Registered Nurse (RN) - Case Manager (Remote)

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, one block at a time. 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.

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. We will get started in new markets, each with their own operating structure and care teams, and continue to grow in the communities where we are working already. 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 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.

The RN Case Manager will be responsible for the Care Management program delivery, including:

Responsibilities:

• Identify priorities and necessary processes to triage and deliver work
• Empower members to manage and improve their health, wellness, safety, adaptation, and self-care
• Assess and interpret member needs and identify appropriate, cost-effective solutions
• Identify and remediate gaps or delays in care/ services
• Advocate for treatment plans that are appropriate and cost-effective
• Work with low-income/ vulnerable populations to ensure access to care and address unmet needs
• Gather and evaluate clinical information to assess and expedite referrals within the healthcare system including consideration of alternate levels of care and services
• Facilitate timely and appropriate care and effective discharge planning
• Work collaboratively across the healthcare spectrum to improve quality of care
• Leverage experience/ expertise to observe performance and suggest improvement initiatives
• Ensure understanding of industry standard competencies and performance metrics to optimize decisions and clinical outcomes
• Ensure individual and team performance meets or exceeds the performance competencies and metrics
• Collect, stage and analyze data to identify gaps and prioritize interventions
• Contribute actively and effectively to team discussions
• Share knowledge and expertise, willingly and collaboratively.
• Provide outstanding customer service, internally and externally
• Follow and maintain compliance with regulatory agency requirements
• Perform daily work with a focus on the core principles of managed care: patient education, wellness and prevention programs, early screening and intervention, and continuity of care
• Work proactively to expedite the care process

Requirements for the Role:

• Current unencumbered RN license with a minimum of 5+ years of acute clinical experience
• Certified Case Manager (CCM) preferred
• Minimum 2 years experience in a managed care environment across multiple lines of business (Medicare Advantage, Managed Medicaid, Dual SNP, Commercial, etc.) with at least 1 year of Dual Special Need Plan experience
• HMO and risk contracting experience preferred
• In-depth knowledge of current standard of medical practices and insurance benefit structures.
• Excellent oral and written interpersonal/communication, internal/external customer-service, organizational, multitasking, and teamwork skills.
• Ability to translate member needs and care gaps into a comprehensive member centered plan of care
• Strong understanding of managed care environment with population management as a key strategy
• Strong understanding of the community resource network for supporting at-risk member needs
• Well organized with meticulous attention to detail
• Excel in the Care Planning process including SMART goals
• Understands contractual and regulatory requirements
• The ability to effect change, perform critical analyses, promote positive outcomes, and facilitate empowerment for members/families.
• Excellent analytical-thinking/problem-solving skills.
• Strong sense of urgency with the ability to work effectively in a fast-paced environment with frequently changing priorities, deadlines, and workloads.

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.