Proxi GUIDE manual
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Canonical identity spine

One roster. Tasks do not become roles.

A real employment or credential role may perform many tasks across the SOPs. A task name, procedure occurrence, participation basis, or software function never creates another role. The selected step links the task back to the same canonical role and states its entry trigger. The directory contains 13 internal human categories in total: ten routine service/support categories and three rare clinical or legal escalation authorities. Procedure steps and trace rows are coverage evidence, not additional roles. For example, assessment review and medication review are different tasks under the same U.S. clinician category when the named clinician's license, scope, beneficiary location, and assignment permit both acts.

10 routine service/support categories3 rare escalation authorities4 nonstaff participant/outside categories5 software services

Role → task family → procedure

U.S. prescribing or Part B E/M clinician

89 linked procedure steps. Every step shows its exact task; neither a step nor a task creates a different role.

Eight-pillar episode systemAssessment → Care Plan → distinct service work → Ongoing return8 procedure steps
  • SOP taskEstablish an attributable baseline

    Reviews the prepared examination and medical questions, performs the required examination, staging, diagnosis, treatment, or prescribing decision, signs the resulting finding or order, and returns the medical disposition to the attributable assessment record for the next routed action.

    Enters when: Only when the assessment requires examination, staging, diagnosis, treatment, prescribing, orders, or another L4 medical act.Open exact procedure step →
  • SOP taskConvert accepted choices into owned actions

    Supplies an exact diagnosis, treatment, prescribing, or other medical decision.

    Enters when: Only when the accepted action requires medical authority.Open exact procedure step →
  • SOP taskOffer the configured Proxi companion interaction

    Reviews the prepared medical question, makes the authorized diagnosis, treatment, reconciliation, prescribing, or order decision, signs the resulting instruction, and returns the disposition.

    Enters when: Only when the prepared report contains a named diagnosis, treatment, medication, reconciliation, prescribing, or order question requiring L4 authority.Open exact procedure step →
  • SOP taskFurnish the distinct service

    Reviews the prepared medical question, makes the authorized diagnosis, treatment, medication, prescribing, or order decision, signs the instruction, and returns the medical disposition.

    Enters when: Only when the distinct obligation requires diagnosis, treatment, prescribing, orders, reconciliation, or another L4 medical act.Open exact procedure step →
  • SOP taskReturn the result and the next useful action

    Answers a new diagnosis, treatment, prescribing, or other medical question.

    Enters when: Only when triggered.Open exact procedure step →
  • SOP taskEnter laterally through 24/7

    Receives an urgent or nonurgent medical, diagnosis, treatment, or medication-authority question.

    Enters when: Only when indicated.Open exact procedure step →
  • SOP taskHandle post-discharge medication confusion

    Performs the scoped reconciliation or prescribing-authority decision and states the current instruction.

    Enters when: No narrower actor-specific condition is recorded; this assignment applies only when the selected procedure step is active.Open exact procedure step →
  • SOP taskRespond to caregiver exhaustion or possible breakdown

    Addresses diagnosis, treatment, medication, or other medical questions.

    Enters when: Only when separately triggered.Open exact procedure step →
Eight-pillar episode systemHandoff and truthful-completion ladder3 procedure steps
  • SOP taskAccept custody and start the right work

    Reviews the prepared medical assignment, accepts or declines it within authority, and records the first medical action and due time.

    Enters when: Only when the obligation requires L4 authority.Open exact procedure step →
  • SOP taskProduce and return the local SOP result

    Produces the assigned L4 medical result.

    Enters when: Only for L4 work.Open exact procedure step →
  • SOP taskRepair failure without dropping the obligation

    Corrects a medical, prescribing, diagnosis, or treatment contribution.

    Enters when: Only when applicable.Open exact procedure step →
Eight-pillar episode systemSame-interaction service attribution and count-once labor2 procedure steps
  • SOP taskRecord the interaction and each human act once

    Records L4 participation and active minutes once.

    Enters when: Only if L4 actually participated.Open exact procedure step →
  • SOP taskOpen only the unfinished remainder

    Accepts only the unfinished medical question, makes the authorized decision, signs the instruction, and returns the disposition.

    Enters when: When applicable.Open exact procedure step →
Eight-pillar episode systemWorked episode: “My mother will not bathe”2 procedure steps
  • SOP taskUse the direct protected route if indicated

    Addresses a possible medical or medication cause, treatment, diagnosis, or other L4 question.

    Enters when: When applicable.Open exact procedure step →
  • SOP taskOpen only the needed follow-on services

    Receives an L4 medical or medication follow-on question.

    Enters when: Only when separately triggered.Open exact procedure step →
Eight-pillar episode systemWorked episode: post-discharge medication confusion2 procedure steps
  • SOP taskCapture the exact conflict and current situation

    Addresses an immediate medical or medication-authority question.

    Enters when: When indicated.Open exact procedure step →
  • SOP taskMake the scoped reconciliation decision

    Reviews the prepared conflict, elicits clinically necessary history, and makes the scoped reconciliation or current-instruction decision.

    Enters when: No narrower actor-specific condition is recorded; this assignment applies only when the selected procedure step is active.Open exact procedure step →
Eight-pillar episode systemWorked episode: caregiver exhaustion or possible breakdown2 procedure steps
  • SOP taskRoute protected or immediate concerns directly

    Performs diagnosis, treatment, medication, or higher medical judgment.

    Enters when: When applicable.Open exact procedure step →
  • SOP taskUpdate only affected contingencies and safeguards

    Answers an affected diagnosis, treatment, medication, or medical question.

    Enters when: Only when separately triggered.Open exact procedure step →
Eight-pillar episode systemDaily Companion and caregiver pulse2 procedure steps
  • SOP taskRoute to the real performer

    Makes the authorized diagnosis, treatment, reconciliation, prescribing, or order decision and signs the resulting instruction.

