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Care Share Health Alliance

Care Share Health Alliance

Helping communities coordinate care and other resources for underserved people through collaborative networks and models

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RFP: Strategic Planning Services

Mar 28, 2025
Care Share Health Alliance announces a Request for Proposals (RFP) for strategic planning services. Issue Date: March 28, 2025Proposal Due Date: April 17, 2025Budget: $10,000 (May consider budget increase for […]

RFP: Strategic Planning Services

March 28, 2025 by Erin Storie

Care Share Health Alliance announces a Request for Proposals (RFP) for strategic planning services.

Issue Date: March 28, 2025
Proposal Due Date: April 17, 2025
Budget: $10,000 (May consider budget increase for firms with strong qualifications.)

I. Introduction

Care Share Health Alliance (CSHA) is a non-profit organization committed to advancing health equity by fostering collaboration and systems change to improve access to healthcare for underserved communities. CSHA seeks proposals from qualified strategic planning firms to facilitate the development of a comprehensive strategic plan that will guide the organization over the next three to five years.

II. Purpose and Scope

The selected firm will work closely with CSHA’s leadership, Board of Directors, staff, and key stakeholders to develop a strategic plan that:

  • Defines the organization’s vision, mission, and strategic priorities.
  • Identifies opportunities for growth, partnerships, operational effectiveness, and sustainability.
  • Provides measurable goals and an implementation framework.
  • Ensures alignment with community needs and emerging trends in healthcare access and equity.

III. Scope of Work

The strategic planning process should include:

  1. Stakeholder Engagement – Conduct interviews, surveys, and focus groups with staff, Board members, partners, funders, and community members.
  2. Environmental Scan – Assess internal and external factors influencing CSHA’s work, including market trends, policy landscape, and funding opportunities.
  3. SWOT Analysis – Identify organizational strengths, weaknesses, opportunities, and threats.
  4. Strategy Development – Facilitate workshops to define strategic priorities and develop actionable goals.
  5. Implementation Plan – Outline steps for execution, resource allocation, performance measurement, timelines, roles and responsibilities and monitoring and evaluation guidance.
  6. Progress Reports – Provide a progress report at the mid-point of the strategic planning process and a final report to be presented to the Board of Directors prior to the completing the final strategic plan document.
  7. Final Strategic Plan Document – Provide a polished, actionable document with key findings, goals, and recommendations.

IV. Proposal Requirements

Interested firms must submit a proposal including:

  1. Cover Letter – Brief introduction and statement of interest.
  2. Firm Background – Description of firm, experience in strategic planning, and expertise in non-profit sectors.
  3. Approach & Methodology – Outline of proposed process, engagement strategies, timeline, and implementation support offered.
  4. Team Qualifications – Bios of key personnel who will lead the project.
  5. References – At least two references from similar projects.
  6. Budget & Pricing – Detailed cost estimate, including professional fees and anticipated expenses.
  7. Past Equity Work– Documentation of previous experience in addressing health equity, diversity, and inclusion in strategic planning projects.

V. Selection Criteria

Proposals will be evaluated based on:

  • Demonstrated experience in strategic planning for non-profits and healthcare organizations.
  • Familiarity with North Carolina healthcare, public health and/or non-profit landscape.
  • Understanding of health equity and systems change approaches.
  • Strength of proposed methodology and stakeholder engagement strategy.
  • Qualifications of key personnel.
  • Cost-effectiveness of the proposal.
  • References and past performance.
  • Effectiveness (i.e. examples of how the firm’s strategic planning guidance contributed to the success of other organizations.)
  • Prior experience in equity focused work.

VI. Timeline

  • RFP Release Date: March 28, 2025
  • Proposal Submission Deadline: April 17, 2025
  • Interviews with Finalists: April 28- May 7, 2025
  • Selection and Notification: May 16, 2025
  • Project Start Date: June 3, 2025
  • Completion of Strategic Plan: December 31, 2025
  • Implementation Date: March 2026

VII. Submission Instructions

Proposals must be submitted electronically in PDF format to kdodd@caresharehealth.org by April 17, 2025. Questions regarding this RFP may be directed to Kyndal Dodd at kdodd@caresharehealth.org.

VIII. Terms and Conditions

  • CSHA reserves the right to reject any or all proposals.
  • CSHA is not responsible for any costs incurred in proposal preparation.
  • The selected firm must enter into a contract with CSHA outlining the scope of work, deliverables, and payment terms.

We look forward to reviewing your proposals and partnering to shape the future of Care Share Health Alliance through a strong strategic vision.

Filed Under: RFP, Uncategorized

CSHA Statement for Dr. Martin Luther King, Jr. Day

Jan 12, 2024
“The arc of the moral universe is long, but it bends towards justice” This beautiful quote is something that Dr. Martin Luther King, Jr. referenced several times in his writing […]

CSHA Statement for Dr. Martin Luther King, Jr. Day

January 12, 2024 by Erin Storie

“The arc of the moral universe is long, but it bends towards justice”

This beautiful quote is something that Dr. Martin Luther King, Jr. referenced several times in his writing and speeches. Although the words are most often attributed to King, they are, in fact, succinctly paraphrased from a sermon titled “Of Justice and the Conscience” by 19th century Unitarian minister and abolitionist, Theodore Parker, in which he says:

“I do not pretend to understand the moral universe, the arc is a long one […] But from what I see I am sure it bends towards justice.”

It’s not hard to see why these words inspired King as he fought for equality for Black Americans despite the harsh and violent opposition to civil rights activists, like himself, in the 1950s and 60s. Although the struggles King faced, and sacrifices he ultimately made, are beyond what most of us will ever experience, those of us who work towards a healthier and more equitable North Carolina also have reason to take solace in the idea of a just moral arc of the universe, even when where we stand on it seems a long way away from where we want to be. 

It was indeed a long time from 2013 when, through the Affordable Care Act, all states had the option to expand their Medicaid programs in a way that would provide access to health coverage to more of their citizens, and when Medicaid Expansion finally took place in North Carolina on December 1, 2023. 

However, looking back on that time from where we are now ( with over 270,000 North Carolinians already newly enrolled in “expanded” Medicaid ) this quote from Dr. King rings very true:

“We must accept finite disappointment, but never lose infinite hope.” 

Despite North Carolina’s original decision not to take advantage of Medicaid Expansion, many advocates from every sector of the sate – healthcare, business, faith leaders and members, individuals advocating for their communities, families, or themselves – held on to that “infinite hope” for ten years in order to continue to fight to make it so that hundreds of thousands of North Carolinians now have access to low or no cost healthcare. 

Today, with this accomplishment, it’s little easier to believe that we live in a universe that is ultimately just. However, it’s also ultimately our actions which create justice, and it is therefore up to us to maintain those justices that have been so hard won.

There’s continued work to be done to make sure the benefits of Medicaid Expansion reach every North Carolinian who is entitled to them, and also continued work so that those who might not be eligible for it will one day have access to equally inexpensive and comprehensive healthcare coverage, regardless of who they are.

Working for health equity never ends, and, as Dr. King also said, “The time is always right to do what’s right.” 

Filed Under: Uncategorized

Updated Request for Proposal: NC Based Market Research Firm/Agency

Dec 14, 2023
Care Share Seeks NC Based Marketing Agency/Firm for Market Research On Medicaid Expansion for Hard-To-Reach Audiences Please note that this RFP replaces the previous RFP for a Marketing Firm/Agency Care […]

Updated Request for Proposal: NC Based Market Research Firm/Agency

December 14, 2023 by Erin Storie


Care Share Seeks NC Based Marketing Agency/Firm for Market Research On Medicaid Expansion for Hard-To-Reach Audiences

Please note that this RFP replaces the previous RFP for a Marketing Firm/Agency Care Share published on 12/4/23.

RFP Issued: Thursday, December 14, 2023
Deadline for Response: Friday, January 5, 2023

Purpose:
Care Share Health Alliance is seeking a North Carolina based marketing agency or firm to conduct phone interviews, personal interviews, discussion groups and/or door-to-door surveys with demographic groups that are identified as likely being eligible, but not having applied for North Carolina Medicaid Expansion. These groups will be identified from data to be shared by NCDHHS in early 2024.

Data collected will include:

  • Barriers identified demographic groups perceive, or have encountered, to applying for Medicaid Expansion in North Carolina
  • Messaging that inspires identified demographic groups to apply for Medicaid Expansion in NC
  • Most useful marketing channels to reach identified demographic groups
  • Common misconceptions held about NC Medicaid/Medicaid Expansion among identified demographic groups

Timeline:
Submission deadline: Friday, January 5, 2024
Proposal selection date: No later than January 10, 2024
Market research will start in February 2024
Research should be complete by April 2024

Budget: Up to $130,000

Please send your proposal, examples of similar work, and client references by Friday, January 5, 2024 to:
Erin Storie, Director of Communications at estorie@caresharehealth.org

Organization background: 
Care Share Health Alliance is a North Carolina based non-profit that builds capacity, creates networks, and partners for systems change so that communities are healthy and equitable. Our work is guided by the prioritization of community voice and the lived experience of community members, with a focus on historically marginalized and underserved populations. 

Filed Under: Uncategorized

A Message Of Thanks From Care Share

Nov 22, 2023
As Thanksgiving day quickly approaches, we’d like to take this time to reflect on the things our organization is thankful for. This year, we’ve been happy to announce new additions […]

A Message Of Thanks From Care Share

November 22, 2023 by Erin Storie

As Thanksgiving day quickly approaches, we’d like to take this time to reflect on the things our organization is thankful for.

This year, we’ve been happy to announce new additions to our Care Share staff, including our Virtual Assistant, Kyndal Dodd, and Medicaid Expansion Outreach & Education Coordinator, Hollis Smith. Hollis is leading Care Share’s collaborative work with the NC Community Health Center Association and NC Navigator Consortium to promote Medicaid Expansion in North Carolina, which begins Dec. 1, 2023. This work is generously supported by combined funding from the Kate B. Reynolds Charitable Trust, the Duke Endowment, Dogwood Health Trust, the Cone Health Foundation and the John Rex Endowment. We are so grateful to have these – and other – important partners working together to make sure Medicaid Expansion is a success in our state!

In addition to staff, Care Share is deeply appreciative to welcome five new members to our board of directors. Thank you to Dr. Carrie Rosario, Honey Yang Estrada, Jamilla Pinder, Dr. Meredith Gringle and Yesenia Cuello for being willing to dedicate your time and expertise to our mission!

We also want to extend our thanks to all of the guests who were part of the first season of the Equity+ Podcast. Without your willingness to share your knowledge, passion and lived experience, in the service of uplifting your community’s voice, our podcast wouldn’t have been such a success!

And, although bittersweet, we are thankful for the work that our past Director of Community Engagement, Shaunessy Lofton, and Director of Innovation and Capacity Building, Jalah Clayton, have done, and the lasting impact they have made on Care Share as an organization. We wish them all the best in their new professional endeavors. 

Finally, we are thankful for you, our partners, who work hard every day to make your communities healthy and more equitable. We hope that this week you are able to take time for yourself, to connect with friends and family, and have the chance to truly feel appreciated for all that you are and what you do. Have a wonderful holiday!

Filed Under: Uncategorized

Equity+ Podcast Episode 8: Creating Equitable Internships

Nov 17, 2023
  Episode 8: Creating Equitable Internships | Listen Here In this episode, we’ll hear a conversation between our Director of Innovation and Capacity Building, Jalah Clayton, our former Director of Community Engagement, […]

Equity+ Podcast Episode 8: Creating Equitable Internships

November 17, 2023 by Erin Storie

 

Episode 8: Creating Equitable Internships | Listen Here

In this episode, we’ll hear a conversation between our Director of Innovation and Capacity Building, Jalah Clayton, our former Director of Community Engagement, Shaunessy Lofton and the inaugural interns of our Equitable Health Leadership Pathways Program, Jasmine Riddle and Claire Hopkins about their experiences with both being mentors and mentees while at Care Share Health Alliance.

Want more Equity+ Podcast? You can find past episodes on our Care Share Podcast page or listen on Youtube!

Filed Under: Uncategorized

Equity+ Podcast Episode 7: Hearts & Hands Food Pantry with Kenya Joseph

Nov 15, 2023
Episode 7: Hearts & Hands Food Pantry with Kenya Joseph | Listen Here In this episode we’ll hear a conversation between our Director of Innovation and Capacity Building, Jalah Clayton, and Kenya […]

Equity+ Podcast Episode 7: Hearts & Hands Food Pantry with Kenya Joseph

November 15, 2023 by Erin Storie

Episode 7: Hearts & Hands Food Pantry with Kenya Joseph | Listen Here

In this episode we’ll hear a conversation between our Director of Innovation and Capacity Building, Jalah Clayton, and Kenya Joseph of Heart and Hands Food Pantry, located in Mecklenburg County, about the unique approach the organization takes to addressing food insecurity in their community. 

You can support Hearts & Hands Food Pantry via their Amazon Wishlist.

Want more Equity+ Podcast? You can find past episodes on our Care Share Podcast page or listen on Youtube!

Filed Under: Uncategorized

Job Opportunity: Director of Innovation and Capacity Building

Nov 7, 2023
Reports to: Executive DirectorType: Full Time (40 hours per week)Location: Remote This is a full-time position, 40 hours per week, requires some travel and evenings and weekends. The primary responsibility […]

Job Opportunity: Director of Innovation and Capacity Building

November 7, 2023 by Erin Storie

Reports to: Executive Director
Type: Full Time (40 hours per week)
Location: Remote

This is a full-time position, 40 hours per week, requires some travel and evenings and weekends.

The primary responsibility of the Director of Innovation and Capacity Building is to direct all aspects of the NC Collaborative on Medicaid Transformation. This includes supporting the collaboration and alignment of interests and priorities between partners impacted by Medicaid Transformation and the shift towards value-based care across the state. Shared learning and further engagement will be achieved by facilitating and expanding the NCCOMeT (North Carolina Collaborative on Medicaid Transformation) convening and other convenings supporting the link between healthcare and social drivers of health, also known as the Healthy Opportunities Pilot, as part of NC DHHS’ Medicaid Transformation; providing onsite and/or virtual technical assistance for the delivery of effective strategies and services; and the development, sharing and implementation of promising practices.

Program Expansion and Management of NCCOMeT and Medicaid-related convenings (50%)
• Design, plan, and implement convenings to support the connection between healthcare and social drivers of health with a focus on housing, food, transportation, and interpersonal safety in collaboration with Care Share team members.
• Serve as an advocate and voice for historically marginalized populations, including rural communities and populations who experience health, social and economic barriers, Black, Indigenous, People of Color, LGBTQIA+, low-income, disabled, women, etc.
• Gather, create, and compile best practices, tools, and strategies for the Equity+ Network, including the identification and development of new technical assistance services for Community Based Organizations across the state.
• Review program contracts and grant reports regularly with appropriate staff; provide reports to Executive Director, funders, and partners as appropriate.
• Responsible for developing and maintaining relationships with all partners including philanthropy, NC DHHS, state, and community-based organizations.
• Facilitate peer-to-peer learning by convening in-person and virtual meetings.
• Lead internal/external multi-disciplinary partnerships to establish, implement and monitor strategy, standards, and initiatives.
• Work to achieve specific outcomes by collaborating with a variety of partners including Care Share team members, funders, Care Share board of directors, existing and new partners.
• Ensure compliance with all grant requirements.

Technical Assistance (30%):
• Provide direction and management for the implementation of technical assistance services,
including tracking services provided, dissemination and implementation of best practices,
measuring progress towards outcomes.
• Identify and develop new technical assistance services for Humans Service Organizations
support delivering services to the NC DHHS Healthy Opportunity Pilots regions.
• Work collaboratively with Care Share staff for promising practices development and
communication needs


Thought Leadership (20%):
• Evaluate quantitative & qualitative data while performing high-level strategic thinking and facilitation of initiatives.
• Contribute to long-term team project planning, including identifying future activities and searching and applying for additional funding to support their designated specialty area of work.

Required & Desirable Skills:

Required Skills:
• The ideal candidate will have experience in and be a passionate advocate of health focused on racial equity and social justice who will creatively and boldly drive organizational, and community-level public health systems change. They will have a firm understanding of public health, including the drivers of inequity and social injustice, have a successful track record leading projects and teams, and have strong presentation, writing, and facilitation skills.
• Commitment to advancing health equity, including an understanding of institutional and structural racism and implicit bias and their impact on historically marginalized communities in NC and their health.
• Strategic thinker, team and network builder, and thought leader.
• Strong ability to present to racially, ethnically, culturally, and socioeconomically diverse people and communities.
• Bachelor’s degree or equivalent combination education and lived experience.
• Minimum of 3 – 5 years leadership experience in healthcare and/or nonprofits.
• Strong facilitation and partner engagement skills.

Desirable Skills:
• Master’s degree in public health, health administration, public policy, organizational
development, or other related field
• Grants management experience
• Collaborative learner who has community engagement skills.
• Bi/multi-lingual and experience working directly with racially, ethnically, culturally, and socioeconomically diverse people and communities.

Additional Responsibilities:
• Performs other tasks and duties as assigned.

Compensation:
Salary & Benefits:
Salary Range: $70,000 – $80,000
Benefits include: Health, Dental and Vision, 401K with Employer Match, Life & Disability Insurance, Flexible Spending Account, Paid Time Off & Holidays

Application: 
Process & Required Documents: To apply, candidates should send a cover letter and resume to kdodd@caresharehealth.org

As an equal opportunity employer, Care Share is committed to building a diverse, inclusive culture with a commitment to our values and mission. Care Share strongly encourages applicants from people of color and other diverse backgrounds.

Filed Under: Uncategorized

Equity+ Podcast Episode 6: The Only One in the Room

Oct 31, 2023
Episode 6: The Only One in the Room | Listen Here In this episode, CSHA Executive Director, Weyling White, talks about what it’s like to be “The Only One in the Room” […]

Equity+ Podcast Episode 6: The Only One in the Room

October 31, 2023 by Erin Storie

Episode 6: The Only One in the Room | Listen Here

In this episode, CSHA Executive Director, Weyling White, talks about what it’s like to be “The Only One in the Room” as Black man in public health and healthcare with our guests Brandon Allison, a Licensed Mental Health Counselor, Cornell P. Wright, owner of Wrightway Equity Solutions, and Omari Richins, Program Officer for Health Improvement in North Carolina at the Kate B. Reynolds Charitable Trust.

Learn more about our guests in our Show Notes

Note: Cornell is a member of Care Share’s board of directors.

Want more Equity+ Podcast? You can find past episodes on our Care Share Podcast page or listen on Youtube!

Filed Under: Uncategorized Tagged With: Care Share Board, equity+ podcast

Financial Considerations of Medicaid Contracting: A Virtual Workshop with Nonprofit Finance Fund

Oct 12, 2023
Register Here Care Share is excited to offer this opportunity, in collaboration with Non-Profit Finance Fund, to our Equity+ Network CBOs! Want to become one? NC Community Based Organizations can join the […]

Financial Considerations of Medicaid Contracting: A Virtual Workshop with Nonprofit Finance Fund

October 12, 2023 by Erin Storie

Register Here

Care Share is excited to offer this opportunity, in collaboration with Non-Profit Finance Fund, to our Equity+ Network CBOs! Want to become one? NC Community Based Organizations can join the Equity+ Network by adding your org to the Community Resource Map!


Care Share Health Alliance is pleased to partner with Nonprofit Finance Fund (NFF) to offer a virtual, introductory workshop on the financial implications of Medicaid contracting, Tuesday, October 17, 2023 from 1:30pm-3:00pm. This workshop is intended for Equity+ Network community-based organization members like you!

NFF believes that the CBOs in the Equity+ Network best understand their communities’ aspirations and challenges and have the clearest insights about how to drive healthier outcomes. We see the greatest potential for advancing health equity and the success of Medicaid Expansion in North Carolina by delivering services in a manner that follows the lead of those closest to the work in their communities.

To support Equity+ Network members’ engagement in these efforts, NFF will facilitate a 90-minute workshop which aims to have participants leave with:

  • An understanding the challenges of operating and achieving financial strength in the nonprofit sector
  • A greater awareness of the major ways in which partnering with healthcare could impact their organization’s financial situation
  • Knowledge of resources, tools and consulting available from NFF to support organizations’ continued consideration of and planning for Medicaid contracting

Following the workshop, participating organizations can opt into a one-on-one follow-up call with NFF staff to discuss follow-up questions, their organizational priorities and potential interest in engaging in financial management coaching and consulting from NFF in the future. 


NFF supports community wealth and well-being through our lending, consulting, and our work to positively influence how money flows to nonprofits. We contribute to a more equitable world by helping mission-driven organizations adapt, thrive, and drive positive change. Learn more at nff.org. 

Filed Under: Uncategorized

Equity+ Podcast Ep. 5: Yesenia Cuello, NC Field & NC’s Farmworker Communities

Oct 2, 2023
Episode 5 of the Equity+ Podcast is live! This episode features an interview with Yesenia Cuello who shares what is was like for her to grow up in rural Eastern […]

Equity+ Podcast Ep. 5: Yesenia Cuello, NC Field & NC’s Farmworker Communities

October 2, 2023 by Erin Storie

Episode 5 of the Equity+ Podcast is live! This episode features an interview with Yesenia Cuello who shares what is was like for her to grow up in rural Eastern North Carolina while working in tobacco fields with her mother and sisters, and how that inspires the work she does today advocating for farmworkers and their families as the Executive Director of NC FIELD.

Want more Equity+ Podcast? You can find past episodes on our Care Share Podcast page or listen on Youtube!

Filed Under: Equity+ Podcast, NC BIPOC Leaders, Uncategorized Tagged With: equity+ podcast

NC Medicaid Expansion Will Not Launch on Oct. 1, Due to Budget Delays

Sep 1, 2023
The North Carolina Department of Health and Human Services has announced that Medicaid Expansion will no longer launch on October 1st, as the North Carolina General Assembly failed to take […]

NC Medicaid Expansion Will Not Launch on Oct. 1, Due to Budget Delays

September 1, 2023 by Jalah Clayton

The North Carolina Department of Health and Human Services has announced that Medicaid Expansion will no longer launch on October 1st, as the North Carolina General Assembly failed to take needed action to meet that date. The department is confident that legislators will not sign a budget this month, nor pass separate legislation giving the final authorization to provide health coverage to more than 600,000 North Carolinians. A new date will be announced following needed legislative action, but it will not be Oct. 1

Read More: https://www.ncdhhs.gov/press-releases

Filed Under: Medicaid Transformation, NCCOMeT Update, Uncategorized

Equity+ Podcast Ep. 4: Affordable Housing: The Cost Helping Communities Get & Stay Housed

Aug 31, 2023
Join Care Share and our featured guests Dr. Sue Ledford of Four Square Community Action, Charis Blackmon of West Side Community Land Trust, and S.J. Hightower and Hope Williams of Legal Aid of […]

Equity+ Podcast Ep. 4: Affordable Housing: The Cost Helping Communities Get & Stay Housed

August 31, 2023 by Erin Storie

Join Care Share and our featured guests Dr. Sue Ledford of Four Square Community Action, Charis Blackmon of West Side Community Land Trust, and S.J. Hightower and Hope Williams of Legal Aid of North Carolina for our a discussion on the different ways their organizations approach their work to help individuals and communities get and remain in affordable housing.

Want more Equity+ Podcast? You can find past episodes on our Care Share Podcast page or listen on Youtube!

Filed Under: Uncategorized Tagged With: equity+ podcast

Care Share Health Alliance Welcomes New Board Members

Aug 21, 2023
Care Share Health Alliance is excited to welcome five new members to our board of directors: Dr. Carrie Rosario, Honey Yang Estrada, Jamilla Pinder, Dr. Meredith Gringle and Yesenia Cuello.  […]

Care Share Health Alliance Welcomes New Board Members

August 21, 2023 by Erin Storie

Care Share Health Alliance is excited to welcome five new members to our board of directors: Dr. Carrie Rosario, Honey Yang Estrada, Jamilla Pinder, Dr. Meredith Gringle and Yesenia Cuello. 

“Care Share is fortunate to have a strong board of directors that is dedicated to our mission of collaborating for health equity.” says Care Share Board Chair, Alice Pollard. “I am excited to work with the new board members, who will bring new insight and experience, helping us further our bold strategic plan and path forward.” 

Dr. Carrie Rosario

Carrie Rosario, DrPH, MPH is a health equity advocate, public health leader, and strategist with 15 years of experience in varied health settings. She is currently faculty in the Department of Public Health Education at UNC Greensboro, where she has served in executive leadership roles as Director of Undergraduate Study and Associate Chair of the Department.

Dr. Rosario holds a DrPH in Health Education from Loma Linda University and MPH in Community Health Education from UNC Greensboro. Her research focuses on advancing place-based public health and health equity, with an emphasis on tobacco control. Dr. Rosario is a respected leader in the academic public health community and member of the Society for Research on Nicotine and Tobacco (SRNT), American Public Health Association (APHA), and NC Institute of Medicine (NCIOM). 

In 2020, Dr. Rosario was appointed by Governor Cooper to the North Carolina Institute of Medicine (NCIOM) Board of Directors, where she currently serves as Chairperson. Her deep commitment to a healthier North Carolina has also led her to serve on the Healthy North Carolina 2030 Task Force, the Community Advisory Board for the UNCG Center for Housing and Community Studies, and the North Carolina State Health Improvement Plan Community Council.

Honey Yang Estrada

Honey Yang Estrada is the President of the North Carolina Community Health Worker Association. She was born in Fresno, California and moved to North Carolina when she was 11 years old. The eldest daughter of Hmong refugees who sought refuge in the United States during times of war, Honey understands the struggles families face in navigating various societal systems and the existing barriers that inhibits them from achieving positive outcomes. 

A proud Community Health Worker, Honey has worked in healthcare and public health for over 20 years. Her experience is rooted in community health and advocacy. Throughout her career, Honey continues to serve as a catalyst for change where she champions racial and health equity. 

She holds a Masters in Public Health and currently lives in Newton, NC with her family and teaches Zumba at the local library.

Jamilla Pinder

Over the past 20 years, Jamilla Pinder has dedicated herself to advancing health care access. As a healthcare professional, she has extensive experience serving uninsured and underinsured patients in Guilford and Rockingham counties. Jamilla obtained a Bachelor of Science from North Carolina A&T State University for Agricultural and Environmental Systems (Agribusiness and Food Industry Management). She uses her education and experience to build and support local coalitions. Her work involves strategic partnerships with community-based organizations, healthcare systems, and faith-based communities to address access to healthcare and social determinants of health. Jamilla takes a grassroots approach to improving public health by tackling issues at the block level. As the Psalmist says, “Truth’s shining light guides me to make good choices and decisions; your word makes my pathway clear.” Jamila’s drive and self-confidence are both shaped by this passage.

Dr. Meredith Gringle

Dr. Meredith Gringle earned her BA in Political Science and English Literature at McGill University and my MPH and PhD in Community Health Education at UNC Greensboro (UNCG). Dr. Gringle taught her first university course as a first-year doctoral student and fell in love with the ways that teaching and learning together helps create caring, incisive, and equitable community. Soon after receiving her PhD, Dr. Gringle joined the UNCG Public Health Education faculty, serving most recently as Assistant Professor and Undergraduate Internship Coordinator. In the fall of 2023, Dr. Gringle will begin her new role as Assistant Professor of Public Health at North Carolina Wesleyan University. She has extensive experience advising, mentoring, and learning with “traditional” and adult undergraduate and graduate students. Her research interests and scholarly focus areas include stigma and health disparities, reproductive health equity, and qualitative methodologies. Her current interdisciplinary research focuses on perinatal substance use and care-provision.

Yesenia Cuello

Yesenia Cuello was born in Los Angeles, CA but moved to NC with her mother and younger siblings when she was 5 years old. Spanish is her first language. Yesenia’s mother is from Morelos Cuernavaca, Mexico and her father is from Santo Domingo, República Dominicana. In NC, she graduated from Lenoir County Early College Highschool and became the first generation high school and college graduate in her family. She received a Nonprofit Management certificate from Duke University in 2019. Yesenia is a former child tobacco worker, became co-founder of a nonprofit organization called NC FIELD in 2009, and in 2019 was voted into her current role of Executive Director of NC FIELD, an organization created by farmworkers for farmworkers.

Care Share Health Alliance is a North Carolina based non-profit that builds capacity, creates networks, and partners for systems change so that communities are healthy and equitable. Learn more about Care Share on our About page.

Filed Under: Uncategorized Tagged With: Care Share Board

Help Your Community Keep Medicaid Coverage

Jul 27, 2023
During the Public Health Emergency (PHE) due to COVID-19, states had to follow federal requirements around the “Medicaid Continuous Enrollment Condition”, and were therefore not allowed to remove individuals from […]

Help Your Community Keep Medicaid Coverage

July 27, 2023 by Erin Storie

During the Public Health Emergency (PHE) due to COVID-19, states had to follow federal requirements around the “Medicaid Continuous Enrollment Condition”, and were therefore not allowed to remove individuals from their Medicaid programs.  However, in March, 2023 the Consolidated Appropriations Act unlinked the continuous enrollment condition from the PHE, which allowed states to begin redetermining Medicaid recipients’ eligibility, and potentially removing them from the program. North Carolina began our redetermination process on April 1, 2023; this is called the “Continuous Coverage Unwinding” or “Medicaid Unwinding”.

Unfortunately, more North Carolinians than expected have lost Medicaid coverage during the Continuous Coverage Unwinding due to “procedural terminations”. This means that these individuals may still be eligible for Medicaid, but just need to update certain information with their local DSS.

Some may have received “Medical Assistance Renewal Notice” or “Request for More Information” letters from their local DSS and not known what to do about them. Others may not have received anything, because their DSS does not have their up-to-date mailing address.

There’s also concern that some people who received termination letters from Medicaid won’t try to re-enroll because they feel they’re healthy and don’t need coverage. We highly encourage all individuals to maintain the health coverage that is available to them so they don’t have to seek coverage in a crisis, and have access to the care they need and deserve.

Community Based Organizations can help their clients and community members understand how to maintain their Medicaid coverage, or seek other affordable coverage several ways:

Inform Them the “Unwinding” Is Happening
Many people still don’t know the Continuous Coverage/Medicaid Unwinding is happening, or that it affects them. You can help spread the word about the Unwinding with pre-made materials from NC DHHS & CMS:

  • NC DHHS CCU Unwinding Toolkit
  • NC Medicaid Recertification Video – 15s
  • NC Medicaid Recertification Video – 30s
  • NC Medicaid Recertification Video – 60s
  • All Hands-on-Deck: Keeping People Covered As States Restart Routine Medicaid Renewals
  • Medicaid and CHIP Eligibility Renewals: A Communications Toolkit

Make Sure Medicaid Recipients in Your Community Know 3 Key Messages:

  • Update their current contact information with their local DSS
  • Check their mail and open all letters from DSS
  • Sign Up For an Enhanced EPASS Account – This lets you update your contact and other Medicaid information online without having to call your local DSS.
    • Enhanced ePass Account Fact Sheet

Let Them Know There are Options if their Medicaid has Been Terminated

You can help community members know what steps to take if their Medicaid has been terminated by directing them to FREE resources, like the ones below:

Who to Contact if…

I received a letter from Medicaid/DSS that I don’t understand

  • Your Local DSS – Find Your Local DSS Number
  • NCMedHelp.org / NCMedHelp.com
  • NC Medicaid Ombudsman
    • NC Medicaid Ombudsman Fact Sheet

My Medicaid was terminated, but I think I should be eligible:

  • NC Med Help: Legal Services

I don’t qualify for Medicaid, but might qualify for financial help through the Health Insurance Marketplace:

  • Get Covered Connector –  Find local help understanding your options through the Marketplace
  • Healthcare.gov 

I don’t qualify for Medicaid, but I may qualify for Medicare:
Seniors’ Health Insurance Information Program – Find a local SHIIP Counselor to help you understand your Medicare options

I don’t qualify for any affordable health insurance options:

  • Find a Health Center – Find a local Federally Qualified Health Center that could offer low cost sliding-scale payment options
  • NC Association of Free & Charitable Clinics
  • NC Networks of Care for Low-Income, Uninsured

What About Medicaid Expansion?
Eligible individuals will be able to enroll in NC’s “expanded” Medicaid program starting December 1, 2023.

Additional Resources

NC DHHS Resources

  • NC Medicaid Recertification Page
  • NC Medicaid Beneficiary Webpage
  • NC Medicaid Beneficiary Help Center
  • Sample Medical Assistance Renewal Notice | Spanish
  • Sample Request for More Information | Spanish

  • CMS Resources
  • Partner Education on Medicaid and CHIP Continuous Enrollment Unwinding Webinars
  • HHS Announcement of State Flexibilities to Minimize Coverage Loss

Protecting Immigrant Families

  • Connected to Coverage

If you have questions about how your CBO can help your community understand the Medicaid/Continuous Coverage Unwinding, Marketplace and other low cost healthcare options, contact Erin Storie at: estorie@caresharehealth.org

Filed Under: Uncategorized

A Day in the Life at CSHA: Jalah Clayton

Jun 29, 2023
Hello! My name is Jalah Clayton and I serve as the Director of Innovation and Capacity Building here at Care Share. The second Friday of the month are some of […]

A Day in the Life at CSHA: Jalah Clayton

June 29, 2023 by Erin Storie

Hello! My name is Jalah Clayton and I serve as the Director of Innovation and Capacity Building here at Care Share. The second Friday of the month are some of my favorite days as I get to come together with our group of partners in the NC Collaborative for Medicaid Transformation meetings, an initiative that I support organizing at Care Share. 

After a little over a year with the organization, one thing I can say I appreciate about serving a statewide nonprofit is that working remotely allows our organization to have a broad reach across the state and gives me the opportunity to work in a location that is close to my family and loved ones. Charlotte, North Carolina is my hometown, so I’m grateful to be near family and many of the communities that raised me.


7:30 am – My alarm goes off and I start my morning with a 5-10 minute mindfulness meditation on gratitude, and prayer. I do some light stretches to wake up my body and mind for the day.

8:30 am – After answering any quick emails from my phone while I get breakfast ready (today breakfast is ginger tea, a clementine, a bagel with cream cheese and a protein shake), I get set up at my work spot.

10:00 am – It’s time to begin the NC COMeT meeting! In today’s meeting, we’re hearing from Quantified Ventures. We’re excited to learn from this group and discover if there are ways that our partners can collaborate! 

11:30 am – Start the process of uploading the meeting recording, notes and highlights from the discussion on our website, where we have a designated page for NC COMeT. I also then send a thank you and follow up email to our guests before quickly jumping onto an introduction call with a CBO.

12:00 pm – The call went great and I’m excited to explore ways to support our new CBO partners’ ability to serve their community through our Equity+ Network. Now it’s time for lunch! 

Usually I try to cook something quick for a midday mindfulness and screen break. This allows me to be more present when I’m returning from lunch. Today it’s Friday though so I had lunch while I caught an episode of a show on Netflix. I bring my brain back to get ready for the next meeting with a brisk 5 minute walk outside.

1:00 pm – I join the NC Get Covered meeting. The presenter, Charlotte Center for Legal Advocacy, talked about improper Medicaid terminations, so it’s helpful information to make sure I’m aware of to direct our partners to the right resources.

2:30 pm – I join our internal strategic plan check-in meeting. Our organization developed a new strategic plan last year and since we’ve officially adopted it this year, we check in on our measures to see how we’re reaching our targets and adjust if necessary.

3:30 pm – I use my tablet to tune in to the live stream for the hooding ceremony of one of my sorority sisters, while I work on a one-pager document to accompany a program proposal for a future initiative of Care Share.

4:30 pm – Off to the weekend! I’m kicking it off with a run since it’s sunny and warm outside.


Want to hear more from Jalah? Listen to the first episode of our Equity+ Podcast, where she and the rest of our staff discuss about how our lived experiences with equitable healthcare and White supremacy culture affects our work.

Filed Under: Team Spotlight, Uncategorized Tagged With: nccomet, staff highlight

NCDHHS Delays Implementation of the NC Medicaid Managed Care Behavioral Health and I/DD

Feb 28, 2023
North Carolina Department of Health and Human Services will delay the implementation of the NC Medicaid Managed Care Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans. The launch was scheduled for […]

NCDHHS Delays Implementation of the NC Medicaid Managed Care Behavioral Health and I/DD

February 28, 2023 by Erin Storie

North Carolina Department of Health and Human Services will delay the implementation of the NC Medicaid Managed Care Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans. The launch was scheduled for April 1 and is now targeted for Oct. 1, 2023. Read More: https://www.ncdhhs.gov/press-releases

Filed Under: Medicaid Transformation, NCCOMeT Update, Uncategorized

Care Share Health Alliance Statement on the Murder of Tyre Nichols

Jan 31, 2023
At Care Share Health Alliance we approach this statement with intense sadness for the loss of life of Tyre Nichols and with the deepest sympathy for his family to have […]

Care Share Health Alliance Statement on the Murder of Tyre Nichols

January 31, 2023 by Erin Storie

At Care Share Health Alliance we approach this statement with intense sadness for the loss of life of Tyre Nichols and with the deepest sympathy for his family to have lost a loved one in such a horrific way. 

We also approach the statement almost with trepidation – because we again must address the murder of a Black man at the hands of police in America.  These murders continue to happen over and over, many of them never acknowledged by the media, but enough so that we fear our nation is becoming desensitized. This should be a wakeup call.

It’s well past the time to ask why this continues happening, and face the hard truth that it is because our criminal justice system has origins in the racial persecution of Black Americans and intentional dehumanization of Black men. It allows for the abuse of power and lack of accountability which have been the hallmark of these terrible events.

It’s tempting to think that because the officers who murdered Tyre Nichols were also Black that means racism can’t be a motivator. But when we work within systems that are built around a racist structure, and take advantage of their inequities, we are complicit in their abuses. 

Unfortunately, the majority of American social and political systems are built on a culture of White Supremacy which, more often than not, goes unacknowledged. This lends to the desensitization we feel when we are confronted with the news of another terrible tragedy like what happened in Memphis. When entire social structures are built upon intentional injustice, we become desensitized because we feel like there’s nothing we can do to make change.

In that light, we’d like to share ways to help Tyre’s family and to donate your time or money to organizations working toward police reform:

The GoFundMe started by the family of Tyre Nichols:
https://www.gofundme.com/f/tyre-nichols

Emancipate NC:
https://emancipatenc.org/

Campaign Zero:
https://campaignzero.org/

NAACP:
https://naacp.org/actions/action-alert-uniformed-police-reform

If you are an organizational leader, you are probably also wondering how you can help your staff and colleagues process their responses to these events. We suggest the following:

  • Encourage open conversation on the impact of recent events and structural racism with your staff
  • Encourage use of EAP, if available
  • Give employees time and space to work through their emotions 
  • Recognize that employees may be re-experiencing trauma from times that have felt unsafe with law enforcement

Care Share Health Alliance hopes to never have to publish another statement like this. We do not want to see any more lives lost to police brutality. However, for that to be a reality, our country must be brave enough to face hard truths about the racist heritage of our law enforcement system and make changes that holds itself accountable for the safety of all Americans.

Filed Under: Uncategorized

NC’s BIPOC Leaders: Yesenia Cuello, Executive Director at NC FIELD

Sep 30, 2022
Yesenia Cuello may only be 30 years old, but she has a lifetime of experience to inform her work as Executive Director of NC FIELD, a non-profit working with farmworker […]

NC’s BIPOC Leaders: Yesenia Cuello, Executive Director at NC FIELD

September 30, 2022 by Erin Storie

Yesenia Cuello
Yesenia Cuello, Executive Director at NC FIELD

Yesenia Cuello may only be 30 years old, but she has a lifetime of experience to inform her work as Executive Director of NC FIELD, a non-profit working with farmworker youth, families, and H-2A guest workers by utilizing grassroots organizing principles to teach leadership, promote education, health and safety, and facilitate access to opportunities, including internships, certifications, and higher education. 

Cuello was born in California; her mother is originally from Mexico and her father the Dominican Republic. When she was just 5 years old, her mother decided to move Cuello and her siblings to North Carolina, hoping to provide a more peaceful environment for them to grow up in. They eventually settled in the small town of Pink Hill in Lenoir county. 

“I’m pretty sure that making the transition from California to rural Eastern North Carolina was like from one country to another,” Cuello says about her mother’s experience. 

Her father had stayed in California, so Cuello remembers her mother working long hours to support her daughters. The type of work that was available for her – an immigrant who spoke little English at the time – was in agriculture, specifically tobacco, a labor-intensive crop that poses significant risks to the workers who harvest and process it.

Cuello says that growing up watching her mother leave early in the morning for work and coming back late in the evening made her and her siblings understand the sacrifices she was making for them. So, when Cuello was around 14 years old, she and her 12 and 13-year-old sisters decided they wanted to help their mother out. 

“They would call us “las chicas poderosas” even back in the day,” Cuello recalls the nickname given to the three of them (which is the Spanish title for Power Puff Girls.) Like their cartoon heroes,  “They said that whenever we got together, there was little that we couldn’t accomplish.”

That summer, Cuello and her sisters told their mother they were coming to work with her in the field. They wanted to help pay the bills, and maybe earn some spending money of their own to buy new school supplies. Their mother agreed to take them, which might come as a surprise given the difficult nature of working with tobacco.

“Oftentimes we do receive that question, ‘who would let their child go work in such a dangerous industry?’” says Cuello, “My mom said she looked at us and she was like, ‘these girls, they’ve just never worked a day in their lives. They don’t know what they’re asking, so I’m going to let them come with me one day. They’re going to be out there the entire time with me, and they’re going to see how hard it is, and they’re never going to want to come back.” 

On what their mother had planned to be their one day in the field, Cuello and her sisters woke up very early in the morning to get dressed like any North Carolina teenager would during the summer: in t-shirts, shorts, and flip-fops. 

“We were out there like we were going to a beach,” Cuello recalls, “My mom took one look at us walking out of the room we shared, one behind the other, and said, ‘I don’t know where you think you’re going.’”

“She sent us right back in. She said socks. She said tennis shoes. The most rundown jeans you have. One of those long sleeve thin plaid shirts. Definitely a hat. And we were like, it’s so hot outside!” 

But Cuello’s mother had the right idea. Unbeknownst to her daughters, two of the top dangers of fieldwork are chemical exposure from pesticides and heat stress. Working with tobacco adds the extra risk of Green Tobacco Sickness – also known as “nicotine poisoning” – which can cause nausea and vomiting severe enough to require hospitalization. It also puts workers at a greater risk for heat stroke, which is the leading cause of work-related deaths among farmworkers.

Covering up the way Cuello’s mother instructed her daughters can help reduce the risk of these dangers by providing a barrier between the skin and hazardous chemicals or nicotine.

When Cuello got to the work site, she says no one asked about her or her sisters’ ages. “The gentleman just asked if we had ever done farm work before, and we said yes, even though none of us had really ever worked before. ”

She soon realized how difficult the work she had signed up for was.  “For the first couple weeks I dreamed of tobacco,” she recalls.

She would work in long rows of tobacco where she couldn’t see the beginning or the end. Sometimes Cuello, who is 5’10”, would work with plants taller than herself. To keep an eye on one another, she, her sisters, and her mother would call out to each other or sing songs to keep themselves entertained. Whoever finished first would go back to help the others still working to make sure they all left the field at the same place. Usually, their mother finished first and would go back to help her daughters keep up.

“We knew she was watching out for us, but we also thought: who is watching out for her?” Was part of Cuello’s motivation to continue with field work years after the “one day” her mother had expected. 

At the age of 17, while she was still working in tobacco during the summer, she became one of the founding members of NC FIELD’s Poder Juvenil Campesino (Rural Youth Power) group for children of farmworkers and youth working in the fields. It helped teach her skills for public speaking, the importance of advocacy, and provided health and safety education. In fact, joining the PJC  was the first time Cuello learned about the danger of working with pesticides.

While in the youth group, Cuello also worked on a study with Wake Forest examining Migrant Farmworker Housing.

“The goal was to be able to collect data as to how farmworker housing was having a direct impact on farmworkers’ health.” She explains. During the study she learned more about the structure of farmwork in the US, such as workers who come on H-2A visas and how the migrant stream works. And, through hearing farmworker stories, about the lack of transparency in the industry.

“The youth group played such a huge role in my life,” says Cuello, “ After a few years in the youth group, I’d worked my way to the president.”

From there, she joined NC FIELD’s  Board of Directors, working as the public relations chair for a couple of years before transitioning to hired staff as Program Manager, which included managing the PJC. After three years as Program Manager, she became NC FIELD’s  Executive Director.

“It was a decade’s worth of transition,” she says, “But every step of it led me to where I am today.” 

Some of the work Cuello has been part of has had major impacts on farmworkers all across the country. Through NC FIELD , Cuello worked with Human Rights Watch on a study that informed how the EPA revised Worker Protection Standards in 2015 – the first time since they had been created. The standards were updated to better protect farmworkers and their families from pesticide exposure by increasing the frequency of mandated safety education, which must be provided in the language the worker speaks. The advocacy also resulted in the first-ever minimum age for pesticide handlers in US agriculture. 

“The fact that we were able to be a part of that, and realize that this is the kind of positive change that we can make encouraged us to continue this movement in the right direction,” Cuello recalls. 

Like most organizations, NC FIELD  had its work cut out for them during the COVID-19 pandemic, which in North Carolina began while the farmworker community was still feeling the effects of Hurricane Florence.

“In rural areas, we lack a lot of infrastructure, so a lot of the roads were damaged,” says Cuello, “As if transportation wasn’t already hard, during the hurricane we had to find different ways to get to the families that weren’t able to get out of their homes.”

There was another serious concern for some farmworker families beyond the difficulty of getting out of their homes after the hurricane. Cuello describes walking into one home and, “Seeing a mother who was scared to leave her house because we had a situation where somebody documented that there was an ICE vehicle parked outside of Walmart. So we were running into situations where families were scared to leave their homes to even go to the store. So they were starving in their homes with their families.”

“The things that we saw and that we witnessed were absolutely devastating,” she recalls. 

Then there was a direct transition from the aftermath of Hurricane Florence to the COVID-19 pandemic, which no one was prepared for. 

“We realized that because we are a fairly small nonprofit we have very little room for trial and error, so we have to expand,” Cuello says. 

There was a surprising equalizing effect from the pandemic that allowed NC FIELD and other organizations like it to provide access healthcare and other services for populations like the farmworker community that may have been excluded before.

“The pandemic didn’t exclude anybody,” explains Cuello. “COVID didn’t care if you were documented or undocumented; it didn’t care where you sat in terms of society. It didn’t discriminate at all.”

Through that NC FIELD was able to, “Expand and grow and realize that the only way that we’re going to be able to even create one positive dent in this pandemic is if we work together.”

One way NC FIELD found to work together was by establishing an advisory board made up of organizations involved with the farmworker community, and reaching out directly to local health departments and community health centers.  Gathering partners allowed different organizations to help one another in their missions to serve their community while also avoiding the duplication of services. 

“So NC FIELD could focus on a service gap that exists that nobody else is doing.” Cuello says, “A lot of the work that we’re doing now is making sure that the community has the tools it needs to be able to advocate for themselves as well.”

An example of that work was a challenge from the community that was very familiar to Cuello: finding ways for young people to help provide for their families without having to work in the field. 

Agriculture in NC contributes over $90 billion to our economy. We’re also the country’s top producer of tobacco and sweet potatoes, two crops that bring in over $500 million to the state, and could not be harvested without intensive labor from farmworkers. Despite that, a farmworker’s median salary is $29, 680. Many of our H-2A guest workers earn less than $12,000, which makes them ineligible to receive subsidies to help pay for health insurance through the Health Insurance Marketplace because they don’t earn the minimum amount to qualify.

“We did need to teach people that, yes, take children out of the field,” explains Cuello, “but this is a much larger issue in terms of how much farm workers are making and how much the industry is bringing in. The reality is, as long as extreme poverty and systemic discrimination exist, children will work in agriculture to help their families and have money for school supplies, clothing, technology, and other needs.”

And while NC FIELD  actively campaigns against child labor in agriculture, Cuello says, “Sometimes that child was providing for that family and putting food on that table. So we’re advocating for a child to be at least 18 to work in a tobacco field, but that means that now that child can’t work in agriculture. That means no food is put on the table. So what are you doing to supplement some of that?”

According to Cuello, what NC FIELD  did was develop a sustainable solution for farmworker children and their families:

“With PJC a lot of the work that we do is around internships on a very small scale, with help from Z. Smith Reynolds Foundation and Resourceful Communities Creating New Economies Fund, and more recently the Louise Oriole Burevitch Endowment. We’ll create educational internships over the summer; whether that looks like a garden project, or farm worker children going to labor camps with an adult ally to provide occupational health and safety education.”

“That model is our way of being able to supplement some of that income the child would have received, ensure they understand health and safety when they work in fields, and seek to limit the number of children that we have work in agriculture.”

NC FIELD, in collaboration with partners, also hosted an extensive, four-day healthcare access event in Mt. Olive that offered COVID-19 rapid testing and essential health screenings, with the help of Dr. Joseph Cacioppo and Campbell University Community Care Clinic medical students.

“We are based in the heart of agriculture at our office in Duplin County, surrounded by 30 plus farm worker labor camps, and hundreds of field and meat processing workers sustaining their families.” says Cuello, “We were able to screen 606 members from the farmworker community. Even people that had been doing work supporting farmworkers a lot longer than I have said, “We’ve never seen a response like this in the last – I don’t know how many years!”

The event helped NC FIELD not only provide services for the farmworker community but also get a deeper look into how to support them in caring for their long-term health.

“We ran into the issue that now we’ve done the screenings. Now they have a general idea of their health. But we’re realizing that some people are pre-diabetic or have some other health concern, and they want to be able to prioritize their health, but at the same time with the work schedule that farmworkers sometimes have they’re not able to get to clinics. Or transportation is a big issue.”

There are more than 20,000 H2A guest workers in the state between March and November, and over half of them are in eastern North Carolina. It’s estimated there are at least as many seasonal workers, plus family members, so farmworker communities expand to between 40,000-50,000 vulnerable people during that time.

However, despite the large need in the community, and how essential farm work is to North Carolina, these workers who are part of the backbone of our state’s agricultural economy often lack access to basic healthcare

One reason, as Cuello explained, is the difficulty of getting to a healthcare provider during regular clinic hours. Many farmworkers can work from sun-up to sundown, which could mean 6:00am-8:00pm during the summer growing season. Even healthcare facilities that have a large farmworker patient base, such as certain Federally Qualified Community Health Centers, still may not have hours to accommodate that kind of schedule. 

Additionally, even if they are able to get to a provider, farmworkers frequently speak little or no English, so run into a language barrier if no interpreter is available. 

Finally, like the mother afraid to leave her home to get food for herself and her children after Hurricane Florence, many of our country’s 2.5 million undocumented farmworkers fear deportation as a consequence of seeking care at the wrong facility.

With the barriers the community faces, large-scale positive change for its members often has to come as a result of an indiscriminate crisis like the pandemic (where farmworkers were recognized as essential workers, although what protections they received from that is questionable) or an “act of God” like Hurricane Florence. 

In fact, during the hurricane, Cuello remembers that many members of the farmworker community originally could not understand the alert messages they were sent about the storm because they were only in English, until the necessity for emergency messaging to be sent out in Spanish was brought to the attention of state authorities. 

