Latest Nursing and Nursing Support Jobs
$120,000 - $135,000 / year
Job Description: Family Nurse Practitioner (FNP) or Physician Assistant (PA) – caring for both pediatric and adult populations Hub-based position with daily onsite presence ( Monday - Friday) The Pod Provider delivers comprehensive chronic disease management (e.g. hypertension, diabetes, chronic kidney disease), evaluation of acute concerns, behavioral health condition management (i.e. depression, anxiety, alcohol and substance use disorder), and preventative care and wellness support (including sexual and reproductive health). The role works collaboratively with an interdisciplinary team of clinical and non-clinical members to develop member care plans and to support members throughout their care journey. The Pod Provider also assists with the development and enhancement of clinical programs, initiatives, processes, and policies. Responsibilities: Conduct comprehensive clinical intake visits. Provide longitudinal direct primary care or wrap-around care with focus on chronic condition management and preventative care. timely follow-up for members post transition of care event, acute need or according to condition-specific needs. Proactively outreach to members who need follow up care. Complete comprehensive and compliant diagnosis capture related to HCC (Hierarchical Condition Categories) and ICD-10 (International Classification of Diseases-10) Coding. Address contractual and company-prioritized quality gaps and ensure proper chart documentation and codes (ICD or CPT) are included in the encounter as supporting evidence of gap closure. Prescribe 1st and 2nd line medications for depression, anxiety, alcohol use disorders and opioid use disorders. Remain up to date on evidence-based care for complex patients in primary care: (adult only, pediatric in certain markets). Refer member to specialist care appropriately and according to internal CBH guidance if available. Support the member in achieving the goals in their care plans (physical, behavioral, and/or social health). Participate in case conferences with the care team, providing clinical expertise on care plan development. Provide guidance on highest impact clinical interventions and tasks to achieve a member’s goals. Collaborate on a panel of members to provide clinical input, including health maintenance, chronic disease management and co-occurring psychiatric disorder support. Work Experience: 3+ experience We take into account an individual’s qualifications, skillset, and experience in determining final salary. 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: $120,000 - $135,000 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. We do not accept unsolicited resumes from outside recruiters/placement agencies. Cityblock will not pay fees associated with resumes presented through unsolicited means. 
$89,065 - $162,801 / year
About this Job: General Summary of Position This position will be responsible for the Annual and periodically required Comprehensive Clinical Assessment as cited in section C.3.27.2 of the Department of Health Care Finance awarded contract. The Field RN Case Manager will be responsible for the District of Columbia Region. This position is responsible for up to 85% travel to our MedStar Family Choice District of Columbia Enrollees. The Field RN Case Manager serves as the central point of contact for MedStar Family Choice D.C. Case Management and conducts activities and functions required for this role. The Field RN Manager will be responsible for the referral of MedStar Family Choice Enrollees to other MedStar Family Choice programs as needed i.e. Maternal Health Behavioral Health Food Insecurity relief and Non-Medical Transportation. They are also responsible for the report of Enrollees requiring assistance with Medicare and/or Medicaid beneficiary support Medicaid for Nursing Home Placement Crime Victims Vocational Rehabilitation and any/all other third-party coverage including other available local state and federal programs. Primary Duties and Responsibilities Integrates physical health behavioral health social environmental into a single person-centered seamless system of care. Promotes person-centered approach to service and care planning that honors each Member's priorities goals needs and preferences. Encourages Enrollee engagement in the person-centered service planning process and the use of person-centered planning teams with expertise in community integration behavioral health and health and wellness. Leverages providers community partners and local community resources to ensure comprehensive coordinated and culturally appropriate care for each member. Provides service and support to maintain members in the least restrictive and most appropriate setting as possible. Leverages the use of evidence-based practice guidelines clinical pathways technology solutions and clinical decision support tools. Provides Case Management for designated member population to include support for self-direction nursing home transition transition of care and Utilization Management (UM) activities. Completes field-based member assessments and identifies activities and interventions based on the member needs of this continuum aligning the level of engagement and interventions with identified member needs. Oversees daily weekly and monthly functions of Field Case Manager coordinating member assessments and establishing priorities as needed. This includes the duties clinical analysis documentation and follow up for member clinical reviews and other similar duties to effectively manage the MedStar Family Choice D.C. case managed member population. Prepares and provides reports to manager(s) on work in progress and address any backlogs for resolution. Responsible for informing members about annual required assessments in-person centered service planning processes service alternatives service delivery options e.g. opportunities for self -direction roles rights including MedStar Family Choice D.C Fair Hearing rights risks and responsibilities. Assists with fair hearing requests when needed and requested and to protect the members' health welfare and quality on an ongoing basis. Collects the necessary information including at a minimum: member preferences strengths and goals to inform the development of the person-centered needs and the reevaluation of level of care annually or more frequently as needed. Assists member with person-centered care plans. Works with members to complete activities necessary to maintain MedStar Family Choice D.C. eligibility. Explores coverage of services to address identified member needs through other sources including services provided under medical assistance Medicare or private insurance and other community resources. Actively coordinates with other individuals and entities in the care delivery of member services for physical behavioral and support service needs. MedStar Family Choice DC policies procedures training quality oversight and monitoring for staff and contracted field case managers will ensure consistency in the execution and delivery of our MFC Model of Care. Minimal Qualifications Education Bachelor's degree in Nursing required Experience 1-2 years At least 1 year working in social service or health care related setting required and 1-2 years Experience working with people with Developmental Disabilities HIV Behavioral Health and/or other related vulnerable populations required Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure RN - Registered Nurse - State Licensure and/or Compact State Licensure Upon Hire required Knowledge Skills and Abilities Knowledge of the home and community-based service system and how to access and arrange for services Ability to conduct field-based member assessments up to 85% of the time Experience conducting Department of Health Care Finance needs assessments Cultural competency and the ability to provide informed advocacy Ability to interact with physicians and other health care professionals in a professional manner is required Experience with section C.3.27.2 of the Department of Health Care Finance awarded contract This position has a hiring range of : USD $89,065.00 - USD $162,801.00 /Yr. 
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