Director, Care Management

About Us:

Cityblock Health is the first tech-driven provider for communities with complex needs-bringing better care to where it's needed most, block by block. Founded in 2017 on the premise that "health is local" and based in Brooklyn, we are backed by Alphabet's Sidewalk Labs along with some of the top healthcare investors in the country.

Our mission is to improve the health of underserved communities. Importantly, our solutions are designed specifically for Medicaid and lower-income Medicare beneficiaries, and we meet our members where they are, bringing care into the home and neighborhoods through our community-based care teams and Virtual Care offerings.

In close collaboration with community-based organizations, local providers, and leading health plans, we are reorganizing the health system to focus on what matters to our members. Equipped with world-class, custom care delivery technology, we deliver personalized primary care, behavioral health, and social services to deliver a radically better experience of care for every member and community we serve.

Over the next year, we'll grow quickly to bring better care to many more members and their communities. To do this, we need people who, like us, believe that everyone should have good care for what matters to them, in their community.

Our work is grounded in a belief in the power of a diverse community. To close gaps in care and advance equity in the communities we serve, we have to start with making our own team diverse and inclusive. Our ways of working are characterized by creativity, collaboration, and mutual learning that comes from bringing together a community from diverse backgrounds and perspectives. We strive to ensure that every person on the Cityblock team, and every Cityblock member, feels supported and included as a part of our community.

Our Values:

• Aim for Understanding
• Be All In
• Bring Your Whole Self
• Lean Into Discomfort
• Put Members First

About our Team:

We employ a field-based, home-based care model and are committed to meeting members where they are--in their homes, in their community, and in our Hubs. You will go above and beyond to connect with Cityblock members in a non-judgmental, respectful and empathic manner, to meet their needs, and to provide feedback to the system as a whole as we strive to do better every day.

About the Role:

The Director of Care Management is responsible for developing systems and processes for Care Management clinical operations, as well as managing the activities related to cost of care, performance management and clinical quality improvement. This person must be committed to improvement and promoting the health of the population served.

The Director evaluates and ensures that clinical and non-clinical resources are used appropriately and effectively, as well as overseeing the collection, analysis and reporting and quality data related to care management, utilization management, quality improvement and performance improvement. Additionally, this position promotes interdisciplinary collaboration, fosters teamwork and champions service excellence.

Responsibilities:

• Accountable for clinical operations and program outcomes of the DSNP Care Management department.
• Accountable for ensuring compliance with contractual, accreditation and regulatory requirements
• Define and execute strategies to Improve Population Health outcomes
• Mentors and develops skills of care management team members.
• Responsible for the provision of quality services by maintaining appropriate resources, staffing levels, competency of staff, maintenance and performance of equipment, and training and education of staff
• Promotes interdisciplinary collaboration, fosters teamwork and champions service excellence
• Provides direction and oversight to all team members including, Case Managers and Community Health Partners
• Responsible for approving and managing the day to day local level operational budget.
• Responsible for overseeing the education of physicians, managers, staff, and members related to the care management process at the local level.
• Participates in this evolutionary process by constantly identifying future needs of customers.
• Uses data to drive decisions, plan, and implement performance improvement strategies for care management
• Identifies improvement opportunities and facilitates process standardization to promote outcomes in alignment with the strategic and operational goals of Cityblock Health
• Establishes and standardizes defined policies, procedures and processes to optimize efficiency and maximize productivity
• Directs and participates in orientation training for new employees and re-training as needed
• Establishes and maintains working relationships with health plan partners

Requirements for the Role:

• Current unencumbered RN license In State of operation
• Active CCM certification
• 5+ years Care Management leadership experience
• 7+ years of Managed Care Experience, with at least 3 years experience with Dual Special Needs Plan (DSNP)
• Experience managing to NCQA policies and standards
• In-depth knowledge of Medicare Advantage, Managed Medicaid, and Commercial LOBs.
• Progressive experience in management, with demonstrated ability of supervision of multi-skilled personnel in a fast-paced environment both onsite and telecommute staff

What We'd Like From You:

• A resume and/or LinkedIn profile
• A short cover letter, please!

Cityblock values diversity as a core tenet of the work we do and the populations we serve. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

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We do not accept unsolicited resumes from outside recruiters/placement agencies. Cityblock will not pay fees associated with resumes presented through unsolicited means.