    Enters when: Only when that authority is required.Open exact procedure step →
  • SOP taskComplete the routed work and return a disposition

    Reviews the prepared medical question, makes the authorized diagnosis, treatment, reconciliation, prescribing, or order decision, signs the resulting instruction, and returns the disposition.

    Enters when: Only when routed to L4.Open exact procedure step →
Comprehensive Assessment procedure mapFrom assessment occasion to attributable handoff6 procedure steps
  • SOP taskIdentify the occasion and alignment boundary

    Determines an unresolved need for medical assessment or dementia attestation work.

    Enters when: Only when L4 medical authority is required.Open exact procedure step →
  • SOP taskConfirm people, access, modality, schedule, and packet

    Accepts the examination, staging, medical, and prescribing-authority domains assigned within scope.

    Enters when: No narrower actor-specific condition is recorded; this assignment applies only when the selected procedure step is active.Open exact procedure step →
  • SOP taskWork history, cognition, function, hearing, staging, and medication

    Performs cognition-focused examination, medical-decision complexity, dementia staging contributions, and prescribing-authority medication reconciliation/review.

    Enters when: No narrower actor-specific condition is recorded; this assignment applies only when the selected procedure step is active.Open exact procedure step →
  • SOP taskScreen behavioral health, safety, environment, and social needs

    Performs diagnosis, treatment, medication, or other medical judgment created by a finding.

    Enters when: Only when L4 authority is required.Open exact procedure step →
  • SOP taskCapture advance wishes, providers, services, and coordination need

    Performs a POLST, treatment, medical-order, or other advance-care clinical act within authority.

    Enters when: Only when desired, available, and clinically required.Open exact procedure step →
  • SOP taskSynthesize, discuss, hand off, and document completion

    Reconciles the examination, staging, diagnosis, treatment, medication, and prescribing-authority findings, signs the medical determination and any order, records unresolved medical questions, and returns the disposition for baseline completion.

    Enters when: No narrower actor-specific condition is recorded; this assignment applies only when the selected procedure step is active.Open exact procedure step →
Comprehensive Assessment procedure mapAssessment finding: continue, pause a dependency, or route immediately4 procedure steps
  • SOP taskPreserve the exact response and source

    Captures and interprets a medical response within scope.

    Enters when: When L4 authority is required.Open exact procedure step →
  • SOP taskUse the immediate protected route when required

    Performs immediate medical, diagnosis, treatment, medication, or higher-authority judgment.

    Enters when: When L4 authority is required.Open exact procedure step →
  • SOP taskPause only work that depends on the missing fact

    Resolves a missing diagnosis, treatment, medication, or other medical fact.

    Enters when: Only when applicable.Open exact procedure step →
  • SOP taskArrange the specific additional evaluation

    Determines the exact additional diagnostic evaluation, order/referral need, and medical return question.

    Enters when: No narrower actor-specific condition is recorded; this assignment applies only when the selected procedure step is active.Open exact procedure step →
Person-Centered Care Plan procedure mapFrom current facts and beneficiary direction to owned action5 procedure steps
  • SOP taskAssemble the current source packet

    Supplies or receives an exact diagnosis, treatment, medication, or other medical question.

    Enters when: Only when applicable.Open exact procedure step →
  • SOP taskPrepare options and obtain actual decisions

    Determines medical appropriateness, treatment implications, and any required order, then signs the decision.

    Enters when: Only when triggered.Open exact procedure step →
  • SOP taskDraft, content-check, and make the plan accessible

    Supplies or validates only the assigned diagnosis, treatment, medication, order, or medical plan element.

    Enters when: Only when that element exists.Open exact procedure step →
  • SOP taskReview and revise; hold finalization until authority is settled

    Validates only affected diagnosis, treatment, medication, order, or other medical content.

    Enters when: Only when applicable.Open exact procedure step →
  • SOP taskSend actions, confirm custody, follow results, and revise

    Performs the assigned medical, diagnostic, treatment, prescribing, or order act, signs the instruction, and returns the result to the Care Plan tracker.

    Enters when: Only when applicable.Open exact procedure step →
Person-Centered Care Plan procedure mapAccepted action to real result and affected-plan return3 procedure steps
  • SOP taskConfirm receipt and custody

    Accepts an L4 medical or medication action.

    Enters when: Only when applicable.Open exact procedure step →
  • SOP taskFollow the goal and actual service result

    Supplies or reviews an L4 medical result and new medical question.

    Enters when: Only when applicable.Open exact procedure step →
  • SOP taskRevise only when needed or requested

    Reviews only affected diagnosis, treatment, medication, order, or medical content.

    Enters when: Only when applicable.Open exact procedure step →
Ongoing Monitoring and Support procedure mapFrom relationship and cadence to a useful return2 procedure steps
  • SOP taskAct only on the applicable unmet need or concern

    Performs diagnosis, treatment, medication reconciliation or prescribing, and other higher-authority medical decisions.

    Enters when: When the need reaches L4 medical or prescribing authority.Open exact procedure step →
  • SOP taskAgree, document, count, recover, and complete promised work

    Reviews treatment, prescribing, medication, diagnosis, or higher-authority clinical follow-through.

    Enters when: When the result requires L4 judgment.Open exact procedure step →
Ongoing Monitoring and Support procedure mapUseful contact and material-change branch2 procedure steps
  • SOP taskCheck plan fit only when the conversation makes it relevant

    Reviews diagnosis, treatment, prescribing, or other higher-authority plan content.

    Enters when: Only when the affected plan element contains L4 medical judgment.Open exact procedure step →
  • SOP taskRoute only the real need

    Receives diagnosis, treatment, medication reconciliation or prescribing, or higher-authority medical questions.

    Enters when: When triggered.Open exact procedure step →
24/7 Access procedure mapFrom continuously available human access to truthful follow-through4 procedure steps
  • SOP taskMaintain a usable, continuously human-covered route

    Provides higher-authority medical or prescribing escalation.

    Enters when: When the configured route requires L4 availability.Open exact procedure step →
  • SOP taskUse the correct live help route

    Performs higher-authority medical, treatment, prescribing, or medication decisions.

    Enters when: When L4 authority is required.Open exact procedure step →
  • SOP taskRecord, share, confirm custody, call back, and carry forward

    Reviews and follows treatment, prescribing, medication, diagnosis, or other L4 content.

    Enters when: When the call created an L4 issue.Open exact procedure step →
  • SOP taskRecover outages and learn from repeated calls

    Reviews treatment, medication, diagnosis, or higher-authority clinical patterns.

    Enters when: When L4 judgment is required.Open exact procedure step →
24/7 Access procedure mapLive 24/7 call routing3 procedure steps
  • SOP taskInvoke the approved emergency route

    Performs higher-authority medical assessment or treatment direction.

    Enters when: When L4 authority is required.Open exact procedure step →
  • SOP taskConnect a clinical issue directly

    Performs higher-authority medical assessment, diagnosis, treatment, prescribing, or medication decisions.

    Enters when: When L4 authority is required.Open exact procedure step →
  • SOP taskFurnish or hand off the applicable GUIDE support

    Handles higher-authority treatment, diagnosis, prescribing, or medication questions.

    Enters when: When L4 authority is required.Open exact procedure step →
Care Coordination and Transitional Care procedure mapChoose the exact coordination route and close on a returned result4 procedure steps
  • SOP taskCoordinate with an outside PCP

    Reviews diagnosis, treatment, medication, prescribing, or other higher-authority clinical content and determines the clinical care effect.

    Enters when: When L4 medical judgment is required.Open exact procedure step →
  • SOP taskRun the specialist referral and return loop

    Defines the clinical referral need and purpose, resolves clinical suitability or conflicting recommendations, and reviews returned findings.

    Enters when: No narrower actor-specific condition is recorded; this assignment applies only when the selected procedure step is active.Open exact procedure step →
  • SOP taskCoordinate a care-setting transition

    Performs medication reconciliation or prescribing, resolves conflicting clinical instructions, and makes diagnosis, treatment, or higher-authority plan decisions.

    Enters when: When L4 authority is required.Open exact procedure step →
  • SOP taskWork another exact clinical coordination dependency

    Reviews diagnosis, treatment, prescribing, medication, or other higher-authority clinical questions.

    Enters when: When L4 authority is required.Open exact procedure step →
Care Coordination and Transitional Care procedure mapSpecialist referral: clinical need to returned recommendation5 procedure steps
  • SOP taskDefine the clinical need and purpose

    Determines the clinical referral need and supplies the scoped purpose or question.

    Enters when: No narrower actor-specific condition is recorded; this assignment applies only when the selected procedure step is active.Open exact procedure step →
  • SOP taskPrepare factual options and support beneficiary choice

    Resolves uncertain specialist clinical capability or suitability.

    Enters when: Only when factual directory information cannot answer the clinical question.Open exact procedure step →
  • SOP taskRelease the referral and arrange the visit

    Supplies the clinician-defined reason and any required clinical order.

    Enters when: No narrower actor-specific condition is recorded; this assignment applies only when the selected procedure step is active.Open exact procedure step →
  • SOP taskObtain the visit result and recommendation

    Receives the original returned recommendation and source-linked summary for clinical review.

    Enters when: No narrower actor-specific condition is recorded; this assignment applies only when the selected procedure step is active.Open exact procedure step →
  • SOP taskReview, explain, and carry forward the result

    Reviews specialist findings, resolves clinical conflicts, explains clinical meaning, and determines clinical plan effects.

    Enters when: No narrower actor-specific condition is recorded; this assignment applies only when the selected procedure step is active.Open exact procedure step →
Care Coordination and Transitional Care procedure mapCare-setting transition return loop2 procedure steps
  • SOP taskOpen distinct affected work in parallel

    Accepts medication reconciliation or prescribing, conflicting clinical instructions, treatment, diagnosis, or other L4 work.

    Enters when: Only when that distinct L4 work is actually opened.Open exact procedure step →
  • SOP taskReinforce approved instructions and return reviewed results

    Reviews returned clinical recommendations and makes medication, treatment, diagnosis, or other higher-authority plan decisions.

    Enters when: Only when the returned material requires L4 authority.Open exact procedure step →
Referral and Services Supports procedure mapIndividual referral: need to actual service result2 procedure steps
  • SOP taskDefine the need and desired result

    Reviews the prepared diagnosis, treatment, medication, and clinical-suitability question, determines the authorized referral need and urgency, signs any required order or instruction, and returns the medical disposition.

    Enters when: When the need requires higher medical judgment.Open exact procedure step →
  • SOP taskSearch, verify, and present current factual options

    Determines clinical suitability within scope rather than allowing software or the navigator to infer it.

    Enters when: Only when the option requires an individualized clinical-suitability decision.Open exact procedure step →
Medication Management and Reconciliation procedure mapFrom a real trigger to an authorized regimen result and real-world use7 procedure steps
  • SOP taskConfirm the trigger and assemble every relevant source

    Receives the prepared source packet as the prescribing-authority owner of reconciliation and medication judgment.

    Enters when: No narrower actor-specific condition is recorded; this assignment applies only when the selected procedure step is active.Open exact procedure step →
  • SOP taskMatch, compare, pursue missing facts, and prepare the review

    Receives the prepared difference set and focused questions for prescribing-authority review.

    Enters when: No narrower actor-specific condition is recorded; this assignment applies only when the selected procedure step is active.Open exact procedure step →
  • SOP taskPerform reconciliation and author the medication result

    Performs prescribing-authority reconciliation, authors the intended regimen, and determines complete-no-change, complete-with-change, or truthful incomplete status.

    Enters when: No narrower actor-specific condition is recorded; this assignment applies only when the selected procedure step is active.Open exact procedure step →
  • SOP taskWhen changing medication, separate proposal, agreement, choice, and order

    Authors the GUIDE-originated proposal and, after required agreement and choice, issues any lawful order within prescribing authority.

    Enters when: No narrower actor-specific condition is recorded; this assignment applies only when the selected procedure step is active.Open exact procedure step →
  • SOP taskTrack order, pharmacy, possession, instruction, use, and monitoring separately

    Authors the order, final instruction, and required clinical monitoring or response.

    Enters when: No narrower actor-specific condition is recorded; this assignment applies only when the selected procedure step is active.Open exact procedure step →
  • SOP taskProvide schedule and access support without choosing treatment

    Receives the exact prepared clinical question and decides any regimen, substitution, route, or treatment alternative.

    Enters when: When an access barrier requires a clinical alternative rather than administrative repair.Open exact procedure step →
  • SOP taskUse the medication-safety bypass

    Performs prescribing, treatment, causality, medication-disposition, or higher-authority medical judgment.

    Enters when: When the issue requires prescribing authority or higher medical judgment.Open exact procedure step →
Medication Management and Reconciliation procedure mapMedication source packet to clinician-authored reconciliation result5 procedure steps
  • SOP taskCompare all source assertions literally

    Receives the literal difference set for prescribing-authority interpretation.

    Enters when: No narrower actor-specific condition is recorded; this assignment applies only when the selected procedure step is active.Open exact procedure step →
  • SOP taskPrepare one source-linked review packet

    Receives the completed source-linked packet for clinical reconciliation.

    Enters when: No narrower actor-specific condition is recorded; this assignment applies only when the selected procedure step is active.Open exact procedure step →
  • SOP taskPerform clinical reconciliation

    Determines the intended regimen, clinical disposition, and monitoring within prescribing authority.

    Enters when: No narrower actor-specific condition is recorded; this assignment applies only when the selected procedure step is active.Open exact procedure step →
  • SOP taskRecord complete-no-change, complete-with-change, or incomplete

    Classifies the clinician-authored result and states the current safe instruction and unresolved work.

    Enters when: No narrower actor-specific condition is recorded; this assignment applies only when the selected procedure step is active.Open exact procedure step →
  • SOP taskExplain the reconciled result and remaining uncertainty

    Explains individualized clinical meaning, decisions, uncertainty, and monitoring.

    Enters when: No narrower actor-specific condition is recorded; this assignment applies only when the selected procedure step is active.Open exact procedure step →
Medication Management and Reconciliation procedure mapOrder-to-use evidence ladder3 procedure steps
  • SOP taskIssue the lawful current order or cancellation

    Issues the lawful current medication order or cancellation within beneficiary-location prescribing authority.

    Enters when: No narrower actor-specific condition is recorded; this assignment applies only when the selected procedure step is active.Open exact procedure step →
  • SOP taskSynchronize destinations and give exact final instructions

    Reviews the prepared regimen change, makes and signs the final clinical instruction, and states the implementation and monitoring requirements.

    Enters when: No narrower actor-specific condition is recorded; this assignment applies only when the selected procedure step is active.Open exact procedure step →
  • SOP taskConfirm implementation and complete defined monitoring

    Interprets monitoring results and determines medication or treatment action within prescribing authority.

    Enters when: No narrower actor-specific condition is recorded; this assignment applies only when the selected procedure step is active.Open exact procedure step →
Caregiver Education and Support procedure mapFrom caregiver applicability to a human-owned useful result7 procedure steps
  • SOP taskReview assessment, priorities, plan, and available services

    Reviews the prepared medical or treatment question affecting caregiver support, makes the authorized medical decision, signs the instruction, and returns the permitted support-plan constraint or next action.

    Enters when: When a medical issue changes the permitted support plan.Open exact procedure step →
  • SOP taskFurnish skills training and confirm practical application

    Performs individualized medical, treatment, medication, or higher-authority clinical judgment.

    Enters when: When the caregiver question requires higher medical authority.Open exact procedure step →
  • SOP taskOffer and provide understandable diagnosis information

    Answers individualized diagnostic, prognosis, treatment, or other medical questions within authority.

    Enters when: When the caregiver asks a question requiring clinical judgment.Open exact procedure step →
  • SOP taskOffer, arrange, and facilitate support-group participation

    Moves the higher-authority medical question out of the group setting, makes the authorized medical decision, signs the instruction, and returns the permitted disposition to the caregiver and caregiver-support record.

    Enters when: When diagnosis, treatment, prescribing, or higher medical judgment is required.Open exact procedure step →
  • SOP taskFurnish substantive one-to-one support and escalate protected concerns

    Performs higher-authority medical, diagnosis, treatment, or prescribing work.

    Enters when: When the concern requires higher medical authority.Open exact procedure step →
  • SOP taskOffer optional support, role coaching, resources, and counseling referral

    Performs higher medical judgment when the referral question requires it.

    Enters when: When the caregiver issue requires medical diagnosis, treatment, or prescribing authority.Open exact procedure step →
  • SOP taskReassess caregiver need and update support

    Reviews the follow-up medical or treatment facts, determines whether diagnosis, treatment, medication, or orders must change, signs the disposition, and returns the permitted next instruction.

    Enters when: When the caregiver change creates a medical issue requiring L4 authority.Open exact procedure step →
Caregiver Education and Support procedure mapCaregiver skills training: automated content plus human application3 procedure steps
  • SOP taskFurnish the applicable skill content

    Reviews the individualized diagnosis, treatment, medication, or medical question, makes and signs the authorized instruction, states the caregiver-facing limits, and returns the permitted teaching content.

