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[Hiring] Population Health Partner @Cityblock Health, Inc.
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Role Description
The Population Health Partner (PHP) supports members with low medical complexity by helping them navigate health and social care resources. They assist in clarifying health-related priorities, connecting members to internal and external services, and triaging higher-level needs, including behavioral health concerns. The role focuses on addressing health-related social needs while also supporting care teams in securing medical, dental, and vision services, optimizing benefits, and ensuring members remain healthy at home.
Member Engagement & Orientation – Receive members from engagement and care teams, explaining program expectations, duration, and goals, including care pathways and social needs.
Assessments & Intake – Complete assessments and screenings (including for behavioral health disorders) following protocols; collaborate with the RN Care Manager to determine appropriate program placement.
Care Planning & Goal Setting – Partner with the RN Care Manager to develop, refine, and adjust care plans based on member needs and quality improvement opportunities.
Care Coordination & Coaching – Support members in achieving and modifying care plan goals, focusing on risk mitigation, provider engagement, and addressing social needs.
Follow-Up & Member Support – Conduct ongoing check-ins to ensure progress on care plan goals, follow up on care coordination needs, and activate members around preventative care topics.
Referrals & Escalations – Identify emerging needs through screenings, refer members to appropriate care team resources, and support internal referral loop closure.
Operations & Documentation – Utilize Cityblock’s care facilitation, EHR, and scheduling platforms to document interactions, track tasks, and coordinate communication across teams.
This role is 95% remote. Must live in MD.
Qualifications
2+ years of relevant experience
Bachelor's Degree
Requirements
Must provide proof of COVID-19 vaccination for in-person, member-facing positions
Must complete Cityblock’s medical clearance requirements, including evidence of immunity to MMR, Hepatitis B, Varicella, and a TB screen, or have an approved medical or religious accommodation
Benefits
Health insurance
Life insurance
Retirement benefits
Participation in the company’s equity program
Paid time off, including vacation and sick leave
Salary Information
The expected salary range for this position is: $28.00 - $32.00/ HR.
Diversity and Inclusion
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.
