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Transitional Care Nurse Practitioner (RBE)
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Full-time
- Title: Transitional Care Advanced Practice Provider (APP)
- The Advanced Practice Provider, Transitions delivers high-touch, high-quality care to the highest risk patients attributed to Oak Street Health and the Oak Street Health Risk-Bearing Entity (RBE) within their homes.
- APPs in a defined territory collaborate continuously with other team members for post-discharge follow up care coordination, medication reconciliation, and social services follow up.
- Collaborate with Transitional Care Managers, home health, social workers, hospitals, SNFs, and specialists
- Strong clinical skills focused on older adults with complex disease states
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