Nurse Care Manager
Rncm
Posted on 2/16/2023
INACTIVE
Cityblock Health

501-1,000 employees

Tech-driven healthcare provider
Company Overview
Cityblock's mission is to improve the health of underserved communities by creating solutions that are designed specifically for Medicaid and lower-income Medicare beneficiaries. The company delivers better care to where it’s needed most, investing upstream in highly personalized, prevention-oriented health and social care to ultimately drive down costs and improve outcomes.

Company Stage

Series D

Total Funding

$897.1M

Founded

2017

Headquarters

Brooklyn, New York

Growth & Insights
Headcount

6 month growth

2%

1 year growth

0%

2 year growth

28%
Locations
Cape Cod, Massachusetts, USA
Experience Level
Entry
Junior
Mid
Senior
Expert
Desired Skills
Management
Requirements
  • A resume and/or LinkedIn profile
  • A short cover letter, please!
Responsibilities
  • Expect collaboration, shared-decision making, and partnership across clinical and non-clinical care team members, including our large team of Community Health Partners
  • Co-manage a population living with complex medical and behavioral health conditions
  • Collaborate on a panel of members assigned to your care team to provide nursing clinical support, including transitional care, health maintenance, medication reconciliation & administration, chronic disease management and co-occurring psychiatric disorders
  • Your work will take you into the community. You will meet with members in their homes, neighborhoods, at the point of hospital discharge and within the healthcare system. These visits can be done individually, or as co-visits with one of your care team members (i.e. Community Health Partners, Behavioral Health Specialists, Nurse Practitioners)
  • Conduct several home visits in a given day, including scheduled and unscheduled episodic urgent member needs
  • Provide ongoing clinical support to your panel of members in partnership with your interdisciplinary care team, prioritizing member visits based on their health needs
  • Assess in-home safety and risks and implement evidence-based interventions and protocols for complex chronic conditions
  • Assist members with medication reconciliation, medication administration & medication compliance
  • Leverage strong time management skills to to make impactful judgment calls on member care and balance with daily team meetings, weekly case conferences, and skill-building workshops
  • Foster lasting and trusting relationships to assist members in achieving goals, identifying new needs, and coordinating care
  • Utilize our custom-built care facilitation platform, Commons, and the market's EMR to collect data, document member interactions in the field, organize information, track tasks, and communicate with your team, members, and community resources
  • Active, unrestricted Registered Nurse license in the state in which you are seeking employment with Cityblock
  • You have 3+ years of experience providing clinical services to Adult and Geriatric individuals with co-occurring chronic medical and behavioral health conditions
  • Work a full-time 40 hour week, Monday-Friday 9am to 5pm ET with one late evening a week, consisting of team meetings, case conference, supervision, and field-based independent clinical and co-visits
  • Experience and comfort working within an interdisciplinary care team, and specifically working alongside community health workers and care coordination team members
  • Familiarity and willingness to travel within your community (home-based member visits) and its healthcare systems (hospitals and rehab centers)
  • Experience in transitions of care management, both in-person and virtual
  • Experience as an active participant in continuous quality improvement projects within a provider setting
  • Possess exceptional triage, coordination and clinical assessment skills
  • Demonstrate proficiency, prior experience, and/or willingness to train in clinical nursing skills such as wound assessment and care, blood drawing (venipuncture & phlebotomy), assessment and care plan reinforcement for common chronic conditions such as diabetes, hypertension, CHF, depression
  • Demonstrate the ability to affect change, and have been effective in helping a member or patient adapt new habits, or change behaviors
  • Excited about how technology can support your work and help drive the ongoing evaluation toward new and better care
  • Independent self-starter, a leader, and a strategic thinker who is excited about the big picture of whole community health, and the ongoing evaluation and iteration of our care model
  • You will also participate in a regular Saturday Rotation and the Cityblock on-call schedule. Your work may take you outside of normal business hours as urgent member needs arise
  • You have an unrestricted driver's license and vehicle for daily use
  • We do not accept unsolicited resumes from outside recruiters/placement agencies. Cityblock will not pay fees associated with resumes presented through unsolicited means
  • Medical Clearance (for Member-Facing Roles):
  • You must complete Cityblock's medical clearance requirements, which include, but may not be limited to, evidence of immunity to MMR, Hepatitis B, Varicella, and a TB screen, or have an approved medical or religious accommodation that precludes you from being vaccinated against these diseases
  • Covid 19 Update - Please Read:
  • Cityblock requires those hired into this position to provide proof that they have received the COVID-19 vaccine. Any individuals subject to this requirement may submit for consideration a request to be exempted from the requirement (based on a valid religious or medical reason) on forms to be provided by Cityblock. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed. This vaccination requirement is based, in part, on recently established government requirements. The requirement is also based on the safety and effectiveness of the vaccine in protecting against COVID-19, and our shared responsibility for the health and safety of members, colleagues, and community
  • The COVID-19 pandemic has severely impacted the health and lives of people around the world, including the vulnerable populations Cityblock serves. As a healthcare provider, Cityblock holds ourselves to the highest standards when promoting the health and safety of those who we serve. Given that the COVID-19 vaccines are one of the most powerful tools to fight this disease and save lives, Cityblock is implementing a COVID-19 booster mandate for Washington, D.C. employees under the guidance of local/state mandates