Physician Assistant
Sign on bonus
Posted on 11/30/2023
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

2%

2 year growth

32%
Locations
Greensboro, NC, USA
Experience Level
Entry
Junior
Mid
Senior
Expert
Desired Skills
Management
CategoriesNew
Medical, Clinical & Veterinary
Requirements
  • ANCC or AANP certification for Nurse Practitioners
  • Active DEA Controlled Substance Registration or eligible for application
  • Certified in Basic Life Support for Healthcare Providers
  • Maintenance of professional credentialing and CME standards
  • Work a full-time 40 hour week, Monday-Friday with possibility of occasional evenings and weekends, with possibility of occasional evenings and weekends
  • You have experience providing clinical services to individuals with both chronic medical and behavioral health conditions, and have interest in serving complex, vulnerable, and disabled populations
  • Proven skills, knowledge base, and judgment necessary for independent clinical decision-making
  • You are an adaptable organized, efficient, independent self-starter and problem-solver, a leader, a strategic thinker, and a mentor, who is excited about the big picture of whole community health
  • You are excited about how technology can support your work and help drive the ongoing evaluation toward new and better care
  • Your work may take you outside of normal business hours as urgent member needs arise
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 panel of members to improve their health holistically through longitudinal primary care, care management, and care coordination and be available via phone, during business at our hubs, or for member home-visiting
  • As a full-time employee, you should aim to spend at least 30 hours of your time on Direct Patient Care (visits) in order to comply with weekly appointment goals. This should be adjusted based on member needs.
  • Provide comprehensive care management, chronic disease management, urgent home-based and community-based primary care visits, preventative care and wellness, liaison with relevant other providers around behavioral health and long term service and support needs, and the provision of palliative care.
  • Perform episodic urgent medical/behavioral health visits and/or telephone calls for members on your panel to ensure that timely and appropriate medical care in order to avoid emergency department visit or hospitalization
  • Conduct home visits as needed, including scheduled and unscheduled urgent member needs
  • Perform post-discharge visits for your panel within 48 hours of discharge from either an acute care facility or skilled nursing facility to decrease risk of readmission; perform detailed medication reconciliation, and assure that appropriate long term services are in place
  • Assess cases presented to you by your Care team and utilizing your clinical competencies, prioritize member needs
  • Interface with specialists, hospitals, and community based organizations to facilitate collaboration in service of our members, and promote shared decision making
  • Monitor and address clinical quality gaps in 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
  • Assist management and leadership with the development, refinement, and enhancement of clinical programs, initiatives, processes, policies, workflows, and projects
  • Attend daily team huddles and weekly case conferences to advise on physical health needs and establish health goals as part of member’s Member Action Plan (MAP)