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(TEMP) Assessment NP - MA (Suffolk/Boston)

Company: Cityblock Health, Inc
Location: New York
Posted on: May 16, 2022

Job Description:

Family Practice/Primary Care opening in New York, New York. This and other nurse practitioner jobs brought to you by

#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. 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. You 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.

About the Role:

Assess Adult and Geriatric members to provide accurate clinical and holistic depiction of the member at their Initial and Annual assessments, as well as at any point of care in which the member may have had a change.
Maintain accurate and clear documentation for each assessment including: completing the required assessment forms, providing a verbal and written hand-off to the assigned care manager, making any referrals in a timely manner as well as developing a care plan for the member.
Assess for and refer to any of the following services to meet the member's needs: LTSS, Internal or External referrals, Home Health, Safety DME, etc.
Meet with members in their homes, neighborhoods, our clinic (Hub) and within the healthcare system.
Assess in-home safety and risks and implement evidence-based interventions and protocols for complex chronic conditions.
Work daily within our custom-built care facilitation platform, which will enable you to collect data, organize information, track tasks, and communicate with staff, members, and family. This platform is being built for a mobile workforce, and you will use our technology in the field, provide feedback to the product development team, and, over time, become part of a super-user group to assist in onboarding and supporting others
Utilize critical thinking skills and excellent communication skills to manage complex clinical issues utilizing assessment skills and protocols.
Leverage strong time management skills to ensure that we are within compliance for assessment and fiscal related deadlines
Go above and beyond to connect with members and partners 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.
Be able and available for occasional cross coverage with RN Care Managers in times of need.
Be required to rotate to a half day on Saturdays in a regular interval pattern, with additional time off during the week to compensate.

Requirements for the Role:

You have a current, unrestricted Massachusetts NP license
You have 3+ years of experience providing clinical services to Adult and Geriatric individuals with co-occurring chronic medical and behavioral health conditions
Experience completing MDS assessments
Familiarity and willing to travel within Middlesex County neighborhoods (home-based member visits) and its healthcare systems (hospitals and rehab centers)
Experience as an active participant in continuous quality improvement projects within a provider setting
Possess exceptional triage, coordination and clinical assessment skills
Phenomenal communicator; you approach care interactions with warmth and thoughtfulness
Demonstrated the ability to affect change, and have been effective in helping a member or patient adapt new habits, or change behaviors
Excited about how technology can support your work and help drive the ongoing evaluation toward new and better care
You can accommodate a full time schedule
Independent self-starter, a leader, and a strategic thinker who is excited about the big picture of whole community health, and the ongoing evaluation and iteration of our care model
You believe deeply in a localized, community-based care model and are compelled by the mission that drives Cityblock Health
Unrestricted Massachusetts Driver's License and Car

How We Define Success:

Be able to complete all required assessments within a 24 - 48 hour turnaround time
Achieve and maintain an assessment return rate of less than 15 %
Mitigate rating category downgrades and increase rating category upgrades, as appropriate
Maintain accurate documentation in accordance with compliance expectations
Make targeted LTSS related recommendations utilizing decisioning tools to provide best care for our members

Nice to Have, But Not Required:

  • Experience working collaboratively with an interdisciplinary care team, and specifically working alongside community health workers or care coordination staff.
  • Experience in primary care, homecare, hospice, emergency department, and/or care management.
  • Multi-lingual (Spanish, French Creole)
  • Additional certification in Care Management, Palliative Care, Geriatrics, Wound Care

    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.
    We do not accept unsolicited resumes from outside recruiters/placement agencies. Cityblock will not pay fees associated with resumes presented through unsolicited means.

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

    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.

Keywords: Cityblock Health, Inc, New York , (TEMP) Assessment NP - MA (Suffolk/Boston), Healthcare , New York, New York

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