Senior Community Health Partner - MA (Middlesex)

#communityhealth #healthcare

About Us:

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.

Our Values:

• Aim for Understanding
• Be All In
• Bring Your Whole Self
• Lean Into Discomfort
• Put Members First

About our Team: 

We employ a field-based, home-based care model and are committed to meeting members where they are--in their homes, in their community, and in our Hubs. You will go above and beyond to connect with Cityblock members 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.

About the Role:

• 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 Care Plans
• 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 will manage Saturday Care as assigned on a rotating basis

Requirements for the Role:

• 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 com