MIH Paramedic

City of New Braunfels • New Braunfels, TX

21d

About The Position

The City of New Braunfels Fire Department is seeking an empathetic, resourceful, and communicative Mobile Integrated Healthcare (MIH) Paramedic. Under general supervision, this position helps citizens navigate health and human resources to address healthcare needs, reduce non-emergency 9-1-1 calls, and improve quality of life. The MIH Program serves gaps in emergency response systems, particularly for vulnerable populations, and helps reduce overuse of EMS, law enforcement, and emergency department services.

The position provides patient care coordination and case management, conducts in-person visits and assessments, develops care plans, coordinates referrals and follow-up, and connects patients with healthcare and social services. It also supports opioid misuse prevention and harm reduction, maintains confidential records and program data, and assists with program operations, outreach, reporting, and community partnerships. The role includes specialized duties as a Child Passenger Safety Technician and operation and maintenance of Fire Department vehicles and equipment.

Work is performed indoors and outdoors, with exposure to weather conditions and temperature fluctuations. The employee must maintain physical and mental fitness standards commensurate with the position. This position is designated safety and/or security sensitive.

Requirements

• High school diploma or GED certificate.
• Three to five years of related experience.
• Valid Texas Driver’s License.
• Ability to maintain a high level of confidentiality.
• Ability to establish and maintain effective working relationships with City employees, local, regional, state, and federal agencies, and the public.
• Sound judgment, problem analysis, and the ability to provide alternatives and identify solutions.
• Service orientation and flexibility to accommodate organizational needs, interruptions, and changing priorities.
• Ability to operate and maintain computer and communications equipment.
• Effective time management and organizational skills.
• Initiative and attention to detail.
• Clear and concise verbal and written communication skills.
• Knowledge of establishing or re-establishing primary care; fall prevention; home health; mental health and substance use or dependence support; caregiver support; connections to senior services; and resources that improve citizens’ quality of life.
• Maintain physical and mental fitness to meet position standards.

Nice To Haves

• Texas Department of State Health Services (DSHS) EMT-Paramedic certification or Licensed Paramedic status is preferred.
• Experience as a Paramedic, Texas Licensed Clinical Social Worker, or Licensed Vocational Nurse; an equivalent combination of education and experience will also be considered.

Responsibilities

• Provide patient care coordination and case management within the MIH Program, including referral triage, high-utilizer management, and continuity of care.
• Conduct in-person patient visits, medical assessments, preventive health education, documentation, care planning, referrals, and follow-up coordination.
• Research appropriate medical, behavioral health, and social service resources; evaluate program eligibility and develop patient-specific referrals.
• Coordinate care with physicians, behavioral health providers, home health agencies, community organizations, and social service partners.
• Support opioid misuse prevention and harm reduction through patient education, medication disposal resources, naloxone access when appropriate, and referrals to licensed providers and specialized treatment resources.
• Help patients navigate managed healthcare plans, obtain medications, and complete applications for insurance, disability benefits, and financial assistance programs.
• Maintain confidential patient records and ensure documentation compliance, data integrity, and quality assurance.
• Track, compile, verify, and report program data, including emergency services utilization and high-utilizer tracking; submit required monthly reports to the City Manager’s Office.
• Support MIH Program operations and initiatives and ensure compliance with City policies and procedures.
• Operate, inspect, and maintain Fire Department vehicles and equipment, and report repair needs.
• Serve as a liaison among 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, and present information about MIH services and outcomes.
• Provide guidance to external organizations and fire departments interested in developing MIH or community health programs.
• Perform Child Passenger Safety Technician duties, including scheduling, documentation, referrals, and continuing education.
• Attend required meetings and training and pursue professional development to maintain certifications and stay current with MIH best practices.
• Perform other duties as assigned.

Benefits

• Competitive medical, dental, and vision insurance.
• 2:1 match on retirement contribution.
• 16 hours of paid volunteer time off per year.
• Vacation accrual begins at hire, with up to 120 hours annually in the first year.
• Longevity pay after one full year of employment.
• Tuition reimbursement program.
• Bilingual pay.
• Professional and personal development training.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED