Community Health Worker

About this position

Suvida Healthcare is a primary care organization dedicated to serving Medicare‑eligible Hispanic seniors. As a Team Member you’ll use your skills and empathy to improve the health and well‑being of this underserved community. The organization values diversity, inclusion, and a collaborative culture.

The Guia is responsible for a panel of patients and works with a multidisciplinary team to provide preventive, chronic, and acute care. The role centers on building trusting relationships, meeting social needs, and promoting healthy behaviors.

• Provide comprehensive care coordination for an assigned caseload.
• Collaborate with patients, families, caregivers, healthcare providers, and external partners to address complex social needs.
• Promote communication among health‑care teams and families.
• Intervene with patients and families regarding emotional, social, and financial consequences.
• Conduct in‑person home visits as needed, following the Home Safety Measures Policy.
• Access and mobilize community resources to meet social care needs.
• Document all interventions accurately in the medical record, including clinic visits, home visits, telephonic engagement, or texting.
• Onboard patients to the Suvida model and support medical/social visits.
• Provide patient education on acute and chronic disease management.
• Offer guidance and confidence‑promoting techniques to help patients self‑manage health.
• Communicate with patients in‑person, by phone, video, or text.
• Collaborate with the multidisciplinary team, including Guia Manager, Transitions of Care managers, and Medicaid case managers.
• Maintain knowledge of Medicare, Medicaid, and other program benefits to assist patients with resource allocation.
• Consult and collaborate with other Guia staff on patients requiring significant community resources.
• Coordinate care across the continuum (schedule appointments, coordinate referrals, share information).
• Participate in daily operations of the primary care practice (answer phone calls, maintain clinical space, track enrollment and program progress).
• Perform other duties as assigned by the Guia Manager.

Knowledge, Skills, and Abilities

• Prior experience assisting patients with LIS, PAP, or other benefits applications (strongly preferred).
• 4–5 years of healthcare or social service experience with an emphasis on care coordination or resource navigation.
• Proficiency in EMR use, Microsoft Office/Google Suite, and spreadsheet tracking.
• Experience coordinating activities across multiple sites or teams (communication, workflow organization, goal tracking).
• Experience managing or supporting performance goals across multiple clinical locations.
• Fluency in English and Spanish (bilingual required).
• Strong organizational skills and ability to manage high volume during peak renewal seasons.
• Compassionate communication and ability to work effectively across cultures.

• CHW certification (preferred).
• Bachelor’s degree (preferred).

Purpose‑driven career.

Competitive pay and best‑in‑class medical/dental coverage.

Free mental health and life coaching for team members and dependents.

Holiday time off with pay, paid community service day, paid parental/family leave, paid bereavement leave.

Generous paid time off (PTO) and a 401(k) retirement plan with company match.

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, genetic information, 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.