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Registered Nurse (RN) - Case Manager

Company: Cityblock Health, Inc
Location: Fort Wayne
Posted on: June 25, 2022

Job Description:

Clinical Manager/Admin opening in Fort Wayne, Indiana. This and other rn jobs brought to you by NursingJobCafe.com

#communityhealth #healthcare

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.

Locations:
Cityblock is not hiring for this position in the state of Colorado.

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.

Covid 19 Update - Please Read:
Cityblock requires those hired into this position to provide proof that they have received the COVID-19 vaccine. Any individuals subject to this requirement may submit for consideration a request to be exempted from the requirement (based on a valid religious or medical reason) on forms to be provided by Cityblock. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed. This vaccination requirement is based, in part, on recently established government requirements. The requirement is also based on the safety and effectiveness of the vaccine in protecting against COVID-19, and our shared responsibility for the health and safety of members, colleagues, and community.

The COVID-19 pandemic has severely impacted the health and lives of people around the world, including the vulnerable populations Cityblock serves. As a healthcare provider, Cityblock holds ourselves to the highest standards when promoting the health and safety of those who we serve. Given that the COVID-19 vaccines are one of the most powerful tools to fight this disease and save lives, Cityblock is implementing a COVID-19 booster mandate for Washington, D.C. employees under the guidance of local/state mandates.


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Keywords: Cityblock Health, Inc, Fort Wayne , Registered Nurse (RN) - Case Manager, Healthcare , Fort Wayne, Indiana

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