This position is Remote in the state of New York. You will have the flexibility to work remotely as you take on some tough challenges. Our Telephonic Care Navigators have a serious responsibility to make every contact informative, productive, positive, and memorable for what it s...

The role involves performing clinical reviews to resolve and process appeals by analyzing medical records and clinical data to determine service medical necessity according to established guidelines and standards. This includes preparing case reviews for Medical Directors and ensuring timely communication and response generation for members and providers.

The Advanced Community Care Clinician connects members to Cityblock services by conducting various in-home visits, including acute illness response, longitudinal care facilitation, outreach, and specimen collection. Responsibilities involve pre-visit planning, conducting virtual provider visits using specialized equipment, completing required charting, processing lab work, and decontaminating equipment post-visit.

The Nurse Practitioner provides urgent healthcare via telephone and tele-video modalities to patients receiving home and community-based services, developing and implementing clinical plans of care for adults with chronic and complex conditions. Responsibilities include gathering necessary diagnostics, identifying gaps in care, educating patients and families, and coordinating care with other clinical team members.