Community Health Partner, Perinatal and Family Support - NC (CLT) at Cityblock Health (Charlotte, NC)

| Charlotte, NC
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#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:

As a Perinatal Community Health Partner, you will work with a panel of members on improving their health holistically before, during, and following pregnancy.  You will build trust with members on your panel and engage with them to understand their strengths, goals, wants and needs across various aspects of their lives. The information you glean from your conversations will trigger the development of our MAP (Member Action Plan), and your ongoing work with the member will be to determine the member’s priorities and work on goals.  You will be a member’s point person, to troubleshoot in a crisis, or to be a listening ear. You will work alongside, and will be supported by, a care team associated with each member.  You will accompany your panel of members through their pregnancy care experiences, including but not limited to birth and the postpartum period.

  • You will work in a radically different model of healthcare that is gender-inclusive and centers principles of reproductive justice.
  • You will  support a panel of members  and  coordinate all aspects of their care.
  • You will be on a team of Perinatal Community Health Partners, a Perinatal RN Care Manager, Perinatal Care Team Lead, Perinatal Behavioral Health Specialist, and Certified Nurse Midwife, modeling collaboration which will include shared-decision making and partnership across clinical and non-clinical care team members. 
  • Cooperatively manage care for a pregnant and postpartum population that includes individuals living with complex medical and behavioral health needs 
  • You will accompany pregnant members on your panel through their pregnancy care experiences, including but not limited to birth and the postpartum period.
  • You will provide continuous labor support to members on your panel who desire accompaniment, during and leading up to facility-based childbirth, for a minimum of one hour of birth, or make alternate arrangements for coverage in keeping with evolving program workflows. 
  • Steer a care team, constantly communicating with other team members and members around their needs and health goals, as the member’s advocate, centering around the member’s self-identified needs. 
  • Foster lasting and trusting relationships as the face of the team and key point-of-contact to assist members in achieving goals, identifying new needs, and coordinating care.
  • Meet with members in their homes, neighborhoods, and throughout the complicated paths of the healthcare system, including the birth facility, with a focus on follow up after discharge from unscheduled emergency visits and hospitalization/birth.
  • Coordinate care for members, identifying and addressing their barriers to and social influences on good health, following through with referrals to community resources. 
  • You will travel across various clinical and community locations across a broad geography to respond to member needs as they arise.
  • Go above and beyond to connect with members and partners in a non-judgmental, respectful and empathic manner, to meet their needs, and to provide feedback to our 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 members. This platform is being built for a mobile workforce. You will have the opportunity to provide feedback to the product development team and co-design a platform that fits team needs, and over time you may become part of a super-user group to assist in onboarding and supporting others.

Requirements for the Role:

  • Experience as, or commitment to becoming a birthworker. You desire to provide support to people of reproductive age as they experience pregnancy, options counseling, birth, loss, parenting and/or the challenges and joys of the postpartum period.
  • Willingness to obtain birth doula training and certification, sponsored by Cityblock Health (if not already certified).
  • Willingness to work a full-time 40 hour week, Monday-Friday 9am to 5pm ET with the occasional Saturday shift. Your work will take you outside of normal business hours as urgent member needs arise, particularly in the context of providing community-based doula support. 
  • You have experience with patient navigation, case/care management, or any kind of direct service provision.
  • You have a passion for working within the community you are a part of, or have been a part of in the past.
  • You are flexible, team-oriented, and willing to wear many hats
  • You are willing and able to travel broadly among multiple locations and settings 
  • You will jump in and support outreach efforts in partnership with our Outreach Specialist team as you build your member panel. 
  • You are experienced in documentation of member action plans, care planning, care coordination and have excellent writing skills 
  • You are very comfortable creating and respecting intimacy within the birth and reproductive health space, for those of all sexual orientations and gender identities.
  • You are a phenomenal communicator; you approach care interactions with warmth and thoughtfulness. 
  • You excel at empathy and human interactions, and want to improve the health of individuals and whole communities.
  • You are an independent self-starter and a strategic thinker who is eager to learn, improve, and grow.
  • You are excited about how technology can support your work and help drive the ongoing evaluation toward new, better, care.
  • Unrestricted North Carolina Driver’s License, vehicle registration, and vehicle insurance coverage available for daily and regular use

How We Define Success:

