needs.

This highly collaborative, patient-facing role requires strong clinical judgment, effective communication, and the ability to work independently in a dynamic, field-based environment.

Location & Work Environment

This is a full-time W-2 position, Monday-Friday between 8:00 a.m. – 5:00 p.m. Remote work requires a reliable high-speed internet connection and a dedicated, HIPAA-compliant workspace to ensure the security and confidentiality of patient information and organizational communications.

Key Responsibilities

• Deliver comprehensive primary and acute care to I-SNP members residing in skilled nursing facilities, including initial, routine, acute, and transition-of-care evaluations
• Assess, diagnose, and manage acute illnesses, chronic conditions, and geriatric syndromes within a medically complex long-term care population
• Conduct Health Risk Assessments (HRAs) and develop, implement, and adjust individualized, goal-oriented care plans in collaboration with members, families, facility staff, and the interdisciplinary care team
• Participate in weekly facility interdisciplinary team (IDT) meetings to review member needs, clinical concerns, care plans, and opportunities to improve outcomes and coordination of care
• Order, interpret, and act on laboratory and diagnostic results; prescribe medications and therapeutic interventions in accordance with regulatory requirements and evidence-based clinical practice
• Provide proactive follow-up and longitudinal management of a dedicated patient panel, monitoring clinical status, addressing changes in condition, and helping prevent avoidable complications and hospitalizations
• Oversee and coordinate transitions of care, including admissions, readmissions, hospital discharges, and changes in level of care, in collaboration with facility staff and the broader care team
• Collaborate closely with nursing, rehabilitation, pharmacy, specialists, social services, facility leadership, and other members of the interdisciplinary team to support comprehensive member care
• Recognize and respond to early signs of clinical deterioration and changes in condition; provide appropriate treatment, escalation, education, and supportive or palliative care when indicated
• Maintain timely, accurate, and compliant clinical documentation in the electronic medical record and adhere to I-SNP program requirements, quality standards, and performance…