Behavioral Health Community Guide - Community Health

Reema Health•Detroit, MI

8h•$50,000 - $55,000•Hybrid

About The Position

The Behavioral Health Community Guide will engage and work alongside clients from diverse ethnic backgrounds, focusing on those with severe and persistent mental illness, substance use disorders, and complex medical conditions. This role involves reaching out to members to share information about Reema Health and enroll them in our care model. The guide will provide high-quality, meaningful support to members to achieve improved health and wellbeing outcomes. This includes creating and managing a caseload of 80-100 members through cold outreach, assessing member needs and support systems (including social determinants of health), and guiding them through the process of enrolling in behavioral and mental health services. Establishing trusting relationships, providing reliable support, and collaborating with clinicians are key aspects of this role. The guide will also coordinate referrals, support appointment scheduling and attendance, and effectively identify and connect members to community and health resources. They will prepare members for service ending by focusing on self-sufficiency and independence. Accurate and thorough documentation in the Reema App and EHR, while complying with HIPAA, is essential. The role requires independent and collaborative work in a fast-paced startup environment, serving diverse members with dignity and respect, and building relationships with community resources and customers. The guide will partner with the multidisciplinary team and contribute their perspective. Job responsibilities may grow and change as business necessitates.

Requirements

Bachelor’s degree in Social Work, Human Services, Psychology, Health Sciences or other related fields. Years of related experience and subsequent expertise can be substituted for years of completed education towards a bachelor's degree
3 or more years of direct experience with population or community to be served and knowledge of community
Driven to work with individuals who have significant mental and chemical health needs and believe that recovery is possible
Demonstrated experience with crisis planning, case management, boundaries and personal safety in community work
Proficiencies in critical thinking, time management, strategizing, and multitasking
Strong propensity towards building and maintaining relationships through initiating conversations and creating connections
Ability to develop, adapt, and execute outreach and care plans
Proficiency with mobile devices (smartphone and tablet) required; Apple iOS experience (iPhone and iPad) preferred
Fluency in Google Workspace applications (Gmail, Google Docs, Sheets, Slides, Drive, and Meet) required for day-to-day communication, documentation, and collaboration
Comfortable working in web-based platforms and apps across mobile and desktop browsers, with the ability to adapt quickly to new digital tools
Demonstrated ability to independently troubleshoot technical issues, including connectivity, app functionality, and device performance, and escalate appropriately when needed
18 years of age or older
Qualified applicants must have flexible and reliable access to transportation, a valid Driver's License, Vehicle Insurance, and a satisfactory driving record
Offers are contingent upon passing a pre-employment drug screening and background check
Comply with federal, state and local regulations regarding patient confidentiality HIPAA
Use technology-based tools and systems daily
Lift and carry up to 25 pounds occasionally

Nice To Haves

Apple iOS experience (iPhone and iPad) preferred

Responsibilities

Engage and work alongside clients from diverse ethnic backgrounds, focusing on those with severe and persistent mental illness, substance use disorders and complex medical conditions.
Reach out to members and share about Reema Health to enroll them in our care model.
Provide high quality and meaningful support to members to achieve improved health and wellbeing outcomes.
Through cold outreach create and manage a caseload of 80 - 100 members and provide coverage for other Community Guides during periods of absence or increased workload.
Assess member needs and support systems, including social determinants of health, to help create a patient-centered care plan.
Assess member behavior and mental health needs and actively participate in guiding them through the process of enrolling in behavioral and mental health services.
Establish trusting relationships with members, reliably provide meaningful and quality support, and follow-through in a timely and appropriate manner to achieve their wellbeing goals.
Collaborate with our clinicians by helping patients connect to care, joining clinical visits as appropriate, following up on social needs.
Coordinate referrals and support appointment scheduling and attendance with behavioral health, primary care, and other provider types for members.
Understand overall goals for the month. Independently organize and prioritize workload with effective time and task management skills to achieve monthly goals and outcomes.
Actively listen, empathize, and appreciate the vulnerability of members willing to share their challenges. Maintain professional boundaries and confidentiality, seeking consultation and support with complex member situations from the multidisciplinary team.
Visit members in person as appropriate. This may be in the member’s home, community, the hospital or other treatment setting to build trust and maintain connection with Reema’s clinical services.
Utilize text, phone, email and face-to-face interactions appropriately to match communication approach with each member’s preference and situation.
Effectively identify and connect members to community and health resources to support member needs. This may include transporting members and accompanying them to access other services. Establish relationships with resources to support Reema’s members as needed.
Prepare members for services ending by keeping self-sufficiency and independence top of mind.
Complete accurate and thorough documentation and record keeping in a timely manner.
Utilize the Reema App to thoroughly document all work with members in a timely fashion, including keeping a care plan updated.
Understand and comply with confidentiality of protected health information and HIPAA.
Support member records to be thorough and accurate in both Reema’s technology and our EHR.
Provide positive representation of Reema.
Work independently and collaboratively in a fast-paced startup environment. See frequent change as an opportunity rather than a barrier.
Serve diverse members in your community with dignity and respect, as well as build relationships with community resources and customers.
Partner with Reemates across the multidisciplinary team and the company to offer your perspective and learn from others.
Job responsibilities to grow and change as business necessitates.