Behavioral Health Specialist
Posted on 4/3/2023
Cityblock Health

201-500 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.
Dorchester, Boston, MA, USA
Experience Level
  • A resume and/or LinkedIn profile
  • A short cover letter, please!
  • Lead Collaborative Care Management (CoCM) within their pods through evidenced-based brief psychotherapy, supporting medication management, monitoring patient progress, and coordinating with the psychiatric consultant regarding treatment changes
  • Manage transitions of care and ensure appropriate follow-up for behavioral health hospital admissions, substance use disorder (SUD) admissions, and some medical admissions due to a behavioral health reason. This includes coordinating closely with both inpatient staff, external providers, and internal Cityblock colleagues
  • Actively outreach and maintain engagement with our highest acuity members, some of whom face significant barriers to care
  • Encourage access to evidenced-based treatments, including long-acting injectable antipsychotics, clozapine, medication assisted treatments (MAT), and contingency management
  • Ensure behavioral health population health metrics (as required by NCQA and contractually) are achieved, such as follow-up after a BH or SUD hospitalization; diabetes screening for members with psychotic disorders on antipsychotics; and adherence to medication assisted treatment for members with SUD
  • Triage members referred to the BH Team to ensure each member receives and/or is connected with the appropriate level of services. The BHS helps follow-up on BH and SUD screens, identifies risk factors, conducts assessments, identifies the member's stage of change, uses motivational approaches, and makes referrals to providers both within and external to Cityblock
  • Strive to earn our members' trust and ensure strong access to BH and SUD care
  • Provide consultation to our care teams as it relates to members' behavioral health needs and care plans
  • Respond to pages during certain working hours for urgent BH escalations and rarely during evening or weekend hours as part of an on-call rotation
  • Utilize our custom-built care facilitation platform, Commons, and the EMR to document notes, track tasks and communicate with other members of the care team
  • You are an LICSW or LCSW with at least 5 years of experience in assessing, planning, and managing patient care as acquired through three years of clinical experience, including direct therapy and care management work. [In certain situations, we will consider Master level clinicians who are not independently licensed such as LMSWs and MHCs with the expectation that you will take the licensing exam once your clinical hours are met]
  • 3-5 years in care management role preferably in a health plan, ambulatory care, or community service provider managing high risk population, duals preferred, and transitions of care
  • Working knowledge of Medicare and Medicaid programs and experience with regulatory compliance and reporting requirements
  • Advanced communication and interpersonal skills with all levels of internal and external partners
  • Enjoys multi-tasking as part of a fast-paced multidisciplinary team, with strong organizational skills
  • Comfort working in-person in clinical hubs embedded in our members' communities with occasional home visits if needed
  • Are Tech savvy, able to talk, type, and document in the moment. Comfortable using Google Suite, Slack, and other tech platforms
  • Able to manage data and registries, including through Google Sheets, and be comfortable analyzing data and adjusting interventions accordingly
  • Are excited about how technology can support your work and help drive the ongoing evaluation toward new and better care
  • Extensive knowledge of Medicare and Medicaid, benefits and community resources
  • Proven experience in developing and sustaining internal and external client relationships with healthcare professionals, including community service providers
  • Strongly prefer
  • Bilingual language skills, most prevalent need includes Spanish
  • Experience with underserved populations
  • Experience with Collaborative Care Management
  • 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