Cityblock Health·North Carolina
The RN Care Manager provides personalized primary care, behavioral health, and social services to underserved communities. They utilize a field-based, home-based care model to meet members in their homes and neighborhoods.
The RN Care Manager (RNCM) manages a panel of clinically complex members to support impactable clinical programs, quality gap initiatives and ED and IP utilization. The RNCM collaborates with members to create a care plan and oversees progress to the plan, frequently reassessing needs while moving members toward clinical program and pathway graduation. The RNCM coordinates closely with both the integrated Cityblock Care Team as well as external providers and community partners.
This role is a Hybrid Role supporting our Triad area of North Carolina.
Key responsibilities
Receives members from the engagement and central teams, clearly communicating program expectations, including duration and goals.
Completes self-efficacy and condition-specific screeners during the assessment and intake phase, along with behavioral health screeners like PHQ-9, GAD-7, AUDIT, and DAST-10 to identify behavioral health needs. Refers members to behavioral health programs as needed.
Conducts in-person clinical examinations when appropriate and collaborates with care team members to determine member placement in programs of varying intensity.
Prepares for and actively participates in case conferences, leading discussions when necessary.
Develops a care plan in collaboration with the member, addresses social needs with the support of the Community Health Partner and supports members in achieving their care plan goals through coordinated and comprehensive care efforts
Conducts regular clinical visits and follow-ups per clinical program and pathway guidelines, monitoring routine therapeutic interventions and addressing member needs promptly.
Collaborates with the care team to support a panel of assigned members, providing clinical assistance in health maintenance, chronic disease management, and co-occurring psychiatric disorder support.
Performs medication reconciliation, administration, compliance, and education as part of member care.
Addresses quality gaps prioritized by the contracted company and ensure thorough chart documentation and coding (ICD or CPT) to validate gap closures.
Utilizes care facilitation tools, electronic health records, and scheduling platforms to gather data, document member interactions, organize information, track tasks, and communicate with team members and community resources.
Balances competing priorities by choosing the path that best aligns with service to members and inclusive processes.
Compassionate
Care: Identifies and responds to member needs proactively and suggests improvements that enhance the member experience.
Business
Acumen: Applies understanding of government-funded care to make better recommendations and improve processes.
Adapts collaboration style to build understanding and bridge communication gaps and encourages others to share ideas.
Team
Effectiveness: Helps improve how the team works together through observations and feedback.
Engaged
Culture: Highlights others’ contributions and drives small but meaningful and inclusive actions to contribute to team morale, safety, and engagement.
Helps peers stay aligned by translating broader goals into clear team action, identifies misalignment, and proposes solutions to bring clarity and focus.
Proactive
Approach: Spots gaps or roadblocks early and proposes ways around them, demonstrating resourcefulness and persistence even when projects are ambiguous or difficult.
Accountability: Uses metrics and data to evaluate impact and refine their approach, holding self and others to reliably high standards.
Invests time in personal development that aligns with business needs and supports learning within the team by sharing knowledge or tools.
Adaptability: Helps translate abstract or evolving strategies into actionable work informed by business context and pushes through discomfort to deliver results and learn in new territory.
Innovation: Challenges assumptions thoughtfully and constructively and applies creative problem-solving to ambiguous or evolving work.
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:
$71,000.00 - $90,500.00 Annual
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.
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.
Market context
Behavioral health employers in North Carolina often look for licensed or credentialed clinicians, and this role requires registration with the North Carolina Substance Abuse Professional Certification board. These positions can be competitive because employers may prefer a bachelor’s degree and want candidates who can work within treatment, documentation, and care coordination expectations. Review the AI-summarized requirements and benefits here to save time, and confirm your credential status before applying.
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