Community Integrated Health Manager

Job Description


The Community Integrated Health (CIH) Manager is responsible for supporting the Community Integrated Health team to deliver high-quality Community Health and Wellness programming and services for program participants. This role works closely with the Chief Transformation Officer and Lifestyle Coaches to implement evidence-based health interventions designed to reduce health risks, improve health equity, and promote lifestyle changes in a supportive environment.


Our mission and core values are brought to life by our culture. In the Y, we strive to live our cause of strengthening communities with purpose and intentionality every day. We are welcoming: we are open to all. We are a place where you can belong and become. We are genuine: we value you and embrace your individuality. We are hopeful: we believe in you and your potential to become a catalyst in the world. We are nurturing: we support you in your journey to develop your full potential. We are determined: above all else, we are on a relentless quest to make our community stronger beginning with you.




1.      Bachelor’s degree in public health, nursing, social work, or a related field or equivalent preferred. Other applicable education, training, and experience, which provide the knowledge, abilities, and skills necessary to perform effectively in the position will be considered.

2.      Minimum 2-3 years of prior supervisory experience preferred.

3.      Experience implementing evidence-based program models, including targeting specific or underserved populations, managing referral relationships, and implementing quality assurance and data collection protocols a plus.

4.      Understanding of the social determinants of health and ability to relate effectively to diverse groups of people from all social and economic backgrounds.

5.      Exceptional communication, organizational, and critical thinking skills.

6.      Basic knowledge of health behaviors and challenges of making lifestyle changes.

7.      Knowledge of basic computer skills, data entry, and healthcare billing preferred.

8.      Certification in CPR/AED and First Aid. Must have or be willing to obtain required training and certification, including evidence-based health initiative instructor trainings.

9.      Must have a flexible schedule including ability to work early mornings, in the evenings and/or on weekends.

10.    Must be willing to travel locally to community locations to conduct enrollment meetings, participate in recruitment activities, and substitute for Lifestyle Coaches.

11.    Must be willing to travel, potentially to other states, to receive program trainings.

12.    Bilingual in English and Spanish is preferred but not required.


Essential Functions

1.      Community Integrated Health (CIH) Coordination:

a.      Onboard participants to Community Integrated Health programming.

b.      Assist in the development and implementation of individualized program plans for participants.

c.       Coordinate enrollment for CIH participants.

d.      Monitor patient progress and update programming for participants, as necessary.

e.      In coordination with the Chief Transformation Officer, establish relationships with program participants and healthcare partners to enhance collaboration and coordination of programs.


2.      Communication:

a.      Manage communication with program participants, including but not limited to facility tours, wellness consultations, and cohort updates.

b.      Educate participants, staff, and community partners about CIH programs and encourage participation.

c.       Execute timely follow-up with referred candidates and waitlisted parties. Plan for, schedule, and conduct enrollment meetings with program candidates to discuss health goals, determine eligibility, perform readiness assessments, ensure paperwork completion, and complete cohort assignment.

d.      Respond to partner inquiries. With the Chief Transformation Officer, perform program outreach to facilitate enrollment and program awareness.


3.      Program Management:

a.      Become certified in all relevant evidence-based health initiative programs.

b.      Maintain extensive knowledge of Community Integrated Health and other YMCA programs to actively refer participants during meetings and social determinants of health screenings.

c.       Oversee and manage evidence-based health care programs, including but not limited to the Diabetes Prevention Program, Blood Pressure Self-Monitoring, Weight Loss Prevention, and Healthy Weight and Your Child.

d.      Implement and monitor CIH programs to ensure they are delivered effectively and meet the needs of participants ( i.e. troubleshoot cohort issues, ensuring that Lifestyle Coaches have necessary program materials and curriculum, and serving as a substitute Lifestyle Coach as needed).

e.      Track program outcomes, collect data, and report on program effectiveness.

f.        Assist in the hiring, onboarding, and training of new Lifestyle Coaches to deliver programs.


4.      Documentation and Compliance:

a.      Maintain accurate and up-to-date program records in compliance with healthcare regulations and organizational policies. Confirm that all new data is entered within 48-72 hours of program session and is available to be used for reports. Maintain HIPAA compliance and strict patient confidentiality.

b.      Document program interactions and outcomes in electronic health records (EHR) and billing systems and investigate any errors in securing reimbursement.


5.      Perform any additional duties assigned by the Director



Cause-Driven Leadership Competencies


Values: Demonstrates in word and action the Y’s core values of Caring, Honesty, Respect, and Responsibility and a commitment to the Y’s mission, in all matters at all times.

Quality Results:  Demonstrates and fosters a strong commitment to achieving goals in a manner that provides quality experiences.

Functional Expertise:  Has the functional and technical knowledge and skills to do the job at a high level of accomplishment.

Relationships:  Builds authentic relationships in the service of enhancing individual and team performance to support the Y’s work.

Developing Others:  Recognizes and acts on the need to continually develop others’ capabilities to attain the highest level of performance possible.