Remote work and flexibility, but low pay and low patient volume - Avis employé Nurse Practitioner OpenLoop

Incredible team members, always willing to fix things that don’t work and truly care about being better and making improvements. Love the remote flexibility and management (in my experience) doesn’t believe in micromanaging.

Every start up has their growing pains, we’ve made huge strides since i started several months ago and continue to make huge strides.

• Some team members are supportive and genuinely try to help each other despite the environment • Opportunity to gain experience in high-volume, complex case handling • Overtime opportunities available

• Job responsibilities have significantly changed from what was originally described during hiring • Leadership turnover has created instability, with multiple directors in a short time • New management brought in to fix workflow issues lacks understanding of the role and has made processes more inefficient • No clear SOPs, QA processes, or regular 1:1s, resulting in zero accountability or performance guidance • HR has been largely unresponsive despite multiple concerns raised by employees • Offshore team appears undertrained and continues to escalate inappropriate cases despite repeated feedback over several months • Concerns about escalation misuse are acknowledged but not meaningfully addressed, leading to ongoing operational strain • Employees are sometimes expected to present themselves as “managers” to handle escalations due to lack of leadership availability • High volume of abusive patient interactions with limited support or protection for frontline staff • Morale is very low, with many employees feeling unsupported and unheard