Hybrid RN Care Manager, Transitions of Care

Ohio, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Candidates must be a graduate of an accredited school of nursing (RN), possess Basic Life Support (BLS) certification, and have at least 3 years of experience. An active RN License in the state(s) of practice and an unrestricted Driver's License are also required. The role is hybrid, with 80% virtual and 20% community-based work, and requires residency in the Dayton, OH area.

Responsibilities

The RN Care Manager will coordinate with hospital case managers to assess member needs, conduct discharge visits (in-home or virtual), and perform clinical exams. Responsibilities include completing screenings, participating in inpatient rounds and post-discharge conferences, and developing post-discharge care plans in collaboration with the care team. The role involves regular check-ins, community-based support, medication reconciliation, quality gap closure, and utilizing electronic health records for data collection and documentation. The RNCM will also track TOC-related metrics and new TOC events.

Skills

Registered Nurse (RN)

Care Management

Transitions of Care

Discharge Planning

Patient Assessment

Clinical Education

Behavioral Health Screening

PHQ-9

GAD-7

AUDIT

DAST-10

Medication Management

Home Visits

Virtual Visits

Interdisciplinary Collaboration

Case Management

Cityblock Health

Personalized healthcare services for Medicaid patients

About Cityblock Health

Cityblock Health provides personalized healthcare services primarily for Medicaid patients, focusing on compassionate care that addresses both medical and non-medical needs. When individuals join Cityblock, they are assigned a dedicated care team that includes doctors, nurses, mental health advocates, and social workers, all tailored to meet their specific health requirements. This team helps members navigate their healthcare journey, from finding specialists to providing urgent care services for non-life-threatening emergencies, delivered right at their homes. Cityblock distinguishes itself from competitors by emphasizing a holistic approach to health, which includes support for housing, food security, addiction treatment, and childcare, in addition to traditional medical services. The company's goal is to ensure that every member receives comprehensive care that respects their individual stories and circumstances, making healthcare accessible and compassionate.

New York City, New YorkHeadquarters

2017Year Founded

$890MTotal Funding

LATE_VCCompany Stage

HealthcareIndustries

501-1,000Employees

Benefits

Comprehensive health, dental, & vision coverage

12 weeks parental leave

401(k)

20 days vacation

Company retreats & events

Risks

Over-reliance on Medicaid funding poses financial risks with policy changes.

Rapid expansion may strain resources and affect service quality.

Continuous IT investment is needed, posing a financial burden if not aligned with growth.

Differentiation

Cityblock Health offers a unique care model integrating medical and social services.

The company focuses on Medicaid patients, addressing complex health and social needs.

Cityblock's Advanced Behavioral Health Program shows significant cost savings and reduced utilization.

Upsides

Partnerships in North Carolina and Florida expand Cityblock's reach in high Medicaid areas.

The ABH Program's success suggests potential for expansion and replication in other regions.

Cityblock's flexible care model enhances accessibility and patient satisfaction.

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