Pod Provider (MD/DO)

Cityblock Health•OH - Remote, OH

12d•$206,250 - $275,000•Hybrid

About The Position

Cityblock Health, a premier value-based care organization, is seeking a Physician for the state of Ohio. This role is based in one of two dynamic locations: Columbus or Cincinnati. This role reports to the Vice President of Market Medical Practice and offers you the chance to serve our community’s most complex members, focusing on comprehensive, whole-person care that integrates physical health, behavioral health, and social support. The Cityblock Pod Provider serves as a practice-based provider, supporting members with scheduled appointments, walk-ins and urgent or emergent visits across multiple modalities (Face to Face or virtually; in a hub, community or home setting). The Pod Provider delivers comprehensive chronic disease management (e.g. hypertension, diabetes, chronic kidney disease), evaluation of acute concerns, behavioral health condition management (i.e. depression, anxiety, alcohol and substance use disorder), and preventative care and wellness support (including sexual and reproductive health). The role works collaboratively with an interdisciplinary team of clinical and non-clinical members to develop member care plans and to support members throughout their care journey. The Pod Provider assists with the development and enhancement of clinical programs, initiatives, processes, and policies and manages the most complex patients in their market.

Requirements

3+ direct clinical care experience
Bachelor's degree
Graduate from an accredited medical college (within the United States/Canada) or from an unaccredited medical college (outside of the United State/Canada
Current valid license to practice medicine in the state in which you are employed with Cityblock.
Board certification in a major primary care specialty field of practice. Specialty Area: MD or DO in Internal Medicine, Family Medicine, Geriatrics, or similar specialty required.
Certified in Basic Life Support for Healthcare Providers
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

Conducts comprehensive clinical intake visits for selected members (based on member segmentation, program empanelment and care team recommendation).
Conducts timely follow-up for members post transition of care event, acute need or according to condition-specific needs.
Proactively outreaches to members who need follow up care.
Provides clinical care in line with CBH protocols.
Completes comprehensive and compliant diagnosis capture related to HCC (Hierarchical Condition Categories) and ICD-10 (International Classification of Diseases-10) Coding.
Addresses contractual 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.
Addresses and respond to member needs and delegate tasks in a timely fashion.
Finishes documentation according to company timelines (within 48 hours of clinical encounter) company policy.
Prescribes 1st and 2nd line medications for depression, anxiety, alcohol use disorders and opioid use disorders.
Continues psychiatric medications for members with stable SMI
Remains up to date on evidence-based care for complex patients in primary care: (adult only, pediatric in certain markets). Provides direct primary care or wrap-around care with focus on chronic condition management and preventative care.
Refers member to specialist care appropriately and according to internal CBH guidance if available.
Supports the member in achieving the goals in their care plans (physical, behavioral, and/or social health).
Participates in case conferences with the care team, providing clinical expertise on care plan development.
Provides guidance on highest impact clinical interventions and tasks to achieve a member’s goals.
Collaborates on a panel of members to provide clinical input, including health maintenance, chronic disease management and co-occurring psychiatric disorder support
Collaborates with care team to determine need for member placement in a different program (e.g., lower or higher intensity program)
Utilizes 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
Educates, supports and elevates team members’ own skills (informal coaching is a significant part of collaborative practice).
Acts as the collaborating physician for oversight of Advanced Practice Clinicians
Completes chart reviews in compliance with CBH policy
Guides clinical team on complex clinical cases. Be available for escalation questions at the point of care. Provide clinical consultation for care team members including information on clinical issues, support with care plans and review of clinically concerning member conditions
Manages Advanced Practice Clinicians (APCs) supervision assignments and maintains CPA/Collaborative Agreements, ensuring high-quality oversight and collaborative care.