Community Guide - Community Health

Reema Health•Charleston, SC

10h•$50,000 - $54,000•Hybrid

About The Position

The Community Guide will engage and work alongside clients from diverse ethnic backgrounds, focusing on those with complex social needs and chronic health conditions. This role involves reaching out to members to enroll them in Reema Health's care model and providing high-quality, meaningful support to help them achieve improved health and wellbeing outcomes. The Community Guide will assess member needs, including social determinants of health, to create member-centered care plans, establish trusting relationships, and coordinate referrals and appointments with various healthcare providers. A key responsibility is to independently manage a caseload of 60-100 members through cold outreach, while also providing coverage for other Community Guides when needed. The role requires active listening, empathy, maintaining professional boundaries, and confidentiality. Community Guides will visit members in person as appropriate, utilizing various communication methods (text, phone, email, face-to-face) to meet member needs and connect them with community and health resources. They will also prepare members for service endings by focusing on self-sufficiency and independence. Accurate and timely documentation using the Reema App, understanding HIPAA compliance, and maintaining thorough member records are essential. The role requires working independently and collaboratively in a fast-paced startup environment, adapting to change, and serving diverse members with dignity and respect. The Community Guide will also build relationships with community resources and customers, and partner with colleagues across the team and company. Job responsibilities may evolve as business needs change.

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
Three or more years of direct experience with population or community to be served and knowledge of community
Driven to work with individuals who have complex 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
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
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.

Responsibilities

Engage and work alongside clients from diverse ethnic backgrounds, focusing on those with complex social needs and chronic health conditions.
Reach out to members and share about Reema Health to enroll them in our care model.
Assess member needs and support systems, including social determinants of health, to help create a member-centered care plan.
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.
Coordinate referrals and support appointment scheduling and attendance with behavioral health, primary care, and other provider types for members.
Through cold outreach create and manage a caseload of 60 - 100 members and provide coverage for other Community Guides during periods of absence or increased workload.
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 (in their home, community, hospital, or other treatment setting) to build trust, maintain connection and meet member’s needs.
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, which 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.
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 Reema’s technology.
Work independently and collaboratively in a fast-paced startup environment.
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 team and the company to offer your perspective and learn from others.
Job responsibilities to grow and change as business necessitates.