Primary Care Physician, Home Visits Program
4 days ago
Oak Street Health is a rapidly growing, innovative company of community-based healthcare centers delivering higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched experience for adults on Medicare in medically underserved communities.
Job DescriptionJob Title: Primary Care Physician, Home Visits Program
Location: Remote
Job Type: Full-time
About the Role:
Oak Street Health Home Visit NPs deliver high-touch, high-quality primary care to our homebound patients. This role is supported by a scribe/medical assistant, nurse, social worker, and other resources. NPs make 6-7 visits daily in a defined territory and collaborate continuously with other team members for care coordination and all other needs.
Core Responsibilities:- 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
- Genuine passion for primary care and reaching under-reserved 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, but not required
- Working knowledge of Word, Excel and EMRs
- US work authorization
- Someone who embodies being 'Oaky'
- Radiating positive energy
- Assuming good intentions
- Creating an unmatched patient experience
- Driving clinical excellence
- Taking ownership and delivering results
- Being scrappy
- Collaborative and energetic culture
- Fast-paced and innovative environment
- Competitive benefits including paid vacation and sick time, generous 401K match with immediate vesting, and health benefits
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