RN Care Manager at Cityblock Health

Winston-Salem, North Carolina, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

3+ Years of experience
Graduate of an accredited school of nursing (R.N.)
COVID-19 vaccine (or approved exemption for in-person, member-facing positions)
Completion of Cityblock’s medical clearance requirements (for member-facing roles)

Responsibilities

Receive members from the engagement and care team, clearly communicating program expectations, including duration and goals
Complete self-efficacy and condition-specific screeners during the assessment and intake phase, along with behavioral health screeners like PHQ-9, GAD-7, AUDIT, and DAST-10 to identify behavioral health needs
Conduct in-person clinical examinations when appropriate and collaborate with care team members to determine member placement in programs of varying intensity
Prepare for and actively participate in case conferences, leading discussions when necessary
Develop a care plan in collaboration with the member and address social needs with the support of the Community Health Partner
Conduct regular clinical visits and follow-ups per program guidelines, monitoring routine therapeutic interventions and addressing member needs promptly
Collaborate with the care team to support a panel of assigned members, providing clinical assistance in health maintenance, chronic disease management, and co-occurring psychiatric disorder support
Perform medication reconciliation, administration, compliance, and education as part of member care
Address quality gaps prioritized by the contracted company and ensure thorough chart documentation and coding (ICD or CPT) to validate gap closures
Utilize care facilitation tools, electronic health records, and scheduling platforms to gather data, document member interactions, organize information, track tasks, and communicate with team members and community resources
Support members in achieving their care plan goals through coordinated and comprehensive care efforts

Skills

PHQ-9

GAD-7

AUDIT

DAST-10

Medication Reconciliation

EHR

ICD Coding

CPT Coding

Chronic Disease Management

Behavioral Health Screening

Care Planning

Clinical Assessment

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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