Community Health Advocate (Hybrid)

Cityblock Health; Greensboro (NC); Hybrid; USD 38,000 - 48,000; Full time

Benefits offered by this job

Health insurance

Life insurance

Retirement benefits

Equity program

Paid time off

Vacation and sick leave

Job summary

Cityblock Health is seeking a Care Coordinator in Greensboro, NC, offering a hybrid work model. You will collaborate with RN Care Managers to support members with complex medical, behavioral, and social needs, manage a caseload, and develop tailored care plans in partnership with members.

The role emphasizes screening, referrals to community resources, and documentation across care platforms to close health and social gaps while advancing member-centered outcomes.

Qualifications

• 2+ years of progressive experience in care coordination, community health, health promotion, or a related field.
• Problem solving: strong critical thinker with sound judgment who knows when to collaborate and elevate clinical concerns.
• Communication: high quality written, verbal and presentation communication; must have valid unrestricted driver’s license.

Responsibilities

• Collaborate with RN Care Managers to support members with complex medical and behavioral health needs.
• Manage a caseload of members, identifying and addressing social, behavioral, and environmental barriers to optimal health.
• Develop and implement care plans in partnership with members, addressing social needs and supporting members in achieving their care goals.
• Conduct self-efficacy and condition-specific assessments, including behavioral health screenings (PHQ-9, GAD-7, AUDIT, DAST-10), and refer members to appropriate behavioral health programs as needed.
• Support members in closing quality gaps by assisting with provider appointments, diagnostic or lab testing, and referrals to community resources.
• Meet members in community settings (home, shelter, hospital) as needed, serving as an extension of the care team.
• Utilize care facilitation and scheduling platforms to document interactions, track tasks, and communicate effectively with members, the care team, and community partners.

Skills

Care coordination

Community health

Health promotion

Communication

Problem solving

Valid driver’s license

Job description

Cityblock Health is seeking a Care Coordinator in Greensboro, NC, offering a hybrid work model. You will collaborate with RN Care Managers to support members with complex medical, behavioral, and social needs, manage a caseload, and develop tailored care plans in partnership with members.

The role emphasizes screening, referrals to community resources, and documentation across care platforms to close health and social gaps while advancing member-centered outcomes.