Pod Family Medicine Physician, Greensboro, NC at Cityblock Health

Greensboro, North Carolina, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Serves as a practice-based provider supporting scheduled appointments, walk-ins, urgent/emergent visits across modalities (face-to-face, virtual, in-hub)
Delivers comprehensive chronic disease management (e.g., hypertension, diabetes, chronic kidney disease)
Manages evaluation of acute concerns
Manages behavioral health conditions (e.g., depression, anxiety, alcohol/substance use disorder)
Provides preventative care and wellness support (including sexual/reproductive health)
Works collaboratively with interdisciplinary team to develop member care plans and support members
Assists with development/enhancement of clinical programs, initiatives, processes, policies
Manages most complex patients in market
Remains up-to-date on evidence-based care for complex adult primary care patients (pediatric in certain markets)
Provides longitudinal direct primary care or wrap-around care focused on chronic condition management and preventative care

Responsibilities

Conducts comprehensive clinical intake visits for selected members (based on segmentation, empanelment, care team recommendation)
Conducts timely follow-ups post-transition of care, acute needs, or condition-specific needs
Proactively outreaches to members needing follow-up care
Provides clinical care per CBH protocols
Completes comprehensive diagnosis capture for HCC and ICD-10 coding
Addresses contractual/company-prioritized quality gaps with proper chart documentation/codes (ICD/CPT)
Addresses/responds to member needs and delegates tasks timely
Finishes documentation within 48 hours per company policy
Prescribes 1st/2nd line medications for depression, anxiety, alcohol/opioid use disorders
Continues psychiatric medications for stable SMI members
Refers members to specialist care per internal CBH guidance
Supports members in achieving care plan goals (physical, behavioral, social health)
Participates in case conferences providing clinical expertise for care plan development
Provides guidance on highest impact clinical interventions/tasks
Collaborates on member panel for clinical input (health maintenance, chronic disease, psychiatric support)
Collaborates with team on member program placement (e.g., lower/higher intensity)
Utilizes care facilitation, EHR, scheduling platforms for data collection, documentation, task tracking, communication
Educates/supports/elevates team members' skills (informal coaching)
Acts as collaborating physician for Advanced Practice Clinicians oversight
Completes chart reviews per CBH policy
Guides clinical team on complex cases, available for escalations, provides clinical consultation (issues, care plans, concerning conditions)

Skills

Family Medicine

Chronic Disease Management

Hypertension

Diabetes

Chronic Kidney Disease

Behavioral Health

Depression Management

Anxiety Management

Substance Use Disorder

Preventative Care

HCC Coding

ICD-10 Coding

CPT Coding

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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