Deliver medical care to members in community settings including homes and shelters by facilitating virtual provider visits. Perform clinical tasks such as IV insertion, phlebotomy, and EKG administration based on medical orders.
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.
There are several primary visit types they will be responsible for:
ED@home: 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
Market context
Boston paramedic navigator roles are selective
In Massachusetts, Paramedic and Boston Medical Center Navigator roles tend to draw steady demand from hospitals and emergency care settings, especially for candidates who can work across patient transport, navigation, and frontline support. These jobs are competitive because employers often require current EMT Paramedic certification, at least 4 years of experience, and medical clearance such as immunity to MMR, Hepatitis B, and Varicella. Review the AI-summarized requirements and benefits here to save time, then confirm your certifications and immunization records before applying.
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.
Boston Medical Center (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.
Requirements
for the Role
Education: 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
We take into account an individual’s qualifications, skillset, and experience in determining final salary. This role is eligible for health insurance, life insurance, retirement benefits, participation in the company’s equity program, paid time off, including vacation and sick leave. The actual offer will be at the company’s sole discretion and determined by relevant business considerations, including the final candidate’s qualifications, years of experience, skillset, and geographic location. The expected salary range for this position is:
34.50 - 36.00
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.
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.
We do not accept unsolicited resumes from outside recruiters/placement agencies. Cityblock will not pay fees associated with resumes presented through unsolicited means.
Benefits
Life Insurance
Sick Leave
Vacation
Paid Time Off
Health Insurance
Retirement Benefits
Equity Program
Posting details
Employment type
Full Time
Work arrangement
On Site
Experience
2-5 yrs
Salary
$25 - $33/hr
Location
Massachusetts
Posted
Jul 15, 2026
Application
Employer website
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