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Care Team Lead - Military veterans preferred

Cityblock Health (


  full-time   employee

Washington Dc
District of Columbia
United States

About Us:

Cityblock Health is the first tech-driven provider for communities with complex needsâ??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, one block at a time. 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.

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. We will get started in new markets, each with their own operating structure and care teams, and continue to grow in the communities where we are working already. 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 members in the communities throughout Washington, DC 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:

In this role, you will provide direct service to Cityblock members as part of our innovative care model, designed to address the complex health and social challenges of high-risk, high-need populations living in urban neighborhoods. It is integral to our care model that we meet people where they are, both physically and emotionally. Given this, your work will take you out into the community to provide care in settings that work best for our members.

Reporting to the Operations Director, you will lead the day to day functions of a care team made up of Community Health Partners (CHPs), Behavioral Health Specialists and Nurse Care Managers. You will support each of these team members in meeting their clinical, social and behavioral goals. You will work collaboratively with the supervisors of the Behavioral Health Specialists and Nurse Care Managers who will provide clinical oversight to those members of your care team. You will provide coaching, support and supervision to our 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).

Provide supervision and leadership for a team of Community Health Partners (CHPs), supporting them in meeting population level expectations.
Lead the operations of an interdisciplinary care team, directly coordinating team time for each of the care team members.
Provide guidance, coaching, and training around engagement, care planning, and longitudinal care.
Support CHPs through their member outreach and engagement efforts.
Hold CHPs accountable for completing a comprehensive assessment of members' health needs, including physical, behavioral and social.
From that assessment, support the development of member-driven, member-centered action plans that address social 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, provide assistance in crises, etc.
Support your team to work with members longitudinally to achieve their goals and identify new needs.
Work daily within our custom-built care facilitation platform, Commons, which will enable you to collect data, organize information, track tasks, and communicate with staff, patients, and family. This platform is built for a mobile workforce, and you will 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.

Requirements for the Role:

You have experience providing supervision to social workers, community health workers, or care coordinators
You have experience leading the day-to-day operations of interdisciplinary teams
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 can accommodate a full time schedule as well as participate in on call and Saturday coverage rotation.
Training in Motivational Interviewing and Conflict Resolution
Familiarity with community resources and social benefits
You have an unrestricted driver's license and a vehicle available for use

Nice to Have, But Not Required:

LICSW, RN, PsyD, PhD, or MPH license
Direct familiarity with clinical settings
Training in problem-solving therapy
Multi-lingual and bicultural

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. Cityblock will not pay fees associated with resumes presented through unsolicited means.

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