Community Guide

Overview

Location:

Hilton Head Island - Bluffton - Beaufort, SC metro area

FLSA Status:
Exempt

Job Status:
Full Time

Work Model:
Hybrid

Work Schedule:

Monday
- Friday with occasional evenings and/or weekends

Vehicle

Required:

Yes

Amount of

Travel Required:

25-50% within a 25mi community service area

Reports To:

Care Team Manager

At Reema Health, we believe that a personalized, community-based approach to care makes it easier for anyone to access the things they need to make their lives better. We know that life’s challenges often exist because the systems built to help are a burden to navigate. We believe building a relationship with a real person — someone who listens, meets members where they are, and understands the community’s resources — can ease those burdens.

Our mission-driven and member-focused company is seeking an experienced and self-motivated Community Guide who has worked with individuals living with health challenges and social issues, and understands the unique needs of this community.

This energetic and adaptable Community Guide is an integral part of Reema, a start-up working to transform how health care and social care work together. The Community Guide builds genuine, positive relationships with members to improve their health and wellbeing. Work is completed daily through an integrated technology platform to call and text members, schedule community visits, and document all interactions.

The Guide is responsible for the full lifecycle of their caseload, including initial outreach, ongoing engagement to achieve wellbeing goals through connection to health care and community resources, and graduation from the program.

A primary strength of the Guide should be excellent verbal and written communication, building strong meaningful relationships, problem solving, and comfort navigating the evolving startup environment.

This position requires significant time in the field, directly interacting with members, including those who have experienced trauma and face barriers related to mental, physical, and chemical health.

• Engage and work with clients from diverse ethnic backgrounds, focusing on those with complex social needs and chronic health conditions.
• Reach out to members to enroll them in Reema Health care model.

• Assess member needs and support systems, including social determinants of health, to help create a member-centered care plan.
• Establish trusting relationships, provide meaningful support, and follow through in a timely and appropriate manner to achieve wellbeing goals.
• Coordinate referrals and support appointment scheduling with behavioral health, primary care, and other provider types.
• Manage a caseload of 60-100 members; provide coverage for other Community Guides during absences or high workload.
• Understand monthly goals and independently organize and prioritize workload to achieve outcomes.
• Actively listen, empathize, and maintain professional boundaries and confidentiality; seek consultation with the multidisciplinary team for complex cases.
• Visit members in person as appropriate (home, community, hospital, or other treatment settings).
• Use text, phone, email, and face-to-face interactions to match members’ communication preferences.
• Identify and connect members to community and health resources; transport and accompany them to access services when needed.
• Prepare members for services ending by promoting self-sufficiency and independence.

• Document all work with members in the Reema App in a timely manner and keep care plans updated.
• Maintain confidentiality of protected health information and HIPAA compliance.
• Ensure member records are thorough and accurate in Reema’s technology.

• Work independently and collaboratively in a fast-paced startup environment; view frequent change as an opportunity.
• Serve diverse community members with dignity and respect; build relationships with community resources and customers.
• Collaborate with Reemates across the team to share perspectives and learn from others.

• Bachelor’s degree in Social Work, Human Services, Psychology, Health Sciences or related field; years of…