Community Health Advocate

1 day ago

Katy, Texas, United States Suvida Healthcare LLC Full time
About Suvida Healthcare LLC

At Suvida Healthcare LLC, we are dedicated to providing exceptional care to our patients and their families. As a Community Health Worker, you will play a vital role in our multidisciplinary care team, working collaboratively with patients, families, caregivers, healthcare providers, and external partners to meet complex social needs.

Responsibilities

As a Community Health Worker, your primary responsibilities will include:
  • Providing comprehensive care coordination to an assigned patient caseload.
  • Working collaboratively with patients, family, caregivers, healthcare providers, and external partners to meet complex social needs.
  • Promoting a collaborative process and communication between all healthcare team members, internal multidisciplinary teams, inclusive patients/clients, families, and caregivers to ensure the process of integrated care services are targeted, appropriate, and beneficial.
  • Intervening with patients and families regarding emotional, social, and financial consequences of illness and/or disability.
  • Conducting in-person visits to the patient's homes, as needed, per the Home Safety Measures Policy.
  • Accessing and mobilizing family/community resources to meet social care needs.
  • Documenting all interventions in the patient medical record both timely and accurately including all elements of clinic visits, in-home, telephonic engagement, or texting.
  • Onboarding patients to the Suvida model and their medical/social care visits.
  • Providing patient education on acute and chronic disease management.
  • Providing guidance to patients and families.
  • Establishing healing relationships with patients and families.
  • Employing confidence-promoting techniques in patient communication and developing patient self-efficacy to better manage health.
  • Communicating with patients in-person and by phone, video conference, and text messaging.
  • Collaborating with other members of the multidisciplinary care team including but not limited to the Community Health Worker manager, Transitions of Care managers, and Medicaid case managers.
  • Maintaining knowledge of Medicare, Medicaid, and other program benefits to assist patients with resource allocation and choices.
  • Providing consultation and collaborating with other Community Health Workers and team members on patients with significant or intensive community resources needs.
  • Assisting with the coordination of care across the continuum, such as: scheduling appointments with providers, coordinating referrals, and sharing or transferring information with the patient's internal and external care team.
  • Participating broadly in the daily operations of a primary care practice, such as: Answering incoming phone calls and messages and ensuring general upkeep of the clinical space.
  • Tracking patient enrollment and progression through care programs.

Requirements

To be successful in this role, you will need to have:
  • 4-5 years of experience working in a healthcare setting or relevant experience.
  • Expertise connecting patients and ensuring closed-loop referral with community resources and governmental agencies that address complex social needs.
  • Experience managing the needs of Senior/Geriatric populations.
  • Ability to work independently, as well as, to develop collaborative relations with physicians, families, patients, interdisciplinary team members, and community agencies.
  • Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components.
  • Possess knowledge and expertise in completing benefit applications such as SNAP, LIS, PAP, and prescription assistance.
  • Effective oral and written communication skills.
  • Proficiency with EMRs, computers, mobile devices, medical devices, and Microsoft Office Suite.
  • Experience utilizing electronic medical records and social service referral management software.
  • Experience assessing and addressing the social determinants of health.
  • Excellent therapeutic communication with patients, families, and caregivers.
  • Able to articulate Suvida Healthcare LLC's mission in relation to patient satisfaction and patient outcomes.
  • Compassionate, kind, and open-minded.
  • Teamwork experience.
  • Ability to communicate and effectively interact with people across cultures, ranges of ability, genders, ethnicities, and races.
  • Able to care for patients in-home, in-clinic, and remotely.
  • Bilingual/Bicultural (English and Spanish).

Education, Experience, Licensure, or Certification Requirements

To be considered for this role, you will need to have:
  • CHW certification.
  • Bachelor's degree (preferred).

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