Registered Nurse (RN) - Case Manager
Company: Cityblock Health, Inc
Location: Fort Wayne
Posted on: June 25, 2022
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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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