Community Guide - Community Health

Community Guide

Location: New York City 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 30 mi or greater community service area

Reports To: Care Team Manager

Salary Range: $52,000 - $58,000 annually 

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 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 Reema’s technology.

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 team and the company to offer your perspective and learn from others.

Job responsibilities to grow and change as business necessitates.

Education, Experience and Skills:

• 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
• Fluent in Spanish - nice to have but not required
• 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
• Demonstrated proficiency working with technology, including basic knowledge of all related computer and software applications such as Microsoft Word, Outlook and Excel, and Video Conferencing required; G-Suite preferred

Qualifications & Position Requirements:

• 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.

Benefits: 

• Competitive Salary Package
• Medical, Dental, and Vision Insurance
• HSA and FSA Options
• 401(k) Retirement Savings with Company Match
• Employee Assistance Program
• Flexible Schedules and Remote Work
• Technology Stipend
• Mileage Reimbursement
• Accrued Paid Time Off
• Paid Family and Medical Leave

As an equal opportunity employer, Reema Health is committed to a diverse workforce. Employment decisions regarding recruitment and selection will be made without discrimination based on race, color, religion, national origin, gender, age, sexual orientation, physical or mental disability, genetic information or characteristic, gender identity and expression, veteran status, or other non-job-related characteristics or other prohibited grounds specified in applicable federal, state and local laws. 

Reema Health has reviewed this job description to ensure that essential functions and basic responsibilities have been included. It is intended to provide guidelines for job expectations and assess the prospective employee and/or current employees ability to perform the position described. It is not intended to be interpreted as an exhaustive list of all functions, responsibilities, skills, and abilities for this role. Additional functions and requirements may be assigned by supervisors as deemed appropriate.