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, 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 Trust
• Building Relationships
• Creating Joy
• Doing Right
• Improving Every Day
• Moving Forward

What You’ll Do 

Position Summary

The Community Health Worker (Field-based) is focused on engaging patients who have struggled to establish a relationship with their healthcare provider at Suvida and / or who have recently been discharged from an acute care setting. The CHW will work alongside a multidisciplinary team to encourage patients to take an active role in their health by facilitating their engagement with Suvida, where they can access the tools necessary to make healthy lifestyle choices and adopt lifelong healthy behaviors. This position will be primarily field-based and focused on conducting home visits to unengaged patients who (a) Suvida has been unable to establish a relationship with or (b) have recently been discharged from the acute care. This role will conduct described home visits alongside a trained Sales team member and will work closely with center-based teams throughout Houston in order to engage hard to reach patients and educate them on the value Suvida provides. This is an excellent entry-level career opportunity for an ambitious, driven individual to make a meaningful impact on patients’ lives in a fast-paced, value-based care healthcare environment.  Essential responsibilities consist of but not all inclusive: 

Responsibilities

• Conduct home visits to patients assigned to Suvida by their health plan to engage and educate them on the Suvida model. Help these patients schedule their first appointment at assigned location. 

• Work collaboratively with patients, family, caregivers, healthcare providers, and external partners to engage and provide support to patients recently discharged from acute care.

• Partner with the clinical and case management team on transitions of care planning and referrals to post-acute providers. 

• Promote a collaborative communication between all health care team members, internal multidisciplinary teams, inclusive patients/clients, families, and significant others to ensure the process of integrated care services are targeted, appropriate, and beneficial. 

• Utilize knowledge of applicable laws, regulations, government, and insurance benefits as well as practice guidelines and standards of practice.

• Document all interventions in the patient medical record both timely and accurately including all elements of clinic visits, in home, telephonic engagement, or texting. 

• Support departmental goals to contribute to the success of the organization.

• Serve as preceptor, mentor, and resource to less experienced staff. 

• Maintain knowledge of Medicare, Medicaid, and other program benefits to assist patients.

• Other duties as assigned by Guia Manager.

What You’ll Bring - Education Requirements

• CHW certification 

• Bachelor’s Degree preferred 

What You’ll Bring - Experience Requirements

• 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 (English and Spanish) 

Physical Demands

While performing the duties of this job, the employee is required to sit for prolonged periods of time, stand, walk, talk, hear, and reach with hands and arms. Hand eye coordination is necessary to operate computers and other office equipment; must be able to operate a motor vehicle. When representing Suvida Healthcare at external events, the Guia, Field Based may also be required to stand for prolonged periods of time, kneel, crouch, bend and lift, and able to move up to 30 pounds. The work environment characteristics described here are representative of those employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

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.