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Oak Street Health Home Visit NPs deliver high-touch, high-quality primary care to homebound patients, supported by a team including a scribe/medical assistant and social worker. NPs conduct medical house calls, monitor clinical status, and collaborate with care teams to ensure compliance and promote the Oak Street Health care model.
Job Responsibility:
Conduct medical house calls for homebound patients according to defined pathways
optimize and monitor clinical status, identify and address gaps in care, reconciling medications and addressing adherence challenges
collaborate with home health, specialists, social workers, hospitals, SNFs, and specialists
ensure clinical excellence, compliance with regulatory guidelines, and promotion of the Oak Street Health care model
other duties, as assigned
Requirements:
Genuine passion for primary care and reaching under-resourced communities
strong clinical skills focused on older adults with complex disease states
experience in home-based care (as RN or APN)
excellent communication, collaboration, and problem-solving skills
desire to be a part of a fast-paced, innovative team
have an active, non-probationary state medical license, including US work authorization, if applicable
1+ years APN experience, preferably with a Medicare population
access to reliable transportation
flexibility to travel around the local market
bilingual (English and Spanish) preferred
working knowledge of Word, Excel and EMRs
US work authorization
someone who embodies being 'Oaky'
Nice to have:
Bilingual (English and Spanish)
What we offer:
Affordable medical plan options
a 401(k) plan (including matching company contributions)
an employee stock purchase plan
no-cost programs including wellness screenings, tobacco cessation, weight management programs, confidential counseling, and financial coaching
benefit solutions including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access
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