    Enters when: When the lesson reaches a higher medical boundary.Open exact procedure step →
  • SOP taskRoute individualized clinical or safety judgment

    Reviews the prepared diagnosis, treatment, medication, prescribing, or higher-authority medical question, makes and signs the authorized decision, returns the permitted caregiver-facing instruction and stop conditions, and directs any required emergency or follow-up action.

    Enters when: For questions requiring L4 authority.Open exact procedure step →
  • SOP taskConfirm practical understanding and intended use

    Addresses an individualized medical, treatment, prescribing, or higher-authority question.

    Enters when: When the application check identifies a question requiring L4 authority.Open exact procedure step →
Caregiver Education and Support procedure mapNo-caregiver branch: stop caregiver services, continue beneficiary safeguards1 procedure step
  • SOP taskOpen and follow the added beneficiary safeguards

    Performs diagnosis, treatment, prescribing, medication, or higher-authority medical work.

    Enters when: When the safeguard requires L4 authority.Open exact procedure step →

People and accountable organizations

Canonical actor roster

Each selected diagram step shows the exact task and entry condition under the same canonical role; the linked SOP carries the full procedure.

People who furnish or support GUIDE services

L1

Philippine 24/7 and coordination support

Proxi's Philippines-based human first-answer and administrative support team.

$5.50/hour planning assumption · July 14, 2026

Functions this category may perform
  • 24/7 human first answer, identity and callback capture, and warm transfer
  • Scheduling, record pursuit, endpoint verification, structured intake, and failed-route recovery
  • Source-faithful documentation and permitted administrative follow-through
Authority
Performs approved nonclinical first-answer and administrative acts.
Hard boundary
Not a GUIDE navigator contact and never clinical triage, medication reconciliation, treatment, or U.S.-licensed work. A Philippine RN credential does not expand this lane.
82 linked procedure steps across 26 procedure maps

Each step lists the exact task performed by this same job role. The steps are not additional roles or capacities.

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L2

Puerto Rico GUIDE navigator

Puerto Rico-based nonclinical dementia care navigator with current Alzheimer’s Association® essentiALZ® certification for dementia care navigation.

$22/hour all-inclusive planning assumption · July 14, 2026

Functions this category may perform
  • Primary relationship, required GUIDE contact, and beneficiary-led care-plan facilitation
  • Nonclinical assessment contribution, caregiver support, community coordination, and warm introductions
  • Caregiver-training tasks only when the named navigator's verified competency covers the subject
  • Human clarification for ambiguity, disagreement, distress, accessibility failure, or requested relationship help
Authority
Performs the specifically required or valuable nonclinical human GUIDE task after preparation. A training task requires verified subject-specific competency; it does not create a separate trainer job category.
Hard boundary
No clinical or medical work, even if an individual also holds an RN or other professional credential. A topic outside the navigator's verified training competency routes to the applicable U.S. clinician or an approved outside training provider. Not the default fact collector, option builder, or gateway to a clinician.
113 linked procedure steps across 26 procedure maps

Each step lists the exact task performed by this same job role. The steps are not additional roles or capacities.

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L3-RN

U.S. clinical support RN

A separate beneficiary-location-authorized U.S. registered nurse working within actual license, scope, and organizational authority.

$64/hour blended L3 planning assumption · July 14, 2026

Functions this category may perform
  • Clinical assessment and pre-review
  • Scoped physical-health, symptom, function, transition, medication-use, and safety judgment
  • Clinical follow-up that is within RN authority
Authority
Exercises nursing judgment only for acts covered by the nurse's license, beneficiary location, and scope.
Hard boundary
Does not inherit prescribing, diagnosis, or Part B E/M authority and is not Puerto Rico navigator labor.
75 linked procedure steps across 24 procedure maps

Each step lists the exact task performed by this same job role. The steps are not additional roles or capacities.

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L3-Behavioral

U.S. LCSW or behavioral clinician

A separate beneficiary-location-authorized U.S. LCSW or other behavioral clinician working within actual professional scope.

$64/hour blended L3 planning assumption · July 14, 2026

Functions this category may perform
  • Psychosocial and behavioral assessment or intervention
  • Caregiver-distress, safeguarding, abuse/neglect, and behavioral-health judgment
  • Protected behavioral or social-work contribution to a prepared episode
Authority
Exercises the protected behavioral or social-work judgment covered by the professional's credential and jurisdiction.
Hard boundary
Does not prescribe, diagnose outside scope, or act as a generic reviewer for clean nonclinical work.
68 linked procedure steps across 22 procedure maps

Each step lists the exact task performed by this same job role. The steps are not additional roles or capacities.

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L4

U.S. prescribing or Part B E/M clinician

A dementia-proficient NP, PA, CNS, physician, or other exact prescribing/E/M professional authorized for the beneficiary location and act.

$140/hour planning assumption · July 14, 2026

Functions this category may perform
  • Required examination and clinically necessary history
  • Diagnosis, staging, treatment, medication reconciliation, prescribing, and medical orders
  • Higher-authority clinical contribution to assessment, care planning, transitions, and follow-up
Authority
Exercises only the medical and prescribing authority actually held by the named professional.
Hard boundary
Receives a prepared source-linked packet; routine record hunting, form population, scheduling, and administrative chasing occur before this role enters.
89 linked procedure steps across 25 procedure maps

Each step lists the exact task performed by this same job role. The steps are not additional roles or capacities.

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Corporate enabling departments

These departments enter only for their concrete technical, claim, Medicaid, or workforce work. They are not routine beneficiary-case reviewers.

Corporate enabling

System administrator

The person responsible for approved production configuration, access, telephony and integration operations, permissions, and service restoration.

Concrete work
  • Restore approved access, configuration, routing, permissions, or environment operation
  • Diagnose whether an incident is configuration, vendor, connectivity, or software-defect work
  • Preserve incident timing, affected routes, actions, and recovery evidence
Authority
May restore and operate approved systems; may not change business, privacy, billing, or clinical policy.
Hard boundary
Enters an operational incident, not a routine beneficiary episode. A product defect routes to software engineering.
2 linked procedure steps across 2 procedure maps

Each step lists the exact task performed by this same job role. The steps are not additional roles or capacities.

