Community Health Partner

Cityblock Health•Raleigh, NC

13d•$27 - $35

About The Position

Community Health Partners (CHPs) support integrated social care for members with complex social, behavioral, and physical health needs. Each CHP manages an assigned panel of members and collaborates with an RN Care Manager to address identified social determinants of health. CHPs are familiar with the communities they serve and often bring lived experience and a strong commitment to supporting vulnerable and underserved populations. This role involves coordinating and implementing member-centered care plans, conducting self-efficacy and condition-specific assessments, including behavioral health screenings, and connecting members with appropriate programs and community resources. Community Health Partners may meet members in settings such as homes, shelters, and hospitals, and use care facilitation and scheduling platforms to document interactions, track tasks, and communicate with members, the care team, and community partners. The position is based in Wake / Raleigh. The expected salary range is $27.40–$35.10 per hour. The role is eligible for health insurance, life insurance, retirement benefits, participation in the company’s equity program, and paid time off, including vacation and sick leave. Member-facing employees must complete Cityblock’s medical clearance requirements, including evidence of immunity to MMR, Hepatitis B, and Varicella and a TB screen, or have an approved medical or religious accommodation.

Requirements

At least 2 years of progressive experience in care coordination, community health, health promotion, or a related field.
Strong critical-thinking and problem-solving skills, sound judgment, and the ability to collaborate and escalate clinical concerns appropriately.
Ability to identify system barriers to care and develop creative, practical solutions.
High-quality written, verbal, and presentation communication skills.
Previous documentation experience.
Valid unrestricted driver's license.

Responsibilities

Collaborate with RN Care Managers to support members with complex medical and behavioral health needs.
Manage a caseload of members and identify and address 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 care goals.
Conduct self-efficacy and condition-specific assessments, including behavioral health screenings (PHQ-9, GAD-7, AUDIT, and DAST-10), and refer members to appropriate behavioral health programs as needed.
Help members close quality gaps by assisting with provider appointments, diagnostic or lab testing, and referrals to community resources.
Meet members in community settings, such as homes, shelters, and hospitals, as needed, serving as an extension of the care team.
Use care facilitation and scheduling platforms to document interactions, track tasks, and communicate with members, the care team, and community partners.
Identify and escalate in a timely manner members who need additional support or higher levels of care.
Collaborate with RN Care Managers, the interdisciplinary care team, and community partners.