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Nurse Practitioner or Physician Assistant

Company: Cityblock Health, Inc
Location: High Point
Posted on: November 23, 2021

Job Description:

Family Practice/Primary Care opening in High Point, North Carolina. This and other nurse practitioner jobs brought to you by NursingJobCafe.com

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.

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 members including, but not limited to Lowell, Boston and surrounding communities in Middlesex and Suffolk county 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:

You will work in a radically different model of healthcare
Expect collaboration, shared-decision making, and partnership across clinical and non-clinical care team members, including our large team of Community Health Partners
Co-manage a panel of members to improve their health holistically through longitudinal primary care, care management, and care coordination and be available via phone, during business at our hubs, or for member home-visiting
Provide comprehensive care management, chronic disease management, urgent home-based and community-based primary care visits, preventative care and wellness, liaison with relevant other providers around behavioral health and long term service and support needs, and the provision of palliative care.
Perform episodic urgent medical/behavioral health visits and/or telephone calls for members on your panel to ensure that timely and appropriate medical care in order to avoid emergency department visit or hospitalization
Conduct several home visits in a given day, including scheduled and unscheduled urgent member needs
Perform post-discharge visits for your panel within 48 hours of discharge from either an acute care facility or skilled nursing facility to decrease risk of readmission; perform detailed medication reconciliation, and assure that appropriate long term services are in place
Assess cases presented to you by your Care team and utilizing your clinical competencies, prioritize member needs
Interface with specialists, hospitals, and community based organizations to facilitate collaboration in service of our members, and promote shared decision making
Monitor and address clinical quality gaps in care
Utilize our custom-built care facilitation platform, Commons, and the market's EMR to collect data, document member interactions in the field, organize information, track tasks, and communicate with your team, members, and community resources
Assist management and leadership with the development, refinement, and enhancement of clinical programs, initiatives, processes, policies, workflows, and projects
Attend daily team huddles and weekly case conferences to advise on physical health needs and establish health goals as part of member's Member Action Plan (MAP)


Requirements for the Role:

  • You are a Board-Certified (or Board-Eligible within one year of employment) Nurse Practitioner or Physician's Assistant with an unrestricted license to practice in the state in which you are seeking employment with Cityblock
  • AANC or AANP certification for Nurse Practitioners
  • Active DEA Controlled Substance Registration or eligible for application
  • Certified in Basic Life Support for Healthcare Providers
  • Maintenance of professional credentialing and CME standards
  • Work a full-time 40 hour week, Monday-Friday 9am to 5pm ET with one late evening a week, consisting of team meetings, case conference, supervision, and field-based independent clinical and co-visits.
  • You have experience providing clinical services to individuals with both chronic medical and behavioral health conditions, and have interest in serving complex, vulnerable, and disabled populations
  • Demonstrate proficiency, 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.
  • Proven skills, knowledge base, and judgment necessary for independent clinical decision-making
  • You are an adaptable organized, efficient, independent self-starter and problem-solver, a leader, a strategic thinker, and a mentor, who is excited about the big picture of whole community health
  • You are excited about how technology can support your work and help drive the ongoing evaluation toward new and better care
  • You will also participate in a regular Saturday Rotation and the Cityblock on-call schedule. Your work may take you outside of normal business hours as urgent member needs arise
  • You have an unrestricted driver's license and vehicle for daily use
  • Have proficient experience using and navigating an EMR


    How We Define Success:

    Manage a complex population of members in collaboration with an interdisciplinary team
    Ensure members on your panel receive appropriate care for acute and chronic diseases, including following ED visits and acute admissions
    Decrease unnecessary hospitalizations, emergency room visits, and unnecessary speciality referrals
    Complete comprehensive provider visits with new Cityblock-assigned members. Identify core member needs the Cityblock team will address to improve health outcomes and decrease total cost of care
    Meet evolving monthly and quarterly targets for visits with Cityblock members, in both clinic and home setting
    Engage in target setting for new clinical initiatives and managing those targets


    Nice to Have, But Not Required:

    You have experience caring for members in a low-income community or in a community health setting
    You have experience with Geriatrics, Family Medicine, or Palliative care
    You have experience working collaboratively with an interdisciplinary care team, and specifically working alongside community health workers or care coordination staff
    Multilingual


    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.

    #communityhealth #healthcare

Keywords: Cityblock Health, Inc, High Point , Nurse Practitioner or Physician Assistant, Healthcare , High Point, North Carolina

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