Cone Health

Care Guide

Annie Penn
Work Location
Division : Name
Cone Health Medical Group
Department : Name
HSD-Reidsville Access
Position Sub-Category
Position Type
Employment Type
Work Hours
Provider Schedule (specific schedule)
M-F, Sa/Su
On call Required
Sub Category
Patient Advocate


A Care Guide is a key member of the primary care team, serving as a nonclinical health facilitator who works with a targeted group of patients to help them navigate their care across the continuum. His/her general function is to guide and coordinate care and partner with the primary care team to improve quality of care and health outcomes for patients, as well as ensure providers and staff are operating at the top of their license and capabilities. The ideal candidate must be friendly, approachable, adaptable and self-confident. He/she must have excellent verbal communication skills, an open-minded perspective to working with diverse populations, problem-solving skills, and a strong desire to help people as well as shape the future of healthcare.


Appointment Reminders and Forms Facilitation: Identify patients who have upcoming appointments. Reach out to patients with upcoming appointments to provide reminder and other notices. Assist patients who do not have the means to get to their appointments.


Attends required meetings and participates in committees as requested. Participates in professional development activities and maintains professional affiliations. Functions as a member of the interdisciplinary team, providing updates on trends and outcomes to the provider.


Community Resources: The Care Guide connects patients to community-based and other resources that impact their overall health. Works with Health Advisors and other clinical staff to identify what community resources patients would benefit from. Connects with the United Way, and other local resources to identify which community-based resources are available. Coordinates with the Triad HealthCare Network Care Management team as appropriate. Communicates with the patient to ensure the patient has the information they need to connect with the community-based resources. Schedules necessary appointments or calls to connect patients to what they need. Supports patient in meeting the requirements of the community ?based resource (i.e., fill out forms, collect documentation, etc.).


Gaps in Care: Receives patient lists from Triad HealthCare Network (THN) and other entities reflecting gaps in care. Manages patient lists to ensure patients are provided outreach that is tracked, monitored, and effective. Outreaches to patients via telephone, email, and other forms of communication. Schedules appointments based on patient needs and gaps in care that need to be filled. Collects information from patient and other health care facilities to close gaps in care.


Patient Forms: Educate patients on the importance of completing pre-visit forms in a timely manner. Support patients in the completion of required pre-visit forms.


Referral Management: Identify and reach out to patients who have a referral order, but do not have a recorded scheduled appointment, to determine whether patient was able to schedule appointment and if not, support the patient in the scheduling of the appointment. Reach out to health care facilities to obtain necessary reports from referral appointments.



High school diploma required; minimum of two (2) years college course work; in lieu of 2 years course work, 2 years of healthcare experience may be substituted.



Drivers License | Valid Drivers License



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