Medical Director, Behavioral Health - NC Market Wide
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.
- 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:
The Medical Director, Psychiatry and Behavioral Health (MD, PBH) is responsible for providing oversight to behavioral health programming in the market. In partnership with the Market Medical Director, the MD, PBH collaborates with our health plan partners, and leads the development and refinement of clinical practices, policies and programming related to behavioral health. The role works collaboratively with an interdisciplinary team of clinical and non-clinical leadership to support the market.
The MD, PBH also provides comprehensive behavioral health care, including assessments, diagnosis, treatment recommendations, treatment planning, clinical treatment, medication management, and follow up planning. The MD, PBH provides members with a necessary bridge to ongoing behavioral health services in the community and manages the most behaviorally complex patients in their market.
- Develop and implement cost of care initiatives based on segmentation and other population health drivers and partner with your local care teams to further evaluate and iterate initiatives to support high quality member care, for both consented and pre-consented members
- Partner with Cityblock’s Data and Analytics and Population Health teams to understand and map solutions to address drivers of utilization and translate this information to local care teams for iteration of potential data-driven solutions
- Lead clinical quality improvement initiatives that may span multiple locations and that focus on HEDIS, contracted or other determined behavioral health clinical quality metrics, in partnership with Cityblock’s Quality Improvement team
- Decrease unnecessary hospitalizations, emergency room visits, and unnecessary speciality referrals
- Case Review and Education
- Participate in case conferences to bring a psychiatric lens to member care
- Support care team in developing members’ care plans when behavioral health interventions apply
- Guide clinical team on complex clinical cases. Be available for escalation questions at the point of care.
- Participate in the delivery of educational content around behavioral health, and integration of primary and behavioral health needs, across the entire care team including non-clinical staff
- Clinical Care
- Conduct psychiatric evaluations for members referred to BH or identified through segmentation and develop comprehensive biopsychosocial formulations and treatment plans
- Conduct visits for medication bridging for any member, and provide medication management for high- or risking-risk members
- Prescribe, as clinically indicated, psychiatric medications, including Medication Assisted Treatment, Long-Acting Injectable medications, Clozapine and certain controlled substances
- Complete comprehensive, compliant diagnosis capture
- Address contracted 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
- Work with members until they are stabilized in the community
- Support care team providers prescribing psychiatric medications and/or Medication Assisted Treatment
- Collaborate with the care team to determine need for member placement in a different program (e.g., lower or higher intensity programs)
- Facilitate behavioral health and SUD referrals with internal and external providers and develop strong relationships with community and external providers
- Support members in achieving their behavioral health care plan goals
- Partner and Network Management
- Attend external meetings and activities to further the business goals of the organization
- Attend external meetings and activities to further the business goals of the organization
- Work a full-time week and be prepared to join the Cityblock on-call schedule as needed. You may need to work outside of regular business hours to execute on the market’s clinical or business needs.
- Utilize our care facilitation, electronic health record and scheduling platforms as needed to collect data, document member interactions, organize information, track tasks, and communicate with your team, members, and community resources
Requirements for the Role:
- MD Required
- Board certified in psychiatry
- MD, DEA licensure (or willingness to acquire)
- At least 2 years post residency with some clinical leadership experience preferred
- Comfortable using technology to support members without in-person contact (telephone and text etiquette, virtual visit platforms, scheduling platforms etc.)
- Understanding of how to use electronic health record systems and/or care facilitation platforms to ensure accurate documentation
- Proficient in collecting member clinical and demographic data and documenting appropriately in a timely manner
- Extensive experience in, and able to educate on, Motivational Interviewing, Cognitive Behavioral Therapy and Trauma informed Care principles
- Extensive experience in applying, and able to educate on, Behavioral Activation Therapy and/or problem solving treatment in practice
- Comfortable providing short-term therapy
- Able to model and teach these principles to the team
- Strong problem solving skills - can make difficult decisions and knows when to collaborate with other team members
- Able to provide creative solutions to challenges within the healthcare system that are impeding optimization of members’ care and health
- Analytical and empirical -- focused on optimizing return on investment of resources against stated objectives.
- Knowledgeable about what drives outcomes in this space.
- Have a growth and learning mentality, ability to think outside the box, go outside the bounds of “traditional” responsibilities.
- Adaptable to change and prepared for frequent, fast-paced changes and shifting priorities
- Experience building and implementing new or evolving programs and processes
- Understands company Objective and Key Results and contributes to program strategy through data-driven approaches.
- Play a lead role in monitoring, evaluating, and driving quality improvement activities across hubs, home-based care, and virtual care.
- Oversee and be accountable for the performance of in-market behavioral health programs.
- Has experience building and managing clinical programs.
- Ability and experience supervising APCs
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.
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.
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.