Working as a CRNA in West Virginia

West Virginia continues to have strong demand for CRNAs, particularly in rural and underserved communities where CRNAs frequently serve as the primary anesthesia providers. Major health systems such as WVU Medicine, Charleston Area Medical Center, Mon Health, and Mountain Health Network employ CRNAs across trauma centers, regional hospitals, and ambulatory surgery facilities. This provides access to a wide range of case types including cardiac, obstetrics, trauma, and outpatient surgery.

West Virginia allows CRNAs to practice independently, and the state has formally opted out of the federal physician supervision requirement for CRNAs in Medicare cases. Most hospitals and surgery centers continue to determine clinical privileges and scope through credentialing processes, but CRNAs in West Virginia have a high degree of practice autonomy and frequently manage anesthesia care without mandatory physician oversight.

With expanding hospital systems, diverse clinical environments, and continued reliance on CRNAs across the state’s healthcare network, West Virginia provides strong opportunities for CRNAs seeking both independent practice and broad clinical responsibility.

Education and Certification

• Educational Requirement: CRNAs must complete a doctoral degree from an accredited nurse anesthesia program.
• Certification: After completing their education, CRNAs must pass the National Certification Examination (NCE) administered by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA).

Licensure

• West Virginia License: CRNAs must obtain a registered nurse (RN) license in West Virginia and apply for an Advanced Practice Registered Nurse (APRN) license.
• Renewal: The NBCRNA Recertification Process for All Practicing CRNAs .

Scope of Practice

• Autonomy: West Virginia allows CRNAs to practice independently, enabling them to provide anesthesia services without direct supervision from a physician.
• Prescriptive Authority: CRNAs in West Virginia have prescriptive authority for certain medications as part of their practice.

Collaboration

CRNA-only model, Collaborative Care Model, and Anesthesia Care (ACT) Model.

State Regulations

CRNAs should stay informed about any changes in state laws and regulations that may affect their practice.

For the most accurate and up-to-date information, check out the West Virginia Board of Nursing and the West Virginia Association of Nurse Anesthetists .