RN Case Manager - hybrid

Cityblock Health; Detroit (MI); On-site; USD 71,000 - 90,500; Full time

Benefits offered by this job

Health insurance

Life insurance

Retirement benefits

Paid time off

Participation in equity program

Job summary

Cityblock Health is looking for a Registered Nurse Care Manager (RNCM) in Detroit, MI, responsible for coordinating chronic disease care for high-intensity members. Your role involves developing care plans, conducting assessments, and ensuring members achieve their health goals.

You must have 3+ years of nursing experience and be a graduate of an accredited nursing school. The position offers health insurance, retirement benefits, and a salary range of $71,000 - $90,500 annually.

Qualifications

• 3+ years of experience in nursing.
• Ability to collaborate with care teams and community resources.
• Familiarity with electronic health records and care facilitation tools.

Responsibilities

• Manage a panel of high intensity members and support care plan implementation.
• Communicate program expectations to members.
• Conduct regular clinical visits and follow-ups.
• Develop care plans in collaboration with members and support teams.

Skills

Clinical examinations

Care plan development

Medication reconciliation

Behavioral health screening

Education

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

Job description

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.

Work Experience

• 3+ Years of experience

Education

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

Benefits and Compensation

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 actual offer will be at the company’s sole discretion and determined by relevant business considerations, including the final candidate’s qualifications, years of experience, skillset, and geographic location. The expected salary range for this position is $71,000.00 - $90,500.00 Annual.

EEO Statement

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.

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.