About Oakwood Creative Care
Oakwood Creative Care is a nonprofit organization dedicated to innovative, person-centered programs for individuals living with dementia and other cognitive changes.
Through our adult day health care “clubs,” family support hubs, and Healthy Living & Resilience Clinics, we cultivate environments where individuals living with cognitive change experience dignity, purpose, meaningful connection, enhanced quality of life, and true joy — while families receive education, guidance, and sustained support that empowers them to thrive alongside those they love. As part of our Healthy Living model, we are expanding specialized dementia-informed clinical services designed to complement and coordinate with each participant’s primary care provider and specialists.
Position Summary
The Healthy Living Nurse Practitioner (NP) – Dementia Care Specialist provides supplemental clinical oversight, wellness monitoring, and supplemental clinical oversight, wellness monitoring, and dementia-informed consultation for individuals enrolled in Oakwood. Oakwood's supplemental clinical oversight, wellness monitoring, and dementia-informed consultations for individuals enrolled in Oakwood programs. This role does not replace a member's primary care provider. Instead, the NP collaborates closely with PCPs, neurologists, psychiatrists, and other specialists to:
- Enhance continuity of care
- Monitor health changes in real time within the program setting
- Support dementia-related symptom management
- Reduce preventable hospitalizations and emergency visits
- Provide caregiver education and practical guidance
This position bridges daily program engagement with clinical insight, ensuring that health concerns are recognized early and communicated effectively — strengthening the overall circle of care.
Key Responsibilities
Clinical Monitoring & Dementia Support
- Conduct baseline and periodic wellness assessments for program participants.
- Monitor cognitive, behavioral, functional, and physical changes
- Identify emerging health concerns and coordinate timely communication with the participant’s PCP or specialists.
- Support non-pharmacologic interventions for behavioral symptoms of dementia
- Review medications for potential side effects or dementia-related impact (in collaboration with prescribing providers).
- Assist with care planning conversations aligned with disease progression and quality-of-life goals.
Care Coordination
- Serve as a clinical liaison between Oakwood and external healthcare providers.
- Facilitate post-hospital discharge follow-up and medication reconciliation support.
- Participate in interdisciplinary case conferences with program and family support teams.
- Strengthen systems that reduce fragmentation of care.
Caregiver Education & Support
- Provide consultation to families regarding disease progression, safety, behavioral strategies, and wellness approaches.
- Offer educational workshops through Healthy Living & Resilience Clinics.
- Support advance care planning conversations in partnership with medical teams.
Prevention & Healthy Living
- Promote brain health, movement, nutrition, hydration, sleep, and social engagement.
- Create personalized healthy living and resilience plans with families
- Contribute to proactive risk-reduction strategies that enhance quality of life and stability.
Program Development & Quality Improvement
- Help refine and strengthen Oakwood’s supplemental Healthy Living clinical model.
- Develop scalable protocols for observation, documentation, and provider communication.
- Contribute to outcome tracking and quality improvement initiatives as Oakwood grows.
Required:
- Active Arizona Nurse Practitioner license (Family, Adult-Gerontology, or Psychiatric-Mental Health NP).
- Minimum 3 years of experience working with older adults.
- Experience in dementia care, geriatrics, neurology, or behavioral health.
- Strong collaborative communication skills and systems thinking mindset.