Manager, 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 Managerof Care Management will be responsible for all Care Management programs' supervision and oversight for all care management programming. This includes ensuring compliance with regulatory standards for Case Management and Disease Management programs. This person will work closely with operations, Clinical Services, Care Management delegation, and compliance, ensuring all CM services are provided to all referrals.

Under the supervision of the Director of Care Management, the Manager of Care Management is responsible for supporting all daily operations of the Care Team(s). The Manager provides leadership and support to maintain the care team's focus on reaching established market/LOB goals.

Responsibilities:

• Leads and supervises Care Management Operations to ensure care management activities are compliant with relevant regulations and requirements and consistently deliver high quality care to members.
• Oversees compliance with internal and client CM Audits
• In collaboration with the Clinical/Quality operations leads and care management staff, will identify and address opportunities to streamline workflows that result in accurate, high quality production standards and improved results in cost savings, or outcomes measurement.
• Develops effective working relationships with and provides high quality service for members
• Works with clinical services leadership to create process flows supporting CM program care coordination protocols, ensuring timely completion of all inquiries.
• Attends and participates in Clinical and Quality department meetings as assigned
• Tracks and monitors all metrics related to CM programing, implementing plans for improvement as necessary.
• Works in collaboration with Director to oversee new employee hiring orientation and competency evaluation
• Serves as a Market resource and manages issues/problems escalated by staff
• Holds regularly scheduled Care Management staff meetings

Requirements for the Role:

• 3 years experiences as a Manager/Supervisor of Care Management
• Minimum 3 years experience in a managed care environment across multiple lines of business (Medicare Advantage, Managed Medicaid, Dual SNP, Commercial, etc.), with at least 2 years Dual Special Need Plan (DSNP) experience
• Active and current unencumbered license as Registered Professional Nurse in state of practice
• CCM certification
• Working knowledge of regulatory, Medicare, Medicaid and third-party payer compliance requirements
• Excellent leadership skills and experience required
• Ability to establish priorities, meet deadlines and maintain productivity
• Ability to form positive collaborative relationships with Market and Care Team colleagues
• Ability to problem solve in a proactive creative manner using sound judgment based on factual information and clinical knowledge.
• Ability to work independently and within a team structure
• Excellent interpersonal skills and communication style

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.