Registered Nurse-OSH

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As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Role Description

Oak Street Health takes a team-based approach to providing outstanding patient care. The OSH Team is responsible for delivering excellent, high-touch, primary care, and coordinating the care of our patients throughout the healthcare delivery system.

Registered Nurses (RNs) are an important part of Oak Street Health’s success. High levels of flexibility, energy, attention to detail, and problem solving are required to be successful. You will be expected to build relationships with Oak Street Health patients, manage patient’s care plans, perform proactive phone and in-person outreach to our patients based on their care needs, support Care Team decision making, participate in weekly care team meetings, and generally coordinate all clinical and auxiliary services needed to provide a high quality health care experience from Oak Street Health. The RN is a crucial member of the interdisciplinary care team, who partner to address care gaps, manage chronic conditions and support behavioral, social and community needs. Through the management of acute and subacute transitions, s/he facilitates appropriate interventions, and collaborates with OSH and hospital/SNF teams as needed. S/he is an assertive problem-solver, motivated to support our population who understands the value of  timely discharges, low readmissions and efficient resource utilization.

Responsibilities:

• In-center care support and triage for patients, scheduling problem visits or nurse visits when appropriate, offering symptom management, supporting refill requests and answering visit follow-up questions 

• Provide patient education, particularly around chronic conditions; will mostly occur in person, individually or in a group setting  

• Monitoring and coordinating the delivery of the care plan

• Works in partnership with multiple care teams to provide daily support to patients in transition away from the hospital, advocating for the patient’s best interest, and intervening in the development of a discharge plan

• Supports care coordination of patients with complex needs, breaking down barriers to discharge, such as securing referrals or home resources

• Forming relationships with patients and their caregivers to support prevention focused care and ED/ hospital diversion where appropriate 

• Conduct medication and testing authorizations

• Develop and maintain strong working relationships with hospital staff in assigned region, including planning and facilitating meetings with hospitals and skilled nursing facilities

• Identify and implement opportunities for efficient workflows, increased partnership and more effective patient care

• Report out to OSH providers and leadership on admissions, progress and opportunities for future improvement

• Other duties as assigned

RNs report to the Director of Care Services

Minimum Requirements:

• 2+ years of relevant experience, or equivalent training plus experience, preferably in a primary care office or other outpatient setting

• Current state license to practice as a Registered Nurse

• Exceptional communication skills and customer service orientation for a wide audience including patients, caregivers and OSH and hospital providers and staff

• Comfort with accountability, and able to communicate on accomplishments and challenges

• A problem-solving orientation, and a flexible and positive attitude

• A supportive and empathetic attitude toward our patient population of older adults

• Valid driver's license or ability to travel daily. This role will require travel between facilities in the Chicagoland area

• CPR Certification