  • Member Panel - Increase your caseload after joining Cityblock as you add members to your panel. 
  • CBH engagement - Successfully consent new members by meeting enrollment targets within 90 days and 9 months of attribution. 
  • Health Plan engagement - Through outreach, engage members by phone or unscheduled visits with the goal of engaging 55% within 6 months of attribution and 85% within 12 months
  • Initial Assessment - Complete initial assessments 75% of members within 45 days of consent
  • Active MAPs - Ensure active Member Action Plans for 75% of members within 60 days of consent.
  • Advanced Care Planning - Document advance care planning in Commons for 95% of members within one year of consent
  • Transitions of Care - Partner with 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
  • Member Communications - Answer the majority of phone calls from members that are received during business hours
  • Member Tends - Percent of enrolled members who receive acuity-appropriate interactions with the Cityblock team 
  • Net Promoter Score - Support high engagement with Cityblock (measured using NPS) among members

Nice to Have, But Not Required:

  • Community-based certification in doula support, childbirth education, or lactation support, via organization that focuses on supporting populations mirroring our Medicaid-insured population in North Carolina.
  • Training or exposure in quality improvement and systems change in perinatal care and reproductive health.
  • Experience working with individuals with behavioral health and/or substance use diagnoses.
  • Experience working with LGBTQI+ populations
  • Training in motivational interviewing, behavioral activation therapy, or problem solving treatment.
  • Direct familiarity with clinical settings.
  • Multilingual

What We’d Like From You:

  • A resume and/or LinkedIn profile 
  • A short cover letter, please!

Cityblock values diversity as a core tenet of the work we do and the 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. Ciytblock will not pay fees associated with resumes presented through unsolicited means.

Covid 19 Update - Please Read:

Cityblock requires those hired into this position to provide proof that they have received the COVID-19 vaccine.  Any individuals subject to this requirement may submit for consideration a request to be exempted from the requirement (based on a valid religious or medical reason) on forms to be provided by Cityblock.  Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption.  Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed. This vaccination requirement is based, in part, on recently established government requirements.  The requirement is also based on the safety and effectiveness of the vaccine in protecting against COVID-19, and our shared responsibility for the health and safety of members, colleagues, and community.
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Technology we use

  • Engineering
  • Product
    • PythonLanguages
    • ScalaLanguages
    • SqlLanguages
    • ReactLibraries
    • Node.jsFrameworks
    • PostgreSQLDatabases
    • Google AnalyticsAnalytics
    • LookerAnalytics
    • ConfluenceManagement
    • JIRAManagement

An Insider's view of Cityblock Health

What's something quirky about your company?

Cityblock’s mission to provide quality care and health outcomes to those who need it most is bold, and so too are the ways in which we build camaraderie: via company dance challenges, themed team outings, a custom dictionary for our jargon, sweet pet mascots, fun recipe sharing and more. Some may call it quirky; it’s just Cityfolx’ charm at work.


Senior Associate, Communications

How do you make yourself accessible to the rest of the team?

Being accessible goes far beyond the traditional modalities of email, phone, and slack. To me, it describes a culture of trust and reliability that fosters open and frequent communication across all levels of the organization. I want people to feel that they can come to me with any question, and if I can’t answer it myself.


Market Medical Director, New Markets & Implementation

How has your career grown since starting at the company?

I've been lucky to work on many teams during my 3+ years here, from bizops, to our markets, to product, which has taught me so much! I've also always worked for early startups, and it has been amazing to mature as an employee as Cityblock grows. The way you show up, and your tools for success, often need to evolve with a company's age and size.


Product Operations

What are Cityblock Health Perks + Benefits

Cityblock Health Benefits Overview

To properly care for our members and advance equity in the communities we serve, we believe our own team must be diverse and inclusive. We take to heart what it means to bring your whole self and actively work to build representation, build belonging and advance justice. Our goal is to ensure everyone at Cityblock feels respected, celebrated, and part of our community.

Volunteer in local community
Partners with Nonprofits
Friends outside of work
Intracompany committees
Open door policy
Team owned deliverables
Team based strategic planning
Group brainstorming sessions
Documented equal pay policy
Dedicated Diversity/Inclusion Staff
Highly diverse management team
Diversity manifesto
Diversity Employee Resource Groups
Hiring Practices that Promote Diversity
Health Insurance & Wellness Benefits
Flexible Spending Account (FSA)
Disability Insurance
Dental Benefits
Vision Benefits
Health Insurance Benefits
Life Insurance
Wellness Programs
Mental Health Benefits
Retirement & Stock Options Benefits
Company Equity
Child Care & Parental Leave Benefits
Generous Parental Leave
Flexible Work Schedule
Remote Work Program
Family Medical Leave
Vacation & Time Off Benefits
Generous PTO
Paid Holidays
Paid Sick Days
Perks & Discounts
Casual Dress
Commuter Benefits
Relocation Assistance
Home Office Stipend for Remote Employees
Professional Development Benefits
Diversity Program
Lunch and learns
Cross functional training encouraged
Promote from within
Customized development tracks

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