“You know, it did take a hurricane in order for that to happen,” Cuello says, “but we’re glad that it got done.”

Due to many of the same reasons it’s difficult for farmworkers to receive care, people who are not part of the community are often unaware of how it’s been excluded from basic resources. 

This is something that’s not lost on Cuello, “Whenever we do highlight the work and the life of farmworkers, I still receive shocked faces, and realize there’s still a lot of work that needs to be done.”

“I oftentimes do tell people that, we’ve been knowing about these problems for a while, but we’re just glad that the rest of the world is catching up with this.” 

As for her leadership advocating for her community, when asked about her leadership style, Cuello first recalls her time working at McDonald’s, “Within the first year I was transitioned into the management position. I don’t necessarily think that I’m a bossy person, but I want to say that I am a good leader in the terms of the fact that I’ve been there and I’ve done this work and I don’t ask anybody to do anything that I wouldn’t expect myself.”

She also brings up the importance of transparency with staff and within the organization, “I maintain the highest regard for full transparency and communication. It’s the only way that this is going to work even amongst us. Our communication is that we remain a hundred percent transparent.”

An example of that transparency is helping ensure staff is set up for long-term success in their careers while working at a small non-profit, “ A lot of the funding that we received throughout the pandemic has been COVID response money” She says, “So even though it supports a lot of our staff as well, they realize that some of the funding is very short term.”

“So whenever we hire staff on, we say,  ‘yes, we’re going to make sure that this is how you arrive, but we’re going to make sure that with the training you receive while you’re here, you’ll be able to take that and implement it somewhere else if funding gets cut off.”

Whether they will eventually move on or not, it’s clear NC FIELD’s staff is dedicated to their work, “The current staff do not make enough for the work that they do. I don’t pay them enough.” Cuello admits, “But they also realize that with the experience they have, they can go somewhere else and make more money. And yet they choose to continue to stay with us.”

Cuello also feels that her experience and background have had a big impact on her leadership. In many ways, it’s a benefit to her work, especially in the sense that, “People are more likely to open the door to me if I look like them.”

While many people assume that having a child who is a US citizen provides citizenship to the parent as well, that is not the case. Over 4 million American children live with at least one parent who is undocumented.

Studies have found having an undocumented parent has significant psychological effects on children. Just like Cuello described, these children face fears of losing their parent to deportation or have the responsibility of hiding their family member’s legal status. They, unsurprisingly, face higher rates of anxiety, depression, fear, attention problems, and rule-breaking behavior than children whose parents are not undocumented.

To organizations and individuals advocating for the farmworker community, Cuello shares an important piece of advice, “In all of my experience within this field, I’ve learned to definitely celebrate every win.”

“Realize that we’re not out there alone. We are a community and we are making a change in it. I’m very hopeful that with what attention this community has been able to garner within the last few years, we’ll be able to continue to push on this movement for positive change.” 

And, of course, her passion for her community will inform Cuello’s future work, 

“I am very much not only embedded in the community but a part of the community that I support,” she says, “Being able to see that direct impact and realizing that this is something great that we’re doing here, and wanting to see that forward is what has kept me with NC FIELD for as long as it has.”

“And if I can do anything to better the lives of my community and my neighbors and my family, then that’s what I’m going to continue to do.”

To learn more the work of NC FIELD visit: https://www.ncfield.org/

Filed Under: NC BIPOC Leaders, Social Drivers of Health, Uncategorized Tagged With: nc bipoc leaders

Request For Proposal: Independent Auditor

Aug 17, 2022
Care Share Health Alliance is seeking a qualified auditing firm to provide accounting services. Specific questions to which we ask your response are listed in Exhibit I.  Please note that […]

Request For Proposal: Independent Auditor

August 17, 2022 by Erin Storie

Care Share Health Alliance is seeking a qualified auditing firm to provide accounting services. Specific questions to which we ask your response are listed in Exhibit I.  Please note that your proposal fees should be for a two year period, beginning August 2022 through June 2024 and should be based on a single, annual fee for the routine and consultative services outlined below. All proposals should be sent to business@caresharehealth.org by close of business day August 31st, 2022. 

We use our accounting firm as follows:

  • Audit of the financial statements including IRS Form 990 for the year ending December  31, 2021
  • Preparation of the management letter.
  • Consultation on financial and other matters related to the organization as required annually.
  • Very limited consultation on tax matters as required.

The primary users of the financial statements are the Management team, Board of Directors, and the Audit Committee.  In addition to the audit of the financial statements and meetings with management and the Audit Committee, we also require approximately 10 hours of partner and manager time for consultation with management throughout the year. In an effort to minimize the time required for you to prepare your proposal, we have enclosed the following background information for your consideration:

Exhibit I     Questions for Prospective Accounting Firm

Exhibit II   Audit Timetable and Deliverables

Exhibit III  Scope of Operation

Any additional information which you may require to prepare your proposal may be obtained by scheduling an appointment with Care Share Health Alliance Executive Director, Weyling White (wwhite@caresharehealth.org). The Audit Committee of the Care Share Health Alliance reserves the right to reject any or all proposals submitted and to also make an award where it appears it will be to the best interest of Care Share Health Alliance.

EXHIBIT I

Questions for Prospective Accounting Firm

Profile of Firm:

  1. Describe the Firm on an overall basis, both locally and nationally.
  1. Summarize the Firm’s qualifications regarding nonprofit organizations from an audit, EDP and tax perspective (How many non-profit clients do you currently work with).

Quality of Audit:

  1. Describe the Firm’s audit approach, including review of internal controls.
  1. Describe how your Firm will obtain a basic understanding of Care Share Health Alliance operations and activities for planning the audit.
  1. Describe the local office’s experience on dealing with other nonprofit clients similar to Care Share Health Alliance
  1. Describe the local office’s capability to audit in a computer environment.
  1. Describe any services, other than audits, that are offered by the local office especially as related to internal controls and EDP operations.

Responsiveness to Care Share Health Alliance:

  1. Estimate total fees and hours by employment classification given the services required.
  1. Estimate the “first time through” hours, which would be required of your Firm and our staff.
  1. Submit client references for each key member of the proposed client service team.
  1. Submit local non-profit client references.
  1. Provide any other information you deem desirable.

    

 EXHIBIT II

Time Tables (estimated):

August- October Audit Work

October 31, 2022 Final Audit Work

November 15, 2022 Copy of Audited Financial Statements (We will be responsible for printing)

November 15, 2022 Management Letter

Deliverables:

  1. Audited financial statements of Care Share Health Alliance for year ending December 31, 2021
  1. IRS Form 990
  1. Management letter comments.

Other Consultation Services:

Financial, operational, and very limited tax consultation will be required annually on matters related to management.  These services are expected to be included in your base fee for services which are expected to require approximately 10 additional hours annually from a partner or manager.

EXHIBIT III

Scope of Operations

Care Share Health Alliance was organized in 2008 and has been located in Raleigh, NC since 2008.  It is a North Carolina nonprofit corporation.

Care Share Health Alliance mission is collaborating for health equity and we envision communities that are healthy and committed to health equity for all. We believe that everyone should have a fair and just opportunity for health.

There are approximately 4 staff members.

Total annual revenue is $275,000.  Care Share Health Alliance derives its income from both the public (government agencies) and private (foundations, corporations and individual contributors) sectors.

All proposals should be sent to business@caresharehealth.org by close of business day August 31st, 2022. 

Filed Under: Uncategorized

US Supreme Court

Care Share Health Alliance Statement on the Overturning of Roe V. Wade

Jun 28, 2022
The mission of Care Share Health Alliance is “collaborating for health equity”, which means working to increase access to safe and affordable healthcare for all. We are therefore deeply saddened […]

Care Share Health Alliance Statement on the Overturning of Roe V. Wade

June 28, 2022 by Erin Storie

US Supreme Court

The mission of Care Share Health Alliance is “collaborating for health equity”, which means working to increase access to safe and affordable healthcare for all. We are therefore deeply saddened by the Supreme Court’s decision to overturn Roe vs Wade after 50 years of legal precedent, unequivocally making access to safe and affordable reproductive services more difficult, if not impossible, for our fellow Americans. 

Abortion bans and restrictions disproportionately affect those who already face difficulties with accessing care, including BIPOC communities, low-income individuals, LGBTQ+ people, immigrants, and people with disabilities. Care Share Health Alliance fully supports the reproductive rights of all women and birthing people, including their right to safe abortion. We stand in solidarity with those affected by the Supreme Court’s decision and those fighting to return this fundamental right to all Americans.

To be clear, abortion is still legal in North Carolina. We are glad for the support for reproductive rights from Governor Roy Cooper and hope to see the right to abortion explicitly enshrined within state law. 

