Company Description
Suvida Healthcare is a neighborhood-centric, multidisciplinary primary care program built to address the physical, behavioral, social, and cultural needs of the underserved Medicare-eligible Hispanic population. Multigenerational in design, Suvidas differentiated approach will enable us to deliver on the quadruple aim, improving health outcomes as well as consumer and employee experience while lowering total cost of care. Suvida will thoughtfully cultivate an empathetic and service-centric environment, positioning us not only as a best-in class health care provider, but also as the provider of choice for our patients, their families, and the community at large.
Our Purpose
We are an empowered primary care team creating health equity through an exceptional clinical and consumer experience that improves the quality of life for the people, families, and the neighborhoods we serve.
Our Vision
To improve the quality of life for underserved people and those that care for them in neighborhoods across America.
Job Summary
The Guia (Health Guide) is responsible for a panel of patients and, in collaboration with other members of a multidisciplinary primary care team, helps patients meet their preventive, chronic, and acute care needs. The Guia will engage patients and encourage them to take an active role in their health by providing them with the resources and tools necessary to make healthy lifestyle choices and adopt lifelong healthy behaviors. The Guia primary responsibilities center around establishing trusting, supportive, collaborative relationships with patients and their families. Our Guias build relationships with patients in a clinical setting and in the community by working alongside medical providers, nurses, other Guias, medical assistants, and a behavioral health specialist in a collaborative and empathetic team to improve patient outcomes. Essential responsibilities consist of but are not all inclusive:
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Actively engage a panel of assigned patients within Suvida Healthcare
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Collaborate with a multidisciplinary team to care for a panel of patients and monitor and track whether those patients are up to date on preventive measures and plan of care
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Provide patient education on acute and chronic disease management
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Develop care plans supporting both clinical and social needs
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Document services provided in client record and required databases
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Provide guidance to patients and families
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Establish healing relationships with patients and families
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Learn to employ confidence-promoting techniques in patient communication and develop patient self-efficacy to better manage health
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Communicate with patients by phone, video conference, and text messaging, and involve other members of the multidisciplinary care team when needed
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Coach patients using an action-planning model based on motivational interviewing techniques
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Collaborate with other team members to facilitate group events and classes for patients
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Assist with the coordination of care across the continuum, such as: scheduling appointments with providers, coordinating referrals, and sharing or transferring information with the patients internal and external care team
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Screen patients for Social Determinants of Health (SDoH)
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Refer patient or family to community resources to provide access to services such as financial assistance, legal aid, housing, food, or education.
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Participate broadly in the daily operations of a primary care practice, such as: Answering incoming phone calls and messages, handling requests by the multidisciplinary team, and ensuring general upkeep of the clinical space
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Other duties as assigned by the Guia Manager and Guia SVP
