Paramedic

Job Description This is a hybrid role that will split time between dedicated duties inside Boston Medical Center as a patient navigator and in the field as an Advanced Community Care Clinician. As a BMC navigator, they will support the coordination of care and reduce unnecessary acute care use for Cityblock Health (CBH) members at Boston Medical Center (BMC). The BMC Navigator will act as a crucial link between the BMC and Cityblock Health teams, facilitating seamless communication and care transitions. As an Advanced Community Care Clinician they will be responsible for delivering medical care in the communities where Cityblock members live. In homes, shelters, offices, public places or in the street. The ACCC/AC3 will facilitate virtual provider visits with Cityblock members and following medical orders, perform clinical skills and tasks within their scope, training, and policy. These may include, IV insertion, IV/IM/SQ medication administration, 12 EKG, Phlebotomy, and others dependent upon local legal regulations. Responsibilities AC3 Workflow Cityblock delivers integrated primary and acute medical care, behavioral health and social care, powered by relationships and designed to advance equity in access and outcome. By delivering these acute and longitudinal services in-home through a combination of digital and in-person connections, we can allow members to stay at home and out of the hospital. The Advanced Community Care Clinician is pivotal in connecting members to Cityblock services including medical providers and access to all Cityblock services. View email address on click.appcast.io: Acute illness facilitated provider visit Facilitated Visit: Longitudinal care team facilitated provider visit Outreach: Independent visit to find hard to reach members Specimen Collection: Independent visit to obtain tissue samples for the lab. MIC Only Follow-up: Independent visit with a specific set of visit goals Each shift the Advanced Community Care Clinician will begin their day reviewing their equipment, communications, and scheduled visits. They will plan to integrate mandatory training, meetings, and lunch into their day at pre-planned times or in any down time. Before the visit they will review Commons and Athena for any warning or instructions about the visit. Review the need for written consent. Arrive 10 minutes prior to the start of the visit and make member contact. Introduce themself and describe how a visit is conducted. Complete required charting and activities prior to bringing the virtual provider on video. Use the Cityblock computer to facilitate a video visit. Carry out any instructions like order or examinations, sometimes on camera and sometimes independently as instructed. Post visit they will complete documentation, process lab work in a centrifuge and decontaminate their equipment. They will then get themselves set for the next visit by restocking and preparing equipment. Their vehicle whether Cityblock owned or personal; will be kept, maintained and used in accordance with company policy. BMC Navigator Workflows Daily Census & Communication: Each morning, review the daily ED/inpatient census at BMC to identify Cityblock members who are currently in the ED, admitted inpatient, or who presented/were admitted during off-hours. Post the daily census in the designated BMC Navigator Communication Slack channel, and @mention the primary care manager and Resource RN. Review member profiles in Cityblock’s platform, Commons, to understand their clinical picture and available resources. Document all member interactions and findings in Commons and in the BMC EPIC system based on internal protocols. Emergency Department (ED) Workflow Receive and respond to notifications of new ED presentations via the Bamboo Health alert system. Communicate with the Cityblock Care Manager, Resource RN, and CBH Provider via Slack upon a member's ED presentation. For Consented/Enrolled Members: Work with a Cityblock designee to determine if a member needs an HRA or CORE assessment. Conduct a medical/behavioral health/social/systems screening with the member in the ED and share findings. Discuss hospital-at-home capabilities with ED providers, add notes in EPIC, and facilitate a call between the Cityblock Provider and the ED attending to discuss diversionary planning (e.g., same-day provider or paramedic visit). For Not Yet Enrolled Members: Connect with the member to explain Cityblock services. Assist them in signing consent forms, coordinate with Cityblock via Slack to schedule assessments, document outreach, and complete the Long Term Services Coordinator Tool. Prior to ED Discharge: Reconnect with the Cityblock provider to discuss the discharge plan, review instructions with the member/caregiver(s), provide welcome packet materials, and educate the member on Cityblock's services. Inpatient (IP) Workflow For Consented/Enrolled Members: Connect with inpatient case management and the member to review the plan of care and discharge plans. Obtain needed information and assist with requesting services or Durable Medical Equipment (DME). Facilitate communication between the Cityblock provider and the inpatient medical team. For All Members: Attempt to connect with hard-to-reach members. Explain Cityblock services to unconsented flagged members and assist with consent. Upon consent, schedule a 7-day post-discharge TOC (Transition of Care) home visit. Ensure the member receives the discharge packet. Education and Requirements High School Years of Experience: 4 Years Certifications: Paramedic certification in the state where operating and BLS CPR Unrestricted driver's license Good to Have: ACLS, PALS, AMLS, PHTLS, GEMS, and/or Certified Community Paramedic (CP-C) with the IBSC Medical Clearance (for Member-Facing Roles): You must complete Cityblock’s medical clearance requirements, which include, but may not be limited to, evidence of immunity to MMR, Hepatitis B, Varicella, and a TB screen, or have an approved medical or religious accommodation that precludes you from being vaccinated against these diseases. Benefits Health insurance Life insurance Retirement benefits Participation in the company’s equity program Paid time off, including vacation and sick leave The expected salary range for this position is: 34.50 - 37.00 Company Details 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. 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 #J-18808-Ljbffr