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Patient Engagement & Navigation:
- 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.
Care Coordination & System Navigation:
- 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.
Documentation & Technology:
- 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.
Guidehealth
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers.