Clinical Care Coordinator

2 weeks ago


Chicago, Illinois, United States Cityblock Full time
Clinical Care Coordinator

#communityhealth #healthcare

Cityblock Health is a pioneering tech-driven provider focused on delivering essential healthcare services to communities with intricate needs, ensuring that quality care reaches those who need it most, right in their neighborhoods.

Established with the belief that "health is local," Cityblock is dedicated to enhancing the well-being of underserved populations. Our innovative solutions cater specifically to Medicaid and lower-income Medicare beneficiaries, as we strive to meet our members in their homes and communities through our dedicated care teams and Virtual Care services.

In partnership with local organizations, healthcare providers, and leading health plans, we are transforming the healthcare landscape to prioritize what truly matters to our members.

Utilizing advanced, tailored care delivery technology, we provide personalized primary care, behavioral health support, and social services, aiming to create a significantly improved healthcare experience for every individual and community we serve.

As we expand our reach, we seek individuals who share our vision that everyone deserves access to quality care tailored to their community.

Our work is deeply rooted in the belief in the strength of a diverse community. To bridge gaps in care and promote equity, we prioritize diversity and inclusion within our team.

Our collaborative approach is characterized by creativity, teamwork, and shared learning, drawing from a rich tapestry of backgrounds and perspectives.

We are committed to ensuring that every member of the Cityblock team, as well as every Cityblock member, feels valued and included in our community.

Our model of care is field-based and home-centered, allowing us to engage with members where they feel most comfortable—be it at home, in their community, or in our care hubs.

Key Responsibilities:

  • Assist in managing members during transitions of care, ensuring that all outlined metrics are met, including follow-up contact with healthcare facilities and home visits post-discharge to facilitate provider follow-up and accurate medication reconciliation.

This role may involve:
  • Providing clinical support for chronic disease management based on RN consultation criteria, in collaboration with your interdisciplinary care team, prioritizing member visits according to their health requirements.
  • Offering clinical consultation to care team members, including insights on clinical matters, assistance with care plans, and evaluation of concerning member conditions.
  • Engaging in a transformative healthcare model.
  • Tracking all metrics related to transitions of care for assigned members, including logging new events and follow-up metrics.
  • Collaborating and making shared decisions with both clinical and non-clinical team members, including our extensive network of Community Health Partners.
  • Conducting work both remotely via telephone and video consultations, as well as in-person community engagements.
  • Utilizing strong time management skills to make informed decisions regarding member care while balancing daily team meetings, weekly case discussions, and skill-building sessions.
  • Employing our custom care facilitation platform and the market's EMR to gather data, document member interactions, organize information, track tasks, and communicate effectively with your team and community resources.

Qualifications:

  • A minimum of 3 years of experience in providing clinical services or care management for adults with co-occurring chronic medical and behavioral health conditions.
  • Availability for a full-time schedule, Monday to Friday, with rotating weekend hours.
  • Experience and comfort working within an interdisciplinary care team, particularly alongside community health workers and care coordination teams.
  • Willingness to travel within the community for home-based member visits and across healthcare systems.
  • Experience in managing transitions of care, both in-person and virtually.
  • Proficiency or willingness to learn clinical nursing skills such as wound care, blood drawing, and chronic condition management.
  • Ability to drive change and assist members in adopting new habits or modifying behaviors.
  • Enthusiasm for leveraging technology to enhance care delivery and support ongoing evaluation of our care model.
  • Technical proficiency with data systems and tools.
  • Independent self-starter with leadership qualities and a strategic mindset focused on holistic community health.
  • A Bachelor's degree is preferred.

Cityblock values diversity as a fundamental principle of our work and the communities we serve. We are an equal opportunity employer, committed to inclusivity regardless of race, religion, ethnicity, national origin, gender identity, sexual orientation, age, veteran status, disability, or any other protected characteristic.



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