Healthguide - Community Resource

Responsibilities: Acts as a bridge between patients, providers, and community resources to help patients overcome barriers to care and improve health outcomes. Responsibilities include conducting non-clinical assessments, coordinating follow-up care, and documenting interactions within EHR systems to support value-based care goals.

Requirements: Requires at least 3 years of experience in patient navigation, care coordination, or a similar healthcare support role. Candidates must be proficient with EHR systems and possess strong communication skills to work effectively in a remote environment.

Key skills: Patient Navigation, Care Coordination, Community Resource Navigation, Motivational Interviewing, EHR Proficiency, Case Management, Patient Education, Crisis Escalation, Population Health Management, HIPAA Compliance, Interdisciplinary Collaboration, Critical Thinking, Problem Solving, Cultural Competence, Documentation, Customer Service

Keywords: Value-Based Care, Social Drivers of Health, Epic, Athena, Cerner, HEDIS, eCQM, Risk Adjustment, Population Health, Community Health Worker, Peer Support Specialist, EMT, Patient Portal, AI-Enabled Engagement, PHI Security, Care Gap Closure, Behavioral Health, Substance Use Support, Microsoft Office, Care Navigation