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Community Health Partner
Posted on 12/14/2022
Bedford, MA, USA
Experience Level
  • Tend to your members in accordance with the market's Metric expectations
  • Mentor and coach other members of the CHP team to provide excellent care to members and meet the market's Metrics
  • Take the lead on Care Team initiatives, such as helping prepare for audits and ad hoc Cityblock initiatives
  • You are a consistent and reliable member of the Care Team
  • Run huddle and case conference in the Care Team Leads absence
  • Model strong, lasting, highly collaborative relationships with your members and with members of the care team
  • Uphold the Cityblock values in all aspects of the work you do
  • Partner with your Care Team to ensure that expectations and targets for transitions of care are met after discharge from inpatient, emergency or observation in medical facilities. This may include Cityblock clinician visits, connections with others on the Care Team, or medication reconciliation within specified time frames
  • Support high engagement with Cityblock (measured using Net Promoter Score) among members
  • A resume and/or LinkedIn profile
  • A short cover letter, please!
  • In this role, you will continue to provide direct services to our members through our innovative care model
  • Your work will frequently be field-based, extending out in the surrounding neighborhood and community. It is integral to our care model that we meet people where they are, both physically and emotionally
  • As a Senior Community Health Partner, you will provide support to both our Community Health Partners (CHPs) and Community Health Partner leads
  • You will lend a helping hand to your Podmates with outreach, engagement and building Member Action Plans (MAPs)
  • You will collaborate with our Hub-based leadership and Behavioral Health Specialists to support and review and advise on Hub wide performance metrics for our CHPs
  • You will partner with your CHP Lead and Pod's clinical team to run daily huddles
  • You will lead Case Conference in your CHP lead's absence
  • You will provide coaching and guidance to your Podmates
  • You will Provide guidance, coaching, and training around engagement, care planning, and longitudinal care
  • Care for your current panel of members; act as a point person for these members and partner with them longitudinally in attaining their goals
  • Support CHPs through their member outreach and engagement efforts
  • Model how to foster lasting and trusting relationships by doing so with your team and your members
  • Act as the back-up point person for the members on your team's panels; co-visit members with CHPs, provide assistance in crises, etc
  • Support your team to work with members longitudinally to achieve their goals and identify new needs
  • Go above and beyond to connect with people 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
  • You are an experienced CHP with a deep knowledge of our care model, processes and procedures. You have expertise in one or more subject matter areas related to member care
  • You are a subject matter expert in one or more areas of care and with an appetite for sharing your knowledge across pods
  • You have familiarity with community resources and social benefits
  • You are excited about coaching
  • You are in good performance standing in your role
  • You are a strong steward of the Cityblock culture
Desired Qualifications
  • Experience working with individuals with mental health and substance use diagnoses
  • Training in motivational interviewing, behavioral activation therapy, or problem solving treatment
  • Direct familiarity with clinical settings
  • Multilingual
Cityblock Health

201-500 employees

Tech-driven healthcare provider
Company Overview
Cityblock's mission is to improve the health of underserved communities by creating solutions that are designed specifically for Medicaid and lower-income Medicare beneficiaries. The company delivers better care to where it’s needed most, investing upstream in highly personalized, prevention-oriented health and social care to ultimately drive down costs and improve outcomes.
  • Comprehensive health, dental, & vision coverage
  • 12 weeks parental leave
  • 401(k)
  • 20 days vacation
  • Company retreats & events
Company Core Values
  • Put members first
  • Aim for understanding
  • Be all in