Community Outreach and Care Coordination Specialist

(80% Community Engagement | 20% TCM Extender)

Department: Marketing and Tailored Care Management

Reports To: TCM Program Manager & Director of Marketing

Position Summary

The Community Outreach and Care Coordination Specialist serves a dual role by leading community outreach and relationship-building efforts while supporting the Tailored Care Management (TCM) team with administrative and care coordination functions. Approximately 80% of the position focuses on community engagement, partnership development, and referral generation , while 20% supports TCM activities that improve client access to services and reduce administrative burden for Care Managers.

This position serves as the face of the organization in the community, educating stakeholders about services while helping ensure individuals receive timely access to care and resources.

Essential Duties and Responsibilities

Community Engagement (30-35 hours per week)

Community Outreach & Partnerships

• Develop and maintain relationships with community organizations, healthcare providers, schools, faith-based organizations, and referral sources.
• Represent the organization at health fairs, networking events, community meetings, and outreach activities.
• Conduct presentations regarding organizational services and eligibility criteria.
• Identify opportunities for new partnerships and referral development.
• Maintain an annual outreach calendar and coordinate participation in community events.

Marketing & Referral Development

• Increase awareness of organizational programs through strategic community engagement.
• Distribute marketing materials and educational resources.
• Track referral sources and community engagement metrics.
• Collaborate with leadership on outreach strategies and business development initiatives.
• Assist in planning open houses, informational sessions, and community education events.

Community Resource Navigation

• Maintain an updated directory of community resources.
• Connect prospective clients and families with appropriate services.
• Serve as a liaison between community partners and organizational staff.
• Follow up with referral sources to strengthen relationships.

Tailored Care Management Extender Duties (5-10 hours per week)

Administrative Support

• Assist Care Managers with scheduling appointments and coordinating meetings.
• Obtain records, releases of information, and supporting documentation.
• Complete data entry and maintain accurate documentation in the electronic health record.
• Track outstanding referrals and follow-up tasks.

Care Coordination Support

• Contact members to remind them of appointments.
• Assist with locating community resources identified in care plans.
• Coordinate communication between providers, members, and community agencies.
• Monitor assigned administrative tasks to ensure timely completion.

Documentation

• Maintain accurate documentation consistent with organizational policies and Medicaid requirements.
• Assist with updating resource databases and tracking outreach activities.
• Prepare reports related to community engagement and referral trends.

Qualifications

Must be at least 18 years of age.

Education

• Bachelor's degree in Human Services, Social Work, Public Health, Marketing, Communications, pharmaceutical sales or a related field preferred.
• Equivalent experience may be considered.

Experience

• Minimum of 2 years of experience in community outreach, healthcare, behavioral health, social services, or care coordination preferred.
• Experience working with diverse populations and community organizations.
• Knowledge of Tailored Care Management or Medicaid services is preferred.
• Extender Qualifications For the purposes of Tailored Care Management, an extender is defined as an individual who:
  • Be a person with lived experience with an I/DD or a TBI with demonstrated knowledge of and direct personal experience navigating the North Carolina Medicaid delivery system OR
  • Be a person with lived experience with a behavioral health condition who is a Certified Peer Support Specialist. or
  • A parent or guardian of an individual with an I/DD or a TBI or a behavioral health condition and has at least two years of direct experience providing care for and navigating the Medicaid delivery system on behalf of that individual (parent/guardian cannot serve as an extender for their family member). Or
  • Has two years of paid experience performing the types of functions described in the “Extender Functions” section below, with at least one year of paid experience working directly with the Tailored Care Management eligible population.

The Department expects that a range of individuals will be able to meet these qualifications, including, but not limited to:

• Certified Peer Support Specialists;

• Community health workers (CHW), defined as individuals who have completed the NC Community Health Worker Standardized Core Competency Training (NC CHW SCCT);

• Individuals who served as Community Navigators prior to the implementation of Tailored Plans;

• Family Navigators, as defined by Trillium Health Resources’ approved LME/MCO in lieu of service description;

• Parents or guardians of an individual with an I/DD or a TBI or a behavioral health condition (parent/guardian cannot serve as an extender for their own family member); and

• A person with lived experience with an I/DD or a TBI or a behavioral health condition.

Knowledge, Skills, and Abilities

• Excellent interpersonal and relationship-building skills.
• Strong public speaking and presentation abilities.
• Exceptional organizational and time management skills.
• Ability to work independently and manage multiple priorities.
• Strong written and verbal communication skills.
• Knowledge of community resources and healthcare systems.
• Proficiency with Microsoft Office and electronic health records.
• Ability to maintain confidentiality and professionalism.
• Ability to travel to Kinston, Wilson, Goldsboro and surrounding areas.

Physical Requirements

• Frequent local travel to community events and partner organizations.
• Ability to lift and transport outreach materials up to 25 pounds.
• Ability to sit, stand, walk, and drive for extended periods.
• Valid driver's license and reliable transportation required.

Performance Expectations

Success in this role will be measured by:

• Growth in community partnerships and referral sources.
• Attendance and participation in outreach events.
• Timely completion of TCM support tasks.
• Accurate documentation and reporting.
• Positive collaboration with Care Managers and community stakeholders.
• Increased awareness and utilization of organizational services within the community.

This role is ideal for an outgoing, relationship-focused professional who enjoys connecting people to resources while supporting the mission of improving access to quality behavioral health and care management services.