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Corporate enabling

Software engineering and debugging team

The product engineers who correct defects, missing automation, and data-model failures after the approved rule is defined.

Concrete work
  • Reproduce and correct incorrect deterministic behavior
  • Implement approved automation and data-model changes under change control
  • Identify affected records and supply validation and recovery evidence
Authority
May implement an approved rule; may not invent or adjudicate the underlying policy.
Hard boundary
Not an IT helpdesk, care-delivery role, clinical reviewer, or policy owner.
2 linked procedure steps across 2 procedure maps

Each step lists the exact task performed by this same job role. The steps are not additional roles or capacities.

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Corporate enabling

Billing and revenue-cycle specialist

The administrative professional responsible for claim construction, coding, release, denial correction, and payment records under approved policy.

Concrete work
  • Correct a claim or payment artifact
  • Work a payer denial or manual claim condition
  • Record claim hold, release, correction, denial, or payment disposition
Authority
Performs revenue-cycle work under approved claim rules.
Hard boundary
Does not decide clinical appropriateness, fabricate service evidence, or interpret Medicaid program authority outside billing scope.
No routine procedure task

This job enters through a concrete failure or escalation route, not as a standing reviewer.

See its entry route
Corporate enabling

Medicaid program specialist

The administrative subject-matter professional for state Medicaid benefits, waivers, coverage authorities, eligibility interfaces, and Medicaid responsibility questions.

Concrete work
  • Resolve a bounded Medicaid program or coverage-authority question
  • Identify the authoritative state, plan, waiver, payer, or agency source
  • Separate Medicaid responsibility from GUIDE and claim-processing work
Authority
Interprets the approved Medicaid program materials within assigned administrative scope.
Hard boundary
Not a clinician, navigator, eligibility adjudicator beyond delegated authority, or second revenue-cycle queue.
No routine procedure task

This job enters through a concrete failure or escalation route, not as a standing reviewer.

See its entry route
Corporate enabling

HR and workforce administration

The workforce function responsible for hiring administration, credential files, schedules, leave, roster capacity, and approved coverage plans.

Concrete work
  • Repair an uncovered shift or roster-capacity gap
  • Maintain required personnel and credential-file evidence
  • Escalate when the approved staffing plan cannot supply coverage
Authority
May administer employment, roster, and credential-file controls under approved policy.
Hard boundary
Portfolio and workforce work only; HR does not become the owner of a beneficiary case or decide professional scope.
1 linked procedure step across 1 procedure map

Each step lists the exact task performed by this same job role. The steps are not additional roles or capacities.

Browse this role's SOP tasks

Clinical and legal escalation authorities

These leaders enter only for the issue inside their actual authority. They do not bless routine work.

Escalation authority

Head of nursing and clinical operations

The U.S. nursing leader accountable for nursing-practice quality, RN clinical operations, and escalations beyond the original nurse or first-line clinical supervisor.

Concrete work
  • Review a serious or repeated RN-practice issue
  • Set and correct nursing-practice and clinical-operations standards
  • Assign the responsible nursing correction and verify recovery
Authority
Exercises nursing leadership within actual organizational, licensure, and jurisdictional authority.
Hard boundary
Not a reviewer for administrative, navigator, billing, privacy, software, or physician-quality work.
1 linked procedure step across 1 procedure map

Each step lists the exact task performed by this same job role. The steps are not additional roles or capacities.

Browse this role's SOP tasks
Escalation authority

Chief Medical Officer

The physician executive used for physician/medical quality, high-level medical judgment review, and medical-staff accountability when the issue exceeds the original clinician.

Concrete work
  • Review a serious physician or medical-quality issue
  • Resolve high-level medical-practice escalation within actual authority
  • Assign the responsible medical correction and verify its disposition
Authority
Exercises physician medical leadership within the CMO's actual organizational and professional authority.
Hard boundary
Not a rubber stamp for routine care plans, RN work, missed callbacks, staffing gaps, or administrative failures.
No routine procedure task

This job enters through a concrete failure or escalation route, not as a standing reviewer.

See its entry route

Participant, people served, and outside parties

Participant authority

GUIDE Participant accountable authority

The named person or body inside the GUIDE Participant that retains a nondelegable approval, signature, attestation, or organizational accountability act.

Functions
  • Participant-retained approval, attestation, signature, or final accountability
  • Assignment and oversight required by the Participation Agreement or approved policy
Reviewer-visible subtype or participation basis
  • Exact retained Participant body
  • Exact retained approval, release, signature, attestation, or accountability act
Authority
Performs only the exact act that cannot be delegated or that the Participant has expressly retained.
Boundary
Not automatically the navigator or clinician and not a universal approver. Exact unresolved authority remains an open decision rather than a placeholder role.
No routine procedure task

This job enters through a concrete failure or escalation route, not as a standing reviewer.

See its entry route
People served

Beneficiary

The person receiving GUIDE services.

Functions
  • Supplies lived facts, goals, priorities, choices, consent or refusal, and reported outcomes
  • Leads the person-centered Care Plan and participates through accessible routes
Authority
Owns personal choices except where a valid, decision-specific representative authority applies.
Boundary
A source report establishes what the beneficiary reported, not a clinical diagnosis, external result, or professional judgment.
96 linked procedure steps across 25 procedure maps

These are participation or outside-party touchpoints. They are not Proxi employment roles.

Browse linked procedure touchpoints
People served

Caregiver or authorized representative

A caregiver, potential caregiver, or decision-specific authorized representative, with each status and permission recorded separately.