Care Share Health Alliance trusts women and birthing people to make their own decisions about their bodies. That is what the right to abortion is: a fundamental human right to bodily autonomy. If you or someone you love is seeking reproductive care, resources on where and how to obtain abortion services and financial and logistical support can be found at the following organizations: 

Abortion Finder: https://www.abortionfinder.org/

Carolina Abortion Fund: https://www.carolinaabortionfund.org/ 

Planned Parenthood: https://www.plannedparenthood.org/ 

NARAL Pro-Choice America: https://www.prochoiceamerica.org/

This is a difficult time in our nation’s history. In our country which promises freedom for all, the rights and very lives of women, people of color, LGBTQ+ individuals, and other marginalized communities are under what feels like relentless attack. However, we know that our nation’s unjust present does not have to be its future. Care Share Health Alliance will continue to fight for health equity for all individuals both in North Carolina and throughout the country. We are committed to a just future for our nation, which includes access to the full spectrum of healthcare services for all Americans. 

Filed Under: Uncategorized

CSHA Welcomes Director of Innovation and Capacity Building, Jalah Clayton, and Director of Communications, Erin Storie

Mar 25, 2022
Care Share Health Alliance is proud to welcome a new Director of Innovation and Capacity Building, Jalah Clayton, and Director of Communications, Erin Storie, to its staff. “We are so […]

CSHA Welcomes Director of Innovation and Capacity Building, Jalah Clayton, and Director of Communications, Erin Storie

March 25, 2022 by Erin Storie

Care Share Health Alliance is proud to welcome a new Director of Innovation and Capacity Building, Jalah Clayton, and Director of Communications, Erin Storie, to its staff.

“We are so grateful to have Jalah Clayton and Erin Storie join our team as Care Share Health Alliance expands our work supporting Medicaid Transformation and health equity across North Carolina,” said Care Share Health Alliance Executive Director Weyling White. “Both Jalah and Erin share a strong passion for equity and community voice which directly aligns with our values here at Care Share Health Alliance. This is such an exciting time for our organization and we are looking forward to their leadership.”  

As Director of Innovation and Capacity Building, Jalah Clayton will direct all aspects of the NC Collaborative on Medicaid Transformation, including supporting the collaboration and alignment of interests and priorities between partners impacted by Medicaid Transformation and the shift towards value-based care across the state.

“I’m thankful for the opportunity to work with a progressive, collaborative and dynamic team of individuals to continue advancing health equity in North Carolina,” said Clayton. “As a Community Health Educator, I look forward to upholding the vision of Care Share Health Alliance, and influencing positive change within the network of community organizations and partners aligned with that vision.”

Clayton’s most recent previous position was Program Director of the Charlotte-Mecklenburg Food Policy Council. She received a Masters in Public Health concentrated in Community Health Education from UNC Greensboro, and Bachelor of Arts in Exercise and Sports Science and Sociology from UNC Chapel Hill.  Jalah was born and raised in Charlotte, North Carolina.

New Director of Communications, Erin Storie, will lead the design, implementation, and management of Care Share Health Alliance’s strategic communication plan and communication initiatives, and advance Care Share’s mission, vision, and values to both internal and external audiences.

“Having worked with Care Share Health Alliance in different capacities throughout my career, I have seen directly their positive impact on the individuals and communities they’ve collaborated with,” said Storie, “I’m grateful for the opportunity to be part of the excellent work of this organization, and to help advance health equity in North Carolina.” 

Storie previously worked with Roanoke Chowan Community Health Center as Communications & Advocacy Coordinator. She received a Bachelor of Arts in Spanish from UNC Charlotte. Storie is a native of North Carolina, born in Hickory, NC and raised in Gates, NC.

“I am thrilled to have Jalah and Erin join the Care Share team,” said Alice Pollard, Board Chair for Care Share Health Alliance, “As Care Share continues to grow our capacity to support our mission of collaborating for health equity, the Board is grateful to our partners for their support and to the entire team at Care Share for their dedication. I look forward to everything the Care Share team has in store for 2022 and beyond.”

Care Share Health Alliance is a North Carolina based non-profit that builds capacity, creates networks, and partners for systems change so that communities are healthy and equitable. Learn more about Care Share at www.caresharehealth.org.

Filed Under: Uncategorized

Healthier Highland Collaborative Video

May 10, 2021
Watch the video to learn how the highland community members used the power of their voice, community partners, and local government to make positive changes in their community and improve […]

Healthier Highland Collaborative Video

May 10, 2021 by Megan Bolejack

Watch the video to learn how the highland community members used the power of their voice, community partners, and local government to make positive changes in their community and improve health outcomes.

Filed Under: Homepage Featured, Uncategorized

Aligning Systems for Health Research Roundup Webinar – Feb.11th

Feb 2, 2021
Save the Date: Aligning Systems for Health Research Roundup Webinar on February 11th at 4:00pm. The session will feature Care Share Health Alliance and Healthier Highland findings from the evaluation […]

Aligning Systems for Health Research Roundup Webinar – Feb.11th

February 2, 2021 by Megan Bolejack

Save the Date: Aligning Systems for Health Research Roundup Webinar on February 11th at 4:00pm. The session will feature Care Share Health Alliance and Healthier Highland findings from the evaluation report Highland Shows up, Speaks up, Steps up: Aligning Systems for Health Community-Led Collaboration Advancing Health Equity. The session will also include presentations from Communities Joined in Action – CJA and Urban Institute. Register here: https://bit.ly/3pHJHZu

Filed Under: Homepage Featured, Uncategorized

NC Medical Journal Highlights NC Get Covered

Nov 3, 2020
The NC Medical Journal’s latest issue Celebrating – and Critiquing – 10 Years of the ACA in North Carolina highlights NC Get Covered: Spotlight on the Safety Net : NC […]

NC Medical Journal Highlights NC Get Covered

November 3, 2020 by Megan Bolejack

The NC Medical Journal’s latest issue Celebrating – and Critiquing – 10 Years of the ACA in North Carolina highlights NC Get Covered: Spotlight on the Safety Net : NC Get Covered – A Statewide Network of Health Care Change Agents. To read the article, visit http://www.ncmedicaljournal.com/content/81/6/403 and to read the full issue visit www.ncmedicaljournal.com

If you are in need of health insurance coverage, please visit Healthcare.gov to sign up for a plan today! If you live in NC, you can visit NCNavigator.net or dial 1-855-733-3711 for free enrollment assistance. Open enrollment ends on December 15.

Filed Under: Uncategorized

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Community VoicesMaking Change

NEWS

  • RFP: Strategic Planning Services

    Care Share Health Alliance announces a Request for Proposals (RFP) for strategic planning services. Issue Date: March 28, 2025Proposal Due Date: April 17, 2025Budget: $10,000 (May consider budget increase for […]
  • Job Opportunity: Communications Specialist

    We are no longer accepting applications for this position. Position Name: Communications Specialist Reports to: Executive Director Type: Part-Time, Contract Location: Remote (Care Share Health Alliance is North Carolina based […]
  • Equity+ Podcast Ep. 13: Accessing Gender Affirming Care in NC

    Episode 13: Accessing Gender Affirming Care in North Carolina | Listen Here In this episode, we hear from Haven Oxenreider, Data & Software Lead at Pisgah Legal Services, who shares their experiences […]
  • Equity+ Podcast Ep. 12: Medical Debt & What To Do About It

    Episode 12: Medical Debt & What To Do About It | Listen Here In this episode, we hear from Rebecca Cerese, Policy Advocate at the NC Justice Center, who shares important information […]
  • EQUITY+ PODCAST EP. 11: HOST A COMMUNITY MEDICAID ENROLLMENT EVENT!

    Episode 11: Host a Community Medicaid Enrollment Event! | Listen Here In this episode we’ll introduce the newest addition to the Care Share staff, our Medicaid Expansion BIPOC Community Engagement Coordinator, […]
  • Equity+ Podcast Ep. 10: The Power of Community Created Solutions

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  • CSHA Welcomes New Director of Innovation and Capacity Building, Renee Harvey, MAHEd, CHES

    Care Share Health Alliance is excited to welcome our new Director of Innovation and Capacity Building, Renee Harvey, MAHEd, CHES. Harvey is a native of Washington, North Carolina. She holds […]
  • Job Opportunity: Medicaid Expansion BIPOC Community Engagement Coordinator

    We are no longer accepting applications for this position. Position:        Medicaid Expansion BIPOC Community Engagement Coordinator Reports to:    Director of Communications Type:         […]
  • Equity+ Podcast Ep. 9: What Should You Know About Medicaid Expansion?

    Episode 9: What Should You Know About Medicaid Expansion? | Listen Here In this episode, we talk to Nick Riggs, Director of the NC Navigator Consortium, April Morgan, Outreach & Enrollment […]

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