Community Health Worker in Phoenix, Arizona at Suvida Healthcare LLC

Who We Are

At Suvida Healthcare, we are not just caregivers; we're compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well-being of an underserved community and their families. Our multi-disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare-eligible Hispanic seniors.

Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both, our patients and our team. We believe that a rich tapestry of experiences, shared interests, and perspectives enhances the care we provide, making us a stronger, service-centered, and more compassionate healthcare family and Employer of Choice! Will you join us Suvidanos, to help achieve our Higher Purpose?

What Makes Us Unique

We are an empowered primary care team, clinical operations, and support team creating health equity through an exceptional clinical and consumer experience that improves the quality of life for the people, families, and neighborhoods we serve. We tailor our primary care program to the culture, language, social, and overall well-being of the seniors we serve.

How We Work

Our Culture & Core Beliefs

Earn TrustBuilding RelationshipsCreating JoyDoing RightImproving Every DayMoving Forward

Our Promise

Purpose Driven CareerCompetitive PayBest-In-Class Medical/Dental Coverage Free Mental Health & Life Coaching for Team Members and their DependentsHoliday Time Off with PayPaid Community Service DayPaid Parental/Family LeavePaid Bereavement LeaveGenerous Paid Time Off (PTO)401k Retirement Plan with Company MatchAnd much more....

What You’ll Do

Position Summary

The Guia 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 engages patients and encourages them to take an active role in their health by providing the tools necessary to make healthy lifestyle choices and adopt lifelong healthy behaviors. This individual’s primary responsibilities center around establishing trusting, supportive, collaborative relationships with patients and their families and assisting patients in meeting their social needs. The Guia builds relationships with patients in a clinical setting and in the community by working alongside medical providers, nurses, medical assistants, and a multidisciplinary team in a collaborative and empathetic team approach to improve patient outcomes.

Responsibilities

Provides comprehensive care coordination to an assigned patient caseload  Works collaboratively with patients, family, caregivers, healthcare providers, and external partners, to meet complex social needs  Promotes a collaborative process and communication between all health care team members, internal multidisciplinary teams, inclusive patients/clients, families, and caregivers to ensure the process of integrated care services are targeted, appropriate, and beneficial   Intervenes with patients and families regarding emotional, social, and financial consequences of illness and/or disability   Conducts in-person visits to the patient’s homes, as needed, per the Home Safety Measures Policy.  Accesses and mobilizes family/community resources to meet social care needs  Documents all interventions in the patient medical record both timely and accurately including all elements of clinic visits, in home, telephonic engagement, or texting   Onboards patients to the Suvida model and their medical/social care visits  Provides patient education on acute and chronic disease management  Provides guidance to patients and families  Establishes healing relationships with patients and families  Employs confidence-promoting techniques in patient communication and develops patient self-efficacy to better manage health  Communicates with patients in-person and by phone, video conference, and text messaging  Collaborates with other members of the multidisciplinary care team including but not limited to the Guia manager, Transitions of Care managers, and Medicaid case managers  Maintains knowledge of Medicare, Medicaid, and other program benefits to assist patients with resource allocation and choices  Provides consultation and collaborates with other Guias and team members on patients with significant or intensive community resources needs   Assists 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  Participates 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  Tracks patient enrollment and progression through care programs   Other duties as assigned by the Guia Manager 

What You’ll Bring

Knowledge, Skills, and Abilities

4-5 years of experience working in 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’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 required (English and Spanish)  

Education, Experience, Licensure, or Certification Requirements

CHW certification (preferred) Bachelor's degree (preferred) 

Suvida Healthcare provides equal employment opportunities to all Team Members and applicants for employment and prohibits discrimination and harassment of any type with regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.