Functions
  • Supplies caregiver-owned facts, needs, preferences, participation, and reported outcomes
  • Receives permitted education/support and may perform an authorized representative act within scope
Reviewer-visible subtype or participation basis
  • Caregiver
  • Potential caregiver whose participation is not yet established
  • Decision-specific authorized representative
  • A person who holds both statuses, recorded separately
Authority
Authority depends on current beneficiary permission or valid decision-specific representative evidence.
Boundary
Family relationship, emergency-contact status, shared address, or portal access does not itself confer representative or disclosure authority.
107 linked procedure steps across 26 procedure maps

These are participation or outside-party touchpoints. They are not Proxi employment roles.

Browse linked procedure touchpoints
L5

External provider, service, or authority

The typed outside endpoint that controls an external act: PCP, specialist, pharmacy, hospital/facility, emergency service, payer, community organization, Medicaid/AAA/Tribal Aging Program, or contracted field professional.

Functions
  • Co-management, concurrence, direct treatment, dispense, coverage/intake decision, emergency response, or real-world service delivery
  • Returns source-native evidence of the outside result or truthful non-success
Reviewer-visible subtype or participation basis
  • PCP or primary care practice
  • Specialist, prescribing clinician, diagnostic provider, or laboratory
  • Pharmacy, supplier, hospital, facility, home-health, or hospice organization
  • Emergency, crisis, poison-control, or protective-service responder
  • Payer, Medicaid HCBS program, AAA, or Tribal Aging Program
  • Community service, caregiver support, training, transportation, interpreter, accessibility, or communications provider
Authority
Controls only the external decision or performance within that party's real role.
Boundary
Proxi may prepare, connect, pursue, and report; it cannot manufacture the external result from a send, appointment, claim, or acknowledgement. An external system is channel metadata for the typed endpoint, not a person or a Proxi software surface.
89 linked procedure steps across 26 procedure maps

These are participation or outside-party touchpoints. They are not Proxi employment roles.

Browse linked procedure touchpoints

Procedure tasks are not job titles

Route each task to one of the real categories.

Each linked task opens its definition, permitted job categories, and controlling procedure instead of creating a phantom role.

Task-routing rule

Assessment team or owner

The people accountable for the particular assessment act, not one standing job title.

How the exact person is selected
Resolve each task to the Puerto Rico navigator, exact U.S. RN, behavioral clinician, medical clinician, beneficiary/caregiver, or outside source shown in that assessment step.
Open the controlling procedure →

Task-routing rule

Care Plan owner

The canonical person assigned the particular Care Plan action or protected contribution.

How the exact person is selected
The beneficiary leads choices; the navigator facilitates and owns nonclinical follow-through; an exact U.S. clinician owns protected clinical judgment; outside or Participant acts stay with those parties.
Open the controlling procedure →

Task-routing rule

Caregiver-service owner

The canonical performer of the applicable caregiver education, support, training, or protected clinical contribution.

How the exact person is selected
Relationship and application work resolves to the Puerto Rico navigator. A training task may be assigned to a navigator only when that named navigator's verified competency covers the subject; protected clinical content resolves to the exact U.S. clinician, and approved contracted training may resolve to an outside provider.
Open the controlling procedure →

Task-routing rule

Prescribing clinician

A function requiring actual prescribing authority for the beneficiary location and act.

How the exact person is selected
It resolves to Proxi's exact U.S. L4 clinician only when Proxi supplies that clinician; otherwise it resolves to the typed outside prescribing clinician.
Open the controlling procedure →

Task-routing rule

Transition source

The external hospital, facility, home-health, hospice, practice, or other endpoint supplying the transition event or source-native record.

How the exact person is selected
Resolve it to the exact outside organization in the event; Proxi may pursue and coordinate but cannot manufacture the outside result.
May be performed by
External party
Open the controlling procedure →

Failure and exception routing

Route the work to a real job, not a specialist pool.

There is no runtime state in which an unnamed human may perform undefined work.

Start with the worker who owns the real task. Add another department only for its concrete work.

Repeated failure — supervisory task in the same job lane

An approved senior Philippine L1 worker or Puerto Rico GUIDE navigator performs the specific reassignment or recovery task after the owning SOP's repeat-failure trigger. This is a task and seniority assignment inside the same job category, not a new role. Nursing-quality or physician-quality questions enter the separate Head of nursing or CMO authority only when their protected judgment is actually required.

Protected escalation — exact authority

Nursing quality goes to the Head of nursing, physician or medical quality to the CMO, and a genuine uncovered legal question to healthcare counsel. The affected act remains held.

  1. Run the approved software rule and keep the original worker responsible for ordinary completion or correction.
  2. If human recovery is needed, use that worker's named lane lead before creating work for another department.
  3. Classify the remaining issue by the observable work: system operation, software defect, claim, Medicaid, workforce, nursing quality, medical quality, or legal interpretation.
  4. Assign one named rostered person from the matching real job category and state the exact input, act, output, due time, and return recipient.
  5. Keep portfolio work outside the beneficiary episode. HR roster repair, system incidents, and QA sampling do not become furnished GUIDE services.
  6. If no real role has the required authority, hold only the affected act and resolve the policy or organizational gap before field use.

Routine work correction

Canonical job category
The original worker; then that worker's Philippine, Puerto Rico, or clinical lane lead
Person enters when
A handoff, callback, service record, or assigned action remains incomplete after the approved automated retry
Work
Correct the original work inside the same lane; the lead enters only after the defined repeat-failure or dispute threshold.
Output
Corrected work, named next action, due time, and recovery evidence.
Episode boundary
Beneficiary episode. Quality is a responsibility of the applicable lane lead, not a separate case specialist.

System operation

Canonical job category
System administrator
Person enters when
The approved workflow cannot run because of access, configuration, telephony, integration availability, permissions, or environment failure
Work
Restore the approved configuration or service without changing the business or clinical rule.
Output
Restored service, incident evidence, affected interval, and escalation if the fault is a software defect.
Episode boundary
Operational incident. The administrator does not rewrite policy or clinical logic.

