Medical Director, Behavioral Health

Cityblock Health

23h•Hybrid

About The Position

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 and the Manager of Behavioral Health, the Medical Director of Psychiatry 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. 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.

Requirements

At least 2 years post residency with some clinical leadership experience preferred
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.

Responsibilities

Develops and implements cost of care initiatives based on segmentation and other population health drivers and partner with local care teams to further evaluate and iterate initiatives to support high quality member care, for both consented and pre-consented members
Partners 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
Leads 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
Decreases unnecessary hospitalizations, emergency room visits, and unnecessary speciality referrals
Participates in case conferences to bring a psychiatric lens to member care
Supports care team in developing members’ care plans when behavioral health interventions apply
Guides clinical team on complex clinical cases. Is available for escalation questions at the point of care.
Participates 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
Conducts psychiatric evaluations for members referred to BH or identified through segmentation and develop comprehensive biopsychosocial formulations and treatment plans
Conducts visits for medication bridging for any member, and provide medication management for high- or risking-risk members
Prescribes, as clinically indicated, psychiatric medications, including Medication Assisted Treatment, Long-Acting Injectable medications, Clozapine and certain controlled substances
Completes comprehensive, compliant diagnosis capture
Addresses 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
Works with members until they are stabilized in the community
Supports care team providers prescribing psychiatric medications and/or Medication Assisted Treatment
Collaborates with the care team to determine need for member placement in a different program (e.g., lower or higher intensity programs)
Facilitates behavioral health and SUD referrals with internal and external providers and develop strong relationships with community and external providers
Supports members in achieving their behavioral health care plan goals
Attends external meetings and activities to further the business goals of the organization
Works a full-time week and be prepared to join the Cityblock on-call schedule as needed. May need to work outside of regular business hours to execute on the market’s clinical or business needs.
Utilizes our care facilitation, electronic health record and scheduling platforms as needed to collect data, document member interactions, organizes information, tracks tasks, and communicates with team, members, and community resources
Cross cover other Cityblock markets in your division