Build trusting, ongoing relationships with patients, families, caregivers, and medical/behavioral health providers.
Engage high‑risk or targeted patient populations using bi-directional communication to address health questions, concerns, and care needs.
Identify and assess medical, behavioral, social, emotional, and financial needs to support whole‑person care.
Support patients in understanding and following care plans, health goals, and preventive care needs, including education and motivational interviewing.
Conduct non‑clinical assessments, surveys, and interventions to help patients navigate medical, behavioral, and social systems.
Strengthen the connection between patients and their healthcare providers by addressing barriers, facilitating communication, and coordinating follow‑up.
Assist with referrals, transportation, appointment scheduling, and linkage to specialty care or community‑based resources (CBOs).
Utilize knowledge of referral processes, prior authorizations, gaps in care, SDOH factors, and community programs to improve patient outcomes.
Escalate medical issues appropriately to RN Care Managers, Social Workers, PCP offices, or Guidehealth leadership.
Accurately and promptly document all interactions, assessments, and interventions in the electronic health record (EHR) and Guidehealth documentation systems.
Demonstrate comfort using various EHR platforms (e.g., Epic, Athena, Cerner), analytics tools, and Microsoft Office.
Manage referrals, track tasks, complete reconciliations, and maintain detailed records according to Guidehealth policies.
Work independently while collaborating closely with Guidehealth case management teams and medical practice staff.
Meet assigned Key Performance Indicators (KPIs) tied to patient engagement, health outcomes, and reduction of medical spend.
Follow all HIPAA, PHI security, and Guidehealth privacy policies.
Requirements
Certified Medical Assistant (preferred) OR Certified Community Health Worker/Assistant OR Licensed Practical Nurse or degree in a healthcare‑related field with relevant experience OR Certified Emergency Medical Technician (preferred).
Bachelor’s Degree in health-related field (preferred).
Patient Navigation certification preferred or willingness to obtain within 1 year.
Bilingual English/Hindi speaking required.
At least 2–3 years of related experience in patient navigation, medical assisting, health promotion, care coordination, or similar roles.
Equivalent experience includes working in similar roles for several years without formal certification.
Experience working directly with patients in clinical or non‑clinical settings, preferably with complex medical/social needs.
Demonstrated experience with EHR documentation and remote‑work effectiveness.
Exceptional communication: verbal, written, listening, and documentation accuracy.
Ability to prioritize multiple tasks, manage time effectively, and work autonomously in a remote environment.
Knowledge of medical terminology, primary care workflows, and social determinants of health.
Familiarity with motivational interviewing, behavioral change management, and patient education principles.
Strong customer‑service orientation; diplomacy and tact in communication.
Benefits
Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs.
Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered.
Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution.
Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected.
Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times.
Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals.
Support Your New Family: Guidehealth offers paid parental leave to give you the time you need.
Learn and Grow: Guidehealth offers various resources dedicated to your learning and development to advance your career with us.