CVS Health

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

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.

Company Description

Oak Street Health is a rapidly growing company of primary care centers for adults on Medicare in medically-underserved communities where there is little to no quality healthcare. Oak Street’s care is based on an entirely new model that is based on value for its patients, not on volume of services. The company is accountable for its patients’ health, spending more than twice as long with its patients and taking on the risks and costs of their care. For more information, visit http://www.oakstreethealth.com.

Role Description:

The Director of Transitional Care is part of Oak Street Health’s national Transitional Care Leadership team and is responsible for leading the Transitional Care RN (TRN) cohort. OSH’s Transitional Care program supports multidisciplinary care across facility-based care teams, OSH care teams, utilization management, care navigation, and patients and caregivers. The Director provides leadership to TRN managers / leads responsible for ensuring high-quality, patient-centered care, preventing avoidable readmissions, efficient resource utilization, and maintaining high levels of provider, caregiver, and patient satisfaction.

Core Responsibilities:

• Serve as national leader for Transitional Care RN (TRN) cohort
• Serve as member of Transitional Care Leadership Team consisting of operational and clinical leaders responsible for overall program strategy and execution
• Monitor key performance indicators including medication reconciliation post-discharge (MRP), follow-up after ED visit (FMC), post-discharge visit (PDV) completion, SNF ALOS, etc. to guide TRN-specific and Transitions program-level goals
• Manage team of managers / leads who each manage TRN pods
• Indirectly manage daily operations, regional & facility assignments, caseloads, team and individual performance, and coaching via managers / leads
• Participate in and lead (as needed) inpatient and SNF rounds to facilitate proactive discharge planning in partnership with clinical leaders
• Direct and support hiring and training of TRNs in new and existing regions
• Develop training materials, complete quality audits, and complete process evaluations to inform systems and process enhancements
• Partner with regional clinical and operational leaders (S/RVP, R/SMD, PHD, RDO, etc.) to support Transitional Care performance locally
• Facilitate internal, cross-team collaboration among field teams, Population Health, Data, Product, Managed Care Operations, etc. proactively and frequently
• Proactively build external relationships with hospital and SNF case management, directors of nursing, hospitalist services, etc. to build systematic discharge planning and care coordination workflows
• Leverage knowledge of CMS, state-specific, and NCQA guidelines related to case management and transitions of care
• Other duties as assigned

What are we looking for?

• Master’s degree in healthcare including nursing, social work, public health, health administration, business administration with healthcare focus
• 2+ years direct supervisory experience
• 3+ years in an administrative position
• 5+ years in case management, transitional care, discharge planning, utilization management, and/or home health
• Active RN or LCSW license within one or more OSH states
• Case Management Certification (CCM) preferred
• Proficient with Microsoft Office, Google Suite, and healthcare EMRs
• Knowledge of Medicare/Medicaid and NCQA requirements
• Strong clinical and assessment skills
• Outstanding verbal and written communication skills
• Ability to work independently and maintain flexibility in a fast-paced, start-up environment
• Ability to analyze data and use it to improve care delivery
• Self-starter with a high level of accountability and responsibility for the outcome of care
• Highly organized and able to manage multiple priorities appropriately
• Independent problem-solving skills
• Able to work collaboratively and build enduring relationships with providers, patients and the multidisciplinary team.
• A flexible, positive attitude
• Valid driver's license and ability to travel daily
• US work authorization
• Someone who embodies being “Oaky”

What does being “Oaky” look like?

• Radiating positive energy
• Assuming good intentions
• Creating an unmatched patient experience
• Driving clinical excellence
• Taking ownership and delivering results
• Being scrappy

Why Oak Street?

Oak Street Health offers our coworkers the opportunity to be at the forefront of a revolution in healthcare, as well as:

• 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

Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply to oakstreethealth.com/careers.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$110,467.00 - $237,930.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 10/31/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.