Software defect

Canonical job category
Software engineering and debugging team
Person enters when
The implemented rule is wrong, required automation is missing, or the data model cannot express the approved policy
Work
Diagnose and correct the product defect under change control; preserve the failed result and affected cases for repair.
Output
Defect record, corrected release, validation evidence, and affected-work recovery list.
Episode boundary
Product incident. Engineering does not decide what the policy should be.

Claim or payment work

Canonical job category
Billing and revenue-cycle specialist
Person enters when
A claim, coding, payment, denial, or claim-release artifact requires manual revenue-cycle work under an approved rule
Work
Correct the claim artifact or document the payer disposition without deciding whether a service was clinically appropriate.
Output
Released, corrected, held, or denied claim record with reason and next action.
Episode boundary
Beneficiary-linked financial work; not service delivery or clinical review.

Medicaid program question

Canonical job category
Medicaid program specialist
Person enters when
A state Medicaid benefit, waiver, coverage authority, eligibility interface, or Medicaid responsibility question cannot be resolved from the approved rule and verified facts
Work
Resolve the bounded Medicaid program question or identify the authoritative outside source needed.
Output
Cited Medicaid disposition, missing source, or external referral; no GUIDE clinical decision.
Episode boundary
Program expertise. This is not a second billing queue.

Workforce and credential administration

Canonical job category
HR and workforce administration
Person enters when
A roster, shift, onboarding, credential-file, leave, or capacity gap cannot be filled from the approved workforce plan
Work
Repair staffing and credential-file coverage outside the beneficiary episode.
Output
Accepted coverage, corrected workforce record, or documented capacity gap and escalation.
Episode boundary
Portfolio/workforce work. HR does not become a beneficiary-case owner.

Clinical quality or medical escalation

Canonical job category
Head of nursing/clinical operations for nursing practice; Chief Medical Officer for physician or medical judgment
Person enters when
A repeated or serious clinical-practice issue exceeds the original clinician and first-line clinical supervisor
Work
Review only the nursing-practice or physician/medical issue inside the leader's actual authority.
Output
Clinical leadership disposition, corrective action, and responsible clinical owner.
Episode boundary
Rare clinical escalation. Missed administrative work never routes here.

Legal interpretation

Canonical job category
Internal or retained healthcare legal counsel
Person enters when
Complete verified facts expose a genuine legal question that the approved policy does not answer
Work
Answer the bounded legal question while the affected act remains held.
Output
Legal disposition, restriction, or need for external authority.
Episode boundary
Rare held-act escalation. Counsel does not perform outreach, navigation, education, scheduling, or clinical work.

Return rule: the enabling or escalation role returns its result to the service worker responsible for the affected action. It does not take over the beneficiary relationship.

Open the controlling role procedure →

Nonhuman layer

Proxi software surfaces

Preparation and orchestration are visible, but they never borrow human authority.

01

Proxi Daily Companion

Configurable daily beneficiary interaction, approved information, reminders, action help, source-attributed self-report, and a direct request for a person.

Boundary

Not a qualifying navigator contact, 24/7 human first answer, clinical monitor, diagnosis, urgency decision, or service-completion event. Silence stays unknown.

02

Caregiver Companion View

Permission-scoped, source-dated last-confirmed beneficiary information, open actions, explicit unknowns, a fresh-check request, and an optional caregiver pulse.

Boundary

Does not expose unauthorized information, convert caregiver observation into beneficiary fact, score distress, or present synthetic clinical status. Silence, stale data, and conflict remain unknown and never become reassurance.

03

Staff Preparation and AI Workspace

Retrieval, source links, contradictions, unknowns, prior promises, approved explanations, options, summaries, and the exact unresolved question.

Boundary

Prepares and advises within approved content; it does not resolve the question, choose for the person, or prove human review.

04

Deterministic Routing and Takeover

Approved routing, no-repeat context transfer, retries, failed-handoff recovery, and preservation of the original issue.

Boundary

AI cannot select clinical urgency, authority, disclosure, service credit, or closure.

05

Action and Result Tracker

Promises, owners, deadlines, external responses, receiving acceptance, due work, returned results, corrections, and affected-pillar feeds.

Boundary

A send, alert, appointment, handoff, named owner, or dashboard state is not completion.

Proxi product layer · not a ninth pillar

Daily companion and caregiver pulse

Daily availability feeds the right service; it does not manufacture one.

  1. Verify identity and permission.Use the person's current scope, not family relationship or old access.
  2. Show the last confirmed picture.Every material item carries its source and as-of time; unknown stays unknown.
  3. Offer a beneficiary interaction.The beneficiary may participate, defer, decline, or ask for a person.
  4. Ask the optional caregiver pulse.Capture how the caregiver is holding up and whether help is wanted as caregiver-owned information.
  5. Prepare; do not decide.Proxi retrieves context, preserves exact reports, and raises configured stop candidates.
  6. Route to the real performer.L1, L2, the exact L3/L4 professional, a concrete enabling department or escalation authority, or the outside endpoint completes the named work and returns a disposition or source-native evidence.
  7. Return one action plan.State what happened, which canonical actor is assigned each action, what remains unknown, and when the result is expected.

No response is not stability. Companion activity alone is not a human GUIDE contact, 24/7 human answer, caregiver assessment or support call, clinical assessment, or service credit.

Mechanical reviewer check

If a name does not resolve here, it is a phantom actor.

A diagram links concrete work and an entry condition to a canonical person. It may state a credential or seniority condition on the task, participation basis, or outside-party type. It may not create a new role from a task, combine software and a human into one label, or put a ledger, packet, calendar, route, or work queue in the actor lane.

A linked task phrase in a source manual returns here when the exact performer depends on the episode or an open authority decision. The selected diagram step must resolve that task to the applicable canonical actor and state the work performed; the task link itself never claims a new person.

Inspect the normalized sequence atlas →