
51 - 200 employees
Founded 2018
⚕️ Healthcare Insurance
🏥 Healthcare
🎯 Recruiter
Healthcare Insurance • Healthcare • Recruitment
Guide Healthcare is leading a movement where creativity delivers positive change in the healthcare sector. The company specializes in allied health service provision and healthcare recruitment, focusing on the support and treatment of older adults. With a commitment to adding value to their clients, partners, and teams, Guide Healthcare aims to do things differently in the industry.
🔥 0 minutes ago
🇺🇸 United States – Remote
💵 $19 - $20 / hour
⏰ Full Time
🟡 Mid-level
🟠 Senior
💝 Customer Support
👻 Ghost score 11%
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51 - 200 employees
Founded 2018
⚕️ Healthcare Insurance
🏥 Healthcare
🎯 Recruiter
Healthcare Insurance • Healthcare • Recruitment
Guide Healthcare is leading a movement where creativity delivers positive change in the healthcare sector. The company specializes in allied health service provision and healthcare recruitment, focusing on the support and treatment of older adults. With a commitment to adding value to their clients, partners, and teams, Guide Healthcare aims to do things differently in the industry.
• Build trusting, ongoing relationships with patients, families, caregivers, providers, and community partners • Engage high-risk or targeted patient populations through bidirectional communication • Identify and assess medical, behavioral health, substance use, social, emotional, and financial needs • Support patients in understanding and following care plans, health goals, preventive care, and follow-up recommendations • Provide patient education and motivational interviewing support within role scope • Conduct non-clinical assessments, surveys, and interventions • Engage patients via phone, text, video visits, patient portals, email, and AI-enabled tools • Recognize and escalate changes in patient condition, adherence risks, social needs, or emerging clinical concerns • Prioritize interventions using foundational clinical and care-navigation insight • Support population health strategies, quality performance, and efficient resource utilization • Address barriers, facilitate provider communication, and coordinate follow-up • Assist with referrals, transportation resources, appointment scheduling, specialty care access, and community organization linkage • Escalate concerns to RN Care Managers, Social Workers, primary care offices, leadership, or designated resources • Support eCQM, HEDIS®, preventive care, chronic condition management, and commercial payer measures • Support risk adjustment and accurate capture of patient conditions through assessments and documentation • Close care gaps tied to quality incentives, reimbursement models, and value-based care outcomes • Reduce avoidable emergency department visits, hospitalizations, and readmissions through proactive outreach • Document interactions, assessments, interventions, referrals, escalations, and outcomes in EHR and Guidehealth systems • Use EHR platforms, analytics tools, Microsoft Office, and Guidehealth applications • Manage referrals, track tasks, complete reconciliations, and maintain detailed records • Support AI-enabled outreach workflows • Collaborate with care management teams, practice staff, behavioral health partners, community partners, and internal teams • Participate in meetings, training, quality initiatives, and process improvement • Meet KPIs related to engagement, retention, quality performance, total cost of care, and timely care coordination • Communicate barriers, resource needs, system gaps, and operational opportunities to leadership • Follow HIPAA, PHI security, privacy, and compliance policies • Serve as a subject matter resource for workflows, documentation, engagement strategies, and community navigation • Support onboarding, mentoring, and training of new Community Resource Guides • Assist in developing best practices for documentation, outreach, resource navigation, and care coordination • Perform other duties as assigned
• At least 3 years of related experience in patient navigation, community resource navigation, medical assistance, health promotion, care coordination, peer support, emergency medical services, or a similar role • Experience working directly with patients in clinical, community-based, or non-clinical settings, preferably with patients who have complex medical, behavioral health, social, or financial needs • Experience using EHR systems or similar documentation platforms • Demonstrated ability to work effectively in a remote environment • Knowledge of medical terminology, primary care workflows, referral processes, and social drivers of health • Strong critical thinking, problem-solving, and decision-making skills • Strong verbal, written, listening, and documentation skills • Ability to prioritize multiple tasks, manage time effectively, and work independently • Familiarity with motivational interviewing, behavior change principles, patient education, or care navigation techniques • Strong customer-service orientation with diplomacy, tact, empathy, and professionalism • Ability to collaborate with patients, families, caregivers, providers, community partners, and interdisciplinary care teams • Ability to maintain confidentiality and comply with HIPAA, PHI security, and Guidehealth privacy requirements • Community Health Worker certification or equivalent community health experience, when permissible by contract • Peer Support Specialist certification or related peer support experience, when permissible by contract • Emergency Medical Technician certification or related emergency medical services experience, when permissible by contract • Experience supporting value-based care, population health, care gap closure, quality performance, risk adjustment, or total cost of care initiatives • Experience working with high-risk patient populations or patients with complex medical, behavioral health, substance use, social, or financial needs • Experience with referral coordination, transportation resources, community-based organizations, prior authorizations, or resource navigation • Experience using Epic, Athena, Cerner, or similar EHR platforms • Experience using patient engagement technology, analytics tools, patient portals, Microsoft Office, or AI-enabled outreach tools • Bilingual skills, if aligned with patient population needs • Ability to provide an internet connection with minimum 100 Mbps download and 10 Mbps upload
• Fully remote work arrangement • Necessary work equipment provided at no charge • Medical, Dental, and Vision plans • 401(k) plan with a 3% employer match to 6% employee contribution • Life and Disability insurance • Voluntary Life insurance options • Employee Assistance Program (EAP) • Paid time off plans • Paid parental leave • Learning and development resources • Eligibility for comprehensive benefits for full-time employees working 30+ hours per week
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