MIH Paramedic

City of New Braunfels; United States; On-site; USD 41,000 - 50,000; Full time

Benefits offered by this job

Competitive medical, dental and vision

2:1 retirement match

Paid volunteer time off

Vacation accrual up to 120 hours

Longevity pay after 1 year

Tuition reimbursement

Bilingual pay

Professional development training

Job summary

The City of New Braunfels Fire Department seeks a compassionate Mobile Integrated Health Paramedic to coordinate patient care, manage referrals, and reduce non-emergency 9-1-1 calls. You will work under supervision to navigate health resources and support vulnerable populations.

Responsibilities include patient visits, care plans, data reporting, and collaboration with physicians and community partners. Valid Texas driver’s license required; EMT-Paramedic preferred.

Qualifications

• High school diploma or GED and 3–5 years of related experience.
• Valid Texas Driver’s License.
• DSHS EMT-Paramedic or Licensed Paramedic preferred.
• Former Paramedic, Texas Licensed Clinical Social Worker, or LVN; or an equivalent combination of education and experience.

Responsibilities

• Provide comprehensive patient care coordination and case management within MIH, including daily triage of referrals and high-utilizer patient management.
• Conduct in-person patient visits with medical assessments, preventive education, documentation, care plans, referrals, and follow-up coordination.
• Research resources to reduce barriers to care and curate patient-specific referrals.
• Coordinate care with physicians, behavioral health providers, home health agencies, and social service partners.
• Support opioid misuse prevention and harm-reduction through education and naloxone referrals as appropriate.
• Assist patients in navigating managed plans, obtaining medications, and applying for insurance or financial assistance.
• Maintain confidential patient records with data integrity and quality assurance.
• Track and report program data including emergency services utilization and high-utilizer metrics.

Skills

Three to five years of related

Excellent communication

Confidentiality

Time management

Verbal and written communication

Education

High school diploma or GED certificate

Job description

Department: Fire Department Support Services FLSA Status: Nonexempt Hiring Salary: $30.11 - $36.14 Welcome, ‘ist das Leben schön!’ (Life is good!) At the City of New Braunfels, we seek out people ready to serve the community, plan for the future, and preserve our well-renowned natural beauty. Our five Core Values serve as a cornerstone of our work: Integrity, Service, Visionary Leadership, Stewardship of Resources, and Cultural Heritage. Do our values speak to you? What we’re looking for: The New Braunfels Fire Department has served the citizens of New Braunfels for over 130 years and is one of the oldest fire departments in the state of Texas. We are seeking an empathetic, resourceful, and communicative individual to join our team in this innovative position. You will continue to successfully serve the current and future needs of the New Braunfels community. Mobile Integrated Health aims to serve within the gaps found in emergency response systems, often prevalent among the most vulnerable populations. This position also works to relieve stress on the EMS, law enforcement, and emergency department systems that are frequently over-utilized. Under general supervision, the Mobile Integrated Healthcare (MIH) Paramedic will assist and navigate citizens to health and human resources to help resolve their healthcare problems in an attempt to reduce non-emergency 9-1-1 calls and enhance a citizen’s quality of life.

Benefits & Total Rewards

• Competitive medical, dental and vision insurance
• 2:1 match on retirement contribution
• Paid volunteer time off – 16 hours per year
• Vacation accrual starts at date of hire – up to 120 hours annually your first year
• Get paid to stay – longevity pay on top of your regular pay after one full year
• Tuition reimbursement program
• Bilingual pay offered
• Keep learning – professional and personal development training available

The responsibilities you’ll be trusted with:

• Provide comprehensive patient care coordination and case management services within the Mobile Integrated Health (MIH) Program, including daily triage of referrals, management of high-utilizer patients, and ongoing continuity of care.
• Conduct in-person patient visits; complete medical assessments, preventive health education, documentation, care plans, referrals, and follow-up coordination.
• Perform extensive pre-visit research to identify appropriate medical, behavioral health, and social service resources; evaluate Program eligibility and curate patient-specific referrals to reduce barriers to care.
• Coordinate care with physicians, behavioral health providers, home health agencies, community organizations, and social service partners.
• Support opioid misuse prevention and harm-reduction efforts by providing patient education on overdose risks, warning signs, and prevention strategies; distributing medication disposal resources; assisting with access to naloxone when appropriate; and referring individuals to licensed community providers and specialized treatment resources as needed.
• Assist patients with navigating managed healthcare plans, obtaining medications, and completing applications for insurance, disability benefits, and financial assistance Programs.
• Maintain accurate, confidential patient records; ensure documentation compliance, data integrity, and quality assurance.
• Track, compile, verify, and report Program data, including emergency services utilization and high-utilizer tracking; prepare and submit required monthly reports to the City Manager’s Office.
• Support Program operations and initiatives and ensure compliance with City policies and procedures.
• Operate, inspect, and maintain Fire Department vehicles and equipment; report repair needs as required.
• Serve as a liaison between patients, Fire Department personnel, community partners, and external stakeholders to support continuity of care and Program awareness.
• Represent the MIH Program at community meetings, outreach events, and professional forums; deliver presentations to community partners, City departments, and other agencies regarding MIH services and outcomes.
• Provide guidance and information to external organizations and fire departments interested in developing MIH or community health Programs.
• Perform specialized duties as a Child Passenger Safety Technician, including scheduling, documentation, referrals, and continuing education.
• Participate in required meetings, training, and professional development to maintain certifications and remain current with MIH best practices.
• Perform other duties as assigned.

Your areas of knowledge and expertise that matter most for this role:

Education and Experience

• High school diploma or GED certificate and three (3) to five (5) years of related experience

Required Licenses or Certifications

• Must possess a valid Texas Driver’s License
• Texas Department of State Health Services (DSHS) EMT-Paramedic or Licensed Paramedic preferred.
• Former Paramedic, Texas Licensed Clinical Social Worker, or Licensed Vocational Nurse; OR an equivalent combination of education and experience will be considered.

Required Knowledge of

• Establish or re-establish primary care
• Fall Prevention Services
• Home Health Services
• Mental health and substance use/dependence support
• Caregiver support
• Connection to senior services
• Linkage to any resources that enhances a citizen’s quality of life

Required Skill in

• Able to maintain a high level of confidentiality.
• Establishing and maintaining cooperative and effective working relationships with City employees, local, regional, State and Federal agencies, and the general public.
• Exercising sound judgment, analyzing problems, providing alternatives, and identifying solutions
• Service oriented and flexible to meet changing organizational needs, handle frequent interruptions and changes in priorities.
• Operating and maintaining computer and communications equipment.
• Organizing and managing time efficiently and effectively.
• Demonstrating initiative and attention to detail.
• Effective, clear, and concise communication, both verbally and in writing.

Your work environment

Work is performed outdoors and indoors with exposure to weather conditions and temperature fluctuations. Must maintain a level of physical and mental fitness to meet standards commensurate for the position. NOTE: This position is designated safety and/or security sensitive. The City of New Braunfels is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, creed, national origin or ancestry, sex, age, physical or mental disability, veteran or military status, genetic information, sexual orientation, gender identity, marital status, military status, order of protection status, or any other legally recognized protected basis under federal, state, or local law.

In New Braunfels, 'ist das Leben schon!' (Life is good!). At the City of New Braunfels, we seek out people ready to serve the community, plan for the future, and preserve our well-renowned natural beauty. Our five Core Values serve as a cornerstone of our work: Integrity, Service, Visionary Leadership, Stewardship of Resources, and Cultural Heritage. Do our values speak to you?