Chronic conditions we treat.

The Kidney Navigator program supports Oak Street Health patients who have advanced chronic kidney disease and/or end stage renal disease. Patients are assigned a nurse practitioner and a community health worker who will deliver personalized kidney care and support services. A Kidney Navigator team member does NOT replace your Oak Street Health physician or any current services, and you’ll never pay anything for the Kidney Navigator program. Your Kidney Navigator care team, and primary care team will work together closely. The kidney navigator will help coordinate referrals to specialists, appointments, prescription refills, deliveries of medications and more. Plus you get 24/7 access to care from kidney-specific experts and a direct phone line to discuss your kidney-related needs.

Issues related to mental health are problematic for everyone, no matter what your age. That’s why Oak Street Health provides behavioral health specialists to help you better understand some of the issues you’re having. Specially trained staff in areas of social work, psychiatry and behavioral health, will tend to your needs, making sure you get the help right for you. This help can come in the form of working with a medical social worker who will assist with social issues — like securing food or housing, one-on-one therapy sessions with a behavioral health specialist, or medication from a psychiatrist. Each one of these team members will work closely with your Medicare primary care doctor and entire care team in creating a plan of action.

Your Medicare primary care physician will work with you and your care team to assess whether you have a chronic condition that you might then benefit from being put into one of our programs.