Behavioral Health Care Manager
NC, Across Triad
Posted on 2/24/2023
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.
Greensboro, NC, USA
Experience Level
  • A resume and/or LinkedIn profile
  • A short cover letter, please!
  • Expect collaboration, shared-decision making, and partnership across clinical and non-clinical care team members, including our team of Community Health Partners
  • Ensure key population health metrics are achieved
  • Work a full-time 40 hour week, Monday-Friday 9am to 5pm ET. Your work may take you outside of normal business hours as urgent member needs arise. In the future there may be an on-call pool that leads to rare off-hour calls from colleagues
  • Refer to Cityblock Behavioral Health Therapists and make referrals to external community therapists, psychiatrists, and other high quality behavioral health resources as needed
  • Participate as the Behavioral Health Care Manager in a Collaborative Care Management Program
  • Follow up with members closely to ensure they follow through with care recommendations, eliminating barriers to engagement with their internal and external providers
  • Be an expert in measuring stages of change. Understand member readiness to make changes, appreciating barriers to change. Anticipate relapse from substance use disorders and intervene accordingly
  • Follow members closely while they are inpatient, in detox/withdrawal mgmt programs, in residential programs and/or intensive day programs. Liaise with both the inpatient team and the Cityblock team to ensure continuity of care
  • For transitions of care, ensure follow up and escalation plans are detailed, clear and achievable. Ensure follow up appointments are scheduled and completed by 7 and 30 day benchmarks. Closely follow members through the transition period according to CBH transition of care metrics/standards
  • Respond to urgent escalations, including by being on-call during business hours
  • Actively participate in daily team huddles and case conferences to advise, develop and document behavioral health and care management needs and goals as part of member's Member Action Plan (MAP)
  • Integrate behavioral health services with Cityblock medical and social care, including in some situations through a Collaborative Care model
  • Actively participate in planning and/or implementation of initiatives related to Behavioral Health integration and collaboration with external vendors, community-based service providers, and/or the larger Cityblock Care Team
  • Be responsible for the BH quality metrics for your assigned members
  • 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, LCSW or LMHC 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
  • 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 customers
  • Are Tech savvy, able to talk, type, and document in the moment. Comfortable using Google Suite, Slack, and other tech platforms
  • Are excited about how technology can support your work and help drive the ongoing evaluation toward new and better care
  • Strong organizational and communication skills
  • 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, Vietnamese, French Creole, Cantonese, Russian, Mandarin
  • Experience with Medicaid and / or members with social needs
  • 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