Community Health Partner – MD

Cityblock Health

Community Health Partner supporting integrated social care coordination for complex members. Engaging with members and caregivers to navigate and connect with community-based services.

Posted 5/21/2026full-timeMontgomery County • Maryland • 🇺🇸 United StatesJuniorMid-Level💰 $28 - $32 per hourWebsite

About the role

Key responsibilities & impact

Engage and receive members from engagement and care teams
Describe program expectations and goals to members
Complete assessment and screening instruments following protocols
Collaborate with RN Care Manager to determine need for member placement in a different program
Partner with the RN Care Manager to develop members’ care plans
Incorporate quality opportunities in care plans
Support members in achieving their care plan goals
Bring preliminary goals and identified resources to members to address social and care coordination needs
Participate in case conferences
Provide ongoing check-ins with members to follow-up on care coordination needs and care plan progress
Activate members around preventative care topics and goal progress
Provide routine non-clinical education on preventative care topics to members
Meet with members in the community as needed for non-clinical needs
Complete screenings for emerging needs
Support loop closure on internal referrals

Requirements

What you’ll need

2+ years of progressive experience in care coordination, community health, health promotion, or a related field.
Experience with High Volume Caseload
Unrestricted Driver’s License and vehicle for daily use
Proficiency using technology to support members with and without in-person contact (telephone and text etiquette, virtual visit platforms, etc.)
Ability to learn and use scheduling platforms to ensure accurate appointment scheduling and management
Ability to learn and use electronic health record systems and/or care facilitation platforms to ensure accurate documentation
Proficient in collecting member clinical and demographic data and documenting appropriately in a timely manner
Versed in Motivational Interviewing and Trauma Informed Care principles
Strong problem solving skills - can make difficult decisions and knows when to collaborate with other team members
Able to provide creative solutions to challenges within the healthcare system that are impeding optimization of members’ care and health
Growth and learning mentality, ability to think outside the box, go outside the bounds of “traditional” responsibilities
Adaptable to change and prepared for frequent, fast-paced changes and shifting priorities

Benefits

Comp & perks

Health insurance
Life insurance
Retirement benefits
Participation in the company’s equity program
Paid time off, including vacation and sick leave

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

care coordinationcommunity healthhealth promotionscreening instrumentselectronic health record systemsscheduling platformsMotivational InterviewingTrauma Informed Caredata collectiondocumentation

Soft Skills

problem solvingcollaborationcreativityadaptabilitygrowth mindsetcommunicationdecision makingorganizational skillsinterpersonal skillstime management