Oak Street Health is seeking a Nurse Practitioner to provide high-quality, patient-centered primary care to adults on Medicare in underserved communities. In this role, you'll deliver comprehensive assessments, manage chronic and acute conditions, and collaborate closely with a multidisciplinary care team to improve patient outcomes. You will focus on preventive care, education, and care coordination, leveraging data and best practices to support value-based care. Oak Street Health offers a supportive, inclusive environment with robust professional development and the opportunity to make a meaningful community impact. Responsibilities Provide comprehensive primary and preventive care to a panel of adult Medicare patients, focusing on chronic disease management and health maintenance. Perform advanced clinical assessments, formulate diagnoses, and develop evidence-based treatment and care plans for acute and chronic conditions. Order, perform, and interpret laboratory tests, imaging, and other diagnostics; adjust care plans and medications based on results and patient response. Prescribe and manage medications in accordance with state and federal regulations, including controlled substances where appropriate. Document all patient encounters, care plans, and communications accurately and timely in the electronic health record (EHR). Collaborate closely with physicians, nurses, care managers, social workers, and other team members to coordinate holistic, team-based care. Engage patients and families in education, counseling, and shared decision-making to support understanding of conditions, treatments, and self-care strategies. Participate in population health initiatives by identifying and closing preventive care and chronic disease management gaps using available data and quality metrics. Contribute to quality improvement efforts, adhering to clinical guidelines and organizational protocols to meet or exceed performance and outcome targets. Utilize in-person visits and, when appropriate, telehealth modalities to maintain access and continuity of care for patients. Maintain required licenses, certifications, and continuing education to sustain a high level of clinical competence and compliance with regulatory standards. Support Oak Street Health's mission by promoting a patient-centered, inclusive, and culturally sensitive care environment for underserved communities. Required Skills Advanced clinical assessment and diagnosis Chronic disease management (e.g., diabetes, COPD, CHF) Primary and preventive care planning Electronic Health Record (EHR) documentation Ordering and interpreting labs and diagnostics Medication management and prescribing Care coordination within interdisciplinary teams Patient and family education Population health management Motivational interviewing Culturally competent care delivery Quality and performance improvement Basic telehealth practice Time management and panel management