Community Guide - Behavioral Health

Work Schedule:

Monday–Friday with occasional evenings and/or weekends

Vehicle

Required:

Yes

Amount of

Travel Required:

25-50% within a 30 mi 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 and effectively connect members to health care.

Reema believes that using technology to support human connection and engagement can be a lifeline for those most struggling to navigate life’s challenges. Our mission-driven and member-focused company is seeking an experienced and self-motivated Community Guide who has worked with individuals living with serious mental illness and substance use disorder, and understands the unique needs of this community. In this role, the Community Guide will be working with the multidisciplinary care team to plan and coordinate services for members.

This energetic and adaptable Community Guide is an integral part of Reema, a start-up working to transform how behavioral health care and social care work together. The Community Guide works to build genuine, positive relationships with a diverse range of members and seeks to improve the member’s health and wellbeing. Their work is completed daily through an integrated technology platform to call and text members, schedule community visits and clinical appointments, as well as document all interactions and communicate with the clinical team.

The Community 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 completion of the care plan. The Community Guide will work as part of an integrated model of healthcare where they partner directly with clinical therapists and prescribers to provide holistic support for members.

A primary strength of the Community 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.

• 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.

• 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.
• 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 provide types for members.
• Understand overall goals for the month.…