Community Guide , NY

Work Schedule: Monday–Friday with occasional evenings and/or weekends

Vehicle

Required:

Yes

Amount of

Travel Required:

25-50% within a 30 mi or greater 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 works to build genuine, positive relationships with members in an effort to improve member’s health and wellbeing. Their work is completed daily through an integrated technology platform to call and text members, schedule community visits, as well as document all interactions.

The Guide will be responsible for the full lifecycle of their caseload, including initial outreach to engage members in services, ongoing work with members to achieve their 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 a comfortability in navigating the ambiguous nature of a constantly growing and evolving startup.

This position requires significant time in the field, directly interacting with members. This role is most suitable for someone who is confident in interacting directly with many people, many of whom have experienced trauma and face barriers because of their mental, physical and chemical health.

Outreach and engagement into care:

• 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.

Provide high quality and meaningful support to members to achieve improved health and wellbeing outcomes:

• 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 provide 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. Community Guides will 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, maintain connection and meet member’s needs.
• Utilize text, phone, email and face-to-face interactions appropriately to match your communication approach with each members’ 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…