The purpose of our team is to reduce readmissions, potentially preventable events at the emergency room, ensure members are connected to transportation and ancillary services as needed for medical care or social needs, work with parents/providers or children with elevated blood lead levels to identify source of lead and help blood lead levels trend downward, coordinate with LPHAs for treatment of any member suspected with tuberculosis, and partner with rural medical hubs for the state s Transformation of Rural Community Health program. What makes the Community Resource Coordinator role unique is its integration of care coordination, public health, and community partnership efforts, proactively addressing medical, behavioral, social, and environmental barriers to care through initiatives that reduce preventable emergency department, support transportation and social needs, and connect members to innovative rural health resources and community-based services.