RN Care Manager — Home-Based Clinical Navigator

Cityblock Medical Practice, P.A.; Massachusetts; Hybrid; USD 95,000 - 105,000; Full time

Benefits offered by this job

Health insurance

Retirement benefits

Equity program

Paid time off (vacation and sick leave

Job summary

Cityblock Health is seeking an RN Care Manager to oversee a panel of clinically complex members, coordinating with a multidisciplinary team to deliver personalized care plans. You will assess needs using validated screening tools, facilitate behavioral health referrals, and guide members toward program graduation.

Responsibilities include case conferences, medication reconciliation, and careful documentation within EHR and scheduling platforms.

Qualifications

• Graduate of an accredited nursing program with RN licensure.
• At least 3 years of nursing experience in care management or related settings.
• Strong communication and collaboration with interdisciplinary teams.

Responsibilities

• Manages a panel of clinically complex members and develops individualized care plans.
• Conducts assessments using screeners (PHQ-9, GAD-7, AUDIT, DAST-10) and documents findings.
• Coordinates care with Cityblock Care Team and external partners; leads case conferences.
• Performs medication reconciliation and patient education; monitors plan progress.

Skills

Care coordination

Clinical assessment

Behavioral health screening

Medication reconciliation

Patient education

Education

RN licensure

3+ years experience

Tools

Electronic Health Records (EHR)

Scheduling platforms

Job description

Cityblock Health is seeking an RN Care Manager to oversee a panel of clinically complex members, coordinating with a multidisciplinary team to deliver personalized care plans. You will assess needs using validated screening tools, facilitate behavioral health referrals, and guide members toward program graduation.

Responsibilities include case conferences, medication reconciliation, and careful documentation within EHR and scheduling platforms.