Community Health Partner Lead (LCSW) at Cityblock Health

| Greater NYC Area
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Who we are:

At Cityblock Health, our mission is to radically improve the health of urban communities, block by block. We integrate services to address physical, behavioral, and social needs together, delivered at community hubs and through field-based care teams to make healthcare more accessible, supportive and goal-driven for the people who need it most.

Every aspect of the Cityblock care model is carefully designed to focus on our members, engaging and empowering them to own and improve their health through trusted relationships. Through mobile interdisciplinary care teams, we are flexible in how we deliver care, meeting members where they are, and together developing and working longitudinally through a personalized and integrated Member Action Plan (MAP). The care team collaborates to support each member’s whole health and social needs. Enabled by custom-built technology, we build capacity, deliver care and dramatically change members’ opportunities and outcomes.

Partnering with community-based organizations and a well-respected commercial partner in New York, and backed by the top healthcare investors in the country, we are reorganizing the health system to focus on what matters to our members—and leading the move from transactional, fee-for-service medicine towards high-value, relationship-based partnerships.

The role:

In this role, you will join an inaugural cohort of staff providing direct services to our members through our innovative care model. You will be associated with one of our inaugural clinical “hubs,” a primary care practice that in many respects will look more like a community center than a doctor’s office. 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 Community Health Partner Lead, you will provide coaching, support and supervision to our Community Health Partners (CHPs), a team that serves as the heartbeat of our care model. In managing and leading a team of CHPs, you will support and develop them as they outreach, engage and guide members through their Member Action Plans (MAPs). You will collaborate with our Hub-based clinical leadership and Behavioral Health Specialists to support and build performance metrics for our CHPs, while facilitating daily supervision to your direct reports.

You will:

  • Supervise a team of Community Health Partners, providing guidance, coaching, and training around engagement, care planning, and longitudinal care
  • Care for a small panel of members; act as a point person for these members and partner with them longitudinally in attaining their goals
  • Support your team in member outreach and engagement, helping them build comprehensive assessments of members’ multifaceted health needs (physical, behavioral and social) 
  • Guide your team through development of member-driven, member-centered action plans (MAPs) that address social care needs
  • Model how to foster lasting and trusting relationships by doing so with your team and your members 
  • Act as a point person for the members on your team’s panels: co-visit members with CHPs and provide assistance in crises 
  • Support your team to work with members longitudinally to achieve their goals and identify emerging 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.
  • Work daily within our custom-built care facilitation platform, which will enable you to collect data, organize information, track tasks, and communicate with staff, patients, and family. This platform is being built for a mobile workforce, and you will be among the first cohort to field-test our technology, provide feedback to the product development team, and, over time, become part of a super-user group to assist in onboarding and supporting others 

You’d be a good fit if:

  • You have experience providing supervision to social workers, community health workers, or care coordinators
  • You have direct experience supporting at-risk populations with complex needs
  • You are an independent self-starter, a leader, and a strategic thinker who is excited about the big picture of whole community health, and the ongoing evaluation and iteration of our care model
  • You are excited about how technology can support your work and help drive the ongoing evaluation toward new, better, care
  • You have experience training in motivational interviewing and conflict resolution
  • You you're familiar with community resources and social benefits

Nice to have:

  • Behavioral health licensure - including LCSW, LMSW, LMHC or PsyD
  • Direct familiarity with clinical settings
  • Training in problem-solving therapy
  • Multi-lingual and multi-cultural
  • Familiarity with Brooklyn

You should include these in your application:

  • A resume and/or LinkedIn profile.
  • A 1-2 paragraph response indicating why this job is compelling to you.
  • A 1 paragraph summary of a time when you thought you made a difference in someone’s health.

Cityblock values diversity as a core tenet of the work we do and populations we serve. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

We do not accept unsolicited resumes from outside recruiters/placement agencies. Cityblock will not pay fees associated with resumes presented through unsolicited means.

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