CAdvanced Community Care Clinician (ACCC / AC3) Paramedic

Job Description:

About the Role

The Advanced Community Care Clinician is a clinical role responsible for delivering medical care in the communities where Cityblock members live in homes, shelters, offices, public places or in the street. The ACCC/AC3 is primarily responsible for facilitating virtual provider visits with Cityblock members and following medical orders, performing clinical skills and tasks within their scope, training, and policy, which may include IV insertion, IV/IM/SQ medication administration, 12 EKG, Phlebotomy, etc. (Dependent upon local legal regulations)

Responsibilities

• Cityblock delivers integrated primary and acute medical care, behavioral health and social care, powered by relationships and designed to advance equity in access and outcome. By delivering these acute and longitudinal services in-home through a combination of digital and in-person connections, we can allow members to stay at home and out of the hospital. 

• The Advanced Community Care Clinician is pivotal in connecting members to Cityblock services including medical providers and access to all Cityblock services.

• There are several primary visit types they will be responsible for:

  • ED@home: Acute illness facilitated provider visit

  • Facilitated Visit: Longitudinal care team facilitated provider visit

  • Outreach: Independent visit to find hard to reach members

  • Specimen Collection: Independent visit to obtain tissue samples for the lab.

  • MIC Only Follow-up: Independent visit with a specific set of visit goals

• Each shift the Advanced Community Care Clinician will begin their day reviewing their equipment, communications, and scheduled visits.  They will plan to integrate mandatory training, meetings, and lunch into their day at pre-planned times or in any down time.  

• Before the visit they will review Commons and Athena for any warning or instructions about the visit.  Review the need for written consent.

• Arrive 10 minutes prior to the start of the visit and make member contact.  Introduce themself and describe how a visit is conducted

• Complete required charting and activities prior to bringing the virtual provider on video.

• Use the Cityblock computer to facilitate a video visit.

• Carryout any instructions like order or examinations, sometimes on camera and sometimes independently as instructed.

• Post visit they will complete documentation, process lab work in a centrifuge and decontaminate their equipment.

• They will then get themselves set for the next visit by restocking and preparing equipment.

• Their vehicle whether Cityblock owned or personal; will be kept, maintained and used in accordance with company policy.

Requirements for the Role

• Education: HS Diploma

• Years of Experience: 4+ Years

• Certification (s)

  • Good to have: ACLS, PALS, AMLS, PHTLS, GEMS

    • Certified Community Paramedic (CP-C) with the IBSC within 1 year

  • BLS CPR

  • Paramedic certification in the state where operating

• Licensure: Unrestricted driver's license

• Travel Requirements: 100% daily travel

• Physical Requirements

  • Climb stairs with 40 lb pack

  • Walk long distances from parking spot to visit address 

  • Kneel, stoop, lean over for extended periods of time 

  • Sit and ride in a vehicle for extended periods of time

  • Donning and doffing of PPE

  • Wear a N95 for extended periods of time

  • Good hand eye coordination to perform clinical skills

  • Able to see, hear, and smell to perform physical exams

• Additional Requirements

  • The work environment is dynamic. At all times member confidentiality will be kept by taking meetings in private and not mixing any home our outside work influences while on company time.

• Systems

  • Can uses multiple technology platforms simultaneously

  • Able to learn new software, charting requirements, and