RN Care Manager- North Carolina- Hybrid

Cityblock Health, Inc.; Greensboro (NC); In loco; USD 90.000 - 95.000; Tempo pieno

Vantaggi offerti da questo lavoro

Health insurance

Life insurance

Retirement benefits

Equity program

Paid time off

Descrizione del lavoro

Cityblock Health is seeking an RN Care Manager to oversee a panel of members with chronic medical and behavioral health needs. You will collaborate on care plans, coordinate with providers, and conduct regular clinical visits to support health maintenance and disease management.

Travel within the community for home-based visits is expected. A valid RN license and 3+ years of relevant experience are required; you will work with an interdisciplinary team and participate in care coordination

Competenze

• Active, unrestricted Registered Nurse license in the state you are seeking employment.
• 3+ years of experience providing clinical services to adults and/or geriatric individuals with co-occurring chronic medical and behavioral health conditions.
• Familiarity with travel for home-based member visits within the community.
• Experience with documentation, care planning, and care coordination; excellent writing skills.
• Experience in interdisciplinary care teams and collaboration with community health workers and care coordination members.
• Prior experience or willingness to train in wound assessment, blood draw (venipuncture & phlebotomy), and care plan reinforcement for chronic conditions.

Mansioni

• Receive members from the engagement and care team and communicate program expectations, goals, and duration.
• Perform screenings (PHQ-9, GAD-7, AUDIT, DAST-10) to identify behavioral health needs.
• Conduct in-person clinical examinations and determine placement in programs of varying intensity.
• Lead case conferences and participate actively in discussions.
• Develop care plans with members and address social needs with the Community Health Partner.

Conoscenze

RN license

Clinical experience

Care coordination

Documentation

Wound assessment

Phlebotomy

Formazione

RN degree

Descrizione del lavoro

Job Description: The RNCM manages a panel of rising and high intensity members to support integrated chronic disease and behavioral health care for the members. The RNCM collaborates with members to create a care plan and oversees progress to the plan, frequently reassessing needs, coordinating with providers and specialized resources, and partnering closely with the Community Health Partner to build trust and demonstrate advocacy.

Responsibilities

• Receive members from the engagement and care team, clearly communicating program expectations, including duration and goals.
• Complete self-efficacy and condition-specific screeners during the assessment and intake phase, along with behavioral health screeners like PHQ-9, GAD-7, AUDIT, and DAST-10 to identify behavioral health needs.
• Conduct in-person clinical examinations when appropriate and collaborate with care team members to determine member placement in programs of varying intensity.
• Prepare for and actively participate in case conferences, leading discussions when necessary.
• Develop a care plan in collaboration with the member and address social needs with the support of the Community Health Partner.
• Conduct regular clinical visits and follow-ups per program guidelines, monitoring routine therapeutic interventions and addressing member needs promptly.
• Collaborate with the care team to support a panel of assigned members, providing clinical assistance in health maintenance, chronic disease management, and co-occurring psychiatric disorder support.
• Perform medication reconciliation, administration, compliance, and education as part of member care.
• Address quality gaps prioritized by the contracted company and ensure thorough chart documentation and coding (ICD or CPT) to validate gap closures.
• Utilize care facilitation tools, electronic health records, and scheduling platforms to gather data, document member interactions, organize information, track tasks, and communicate with team members and community resources.
• Support members in achieving their care plan goals through coordinated and comprehensive care efforts.

Requirements for the role

• Active, unrestricted Registered Nurse license in the state in which you are seeking employment with Cityblock
• You have 3+ years of experience providing clinical services to Adult and/or Geriatric individuals with co-occurring chronic medical and behavioral health conditions
• Familiarity and willingness to travel within your community (home-based member visits) and its healthcare systems (hospitals and rehab centers)
• Experienced in documentation, care planning, care coordination and have excellent writing skills
• Experience and comfort working within an interdisciplinary care team, and specifically working alongside community health workers and care coordination team members
• Must have prior experience, and/or willingness to train in clinical nursing skills such as wound assessment and care, blood drawing (venipuncture & phlebotomy), assessment and care plan reinforcement for common chronic conditions such as diabetes, hypertension, CHF, depression.

Education

• Graduate of an accredited school of nursing (R.N.)

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.

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.

Benefits

• This role is eligible for health insurance, life insurance, retirement benefits, participation in the company’s equity program, paid time off, including vacation and sick leave.

The expected salary range for this position is: 90,000 - 95,000

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. We 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.