Community Health Partner

Cityblock Health•Tampa, FL

2d•Hybrid

About The Position

Community Health Partners (CHPs) support integrated social care for members with complex health needs (social, behavioral and physical). CHPs have an assigned panel of members and work in collaboration with an RN Care Manager to provide support for identified social determinants of health needs. They are familiar with the communities served and often bring lived experience and a strong commitment to supporting vulnerable and underserved populations.

Requirements

2+ years of progressive experience in care coordination, community health, health promotion, or a related field.
Strong critical thinker with sound judgment who knows when to collaborate and escalate clinical concerns.
Identifies system barriers to care and develops creative, practical solutions.
High quality written, verbal and presentation communication.
Has previous experience with documentation.
Prioritizes tasks that have the greatest impact on service to members and mission-critical outcomes.
Builds rapport with members and demonstrates care in interactions, anticipating and navigating emotional barriers.
Uses awareness of internal processes and healthcare systems to navigate issues more effectively.
Adapts communication style based on context, audience, or urgency and contributes to team discussions constructively even when perspectives differ.
Balances individual responsibilities with proactively pitching in to help others and offers constructive feedback when appropriate.
Demonstrates humility by offering specific and timely praise or credit and acknowledging missteps with maturity.
Plans and sequences work to support broader team or department outcomes, and shares updates proactively so others can stay aligned.
Solves issues and delivers results without being micromanaged, using good judgment to stay on course even when conditions aren't perfect.
Uses data and feedback to continuously reinforce their own effectiveness and ensure high-quality, reliable execution.
Takes initiative to grow skills in response to changing needs of the role or team and supports newer colleagues by sharing resources or answering questions.
Challenges self to improve through change, seeing it as an opportunity to grow and maintain performance by thoughtfully focusing on outcomes and the future direction.
Brings forward creative solutions grounded in member needs or operational efficiency and helps test and iterate improvements.
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.

Nice To Haves

Lived experience and a strong commitment to supporting vulnerable and underserved populations.

Responsibilities

Collaborate with RN Care Managers to support members with complex medical and behavioral health needs.
Manage a caseload of members, identifying and addressing social, behavioral, and environmental barriers to optimal health.
Develop and implement care plans in partnership with members, addressing social needs and supporting members in achieving their care goals.
Conduct self-efficacy and condition-specific assessments, including behavioral health screenings (PHQ-9, GAD-7, AUDIT, DAST-10), and refer members to appropriate behavioral health programs as needed.
Support members in closing quality gaps by assisting with provider appointments, diagnostic or lab testing, and referrals to community resources.
Meet members in community settings (home, shelter, hospital) as needed, serving as an extension of the care team.
Utilize care facilitation and scheduling platforms to document interactions, track tasks, and communicate effectively with members, the care team, and community partners.