MOBILE INTEGRATED HEALTHCARE COORDINATOR

About the role

The Mobile Integrated Health Care (MIH) Provider will enhance the healthcare continuum through targeted in-home care and care coordination. The MIH model expands the traditional role of EMS by shifting from a strictly emergency-response framework to a proactive, preventive, and patient-centered approach. The MIH provider operates as a mobile clinical resource that bridges gaps between EMS, primary care, hospitals, and social service agencies—ultimately improving outcomes for high-risk and vulnerable populations, decreasing ED visits and readmissions and decreasing over-utilization of the 911 system.

Responsibilities

• Conduct Comprehensive In Home Assessments. Identify medical, behavioral, and social needs in the patient’s home environment.
• Communicate and Coordinate with Healthcare Providers. Relay findings to primary care, care managers, and specialty teams to help close care gaps.
• Covers access to community-based health services in underserved and general populations, including primary care, public health, community-based programs, disease management, prevention and wellness, and mental health.
• Identifies changes in patient status that require immediate initiation of 911 emergency services and/or communication with the appropriate Transitional Care member and/or other medical providers managing the patients care to determine treatment plans.
• Provides clinical care, up to NJ paramedic scope of practice, in accordance with NJAC 8:41 & 8:49 regulations and agency specific clinical protocols
• Serves, as part of a multi-disciplinary team, as a natural bridge to support persons with SUD and their families in accessing care or support
• Provides follow-up, in partnership with a peer recovery coach/patient navigator, and as part of a multi-disciplinary team, to patients recently reversed with Naloxone and/or administered opioid partial agonist-antagonist
• Serves as a bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing care or support
• Serves as a natural bridge to support persons with SUD and their families in accessing