Behavioral Health Community Guide - Community Health

About the role

The Community Guide at Reema Health is a key member of the multidisciplinary care team, responsible for engaging, supporting, and connecting members with the necessary resources to achieve improved health and wellbeing. This role requires a deep understanding of the unique needs of individuals with severe and persistent mental illness, substance use disorders, and complex medical conditions.

Responsibilities

• 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.
• 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 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 provider types for members.
• 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.
• Utilize text, phone, email and face-to-face interactions appropriately to match your communication approach with each member’s 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.
• Support member records to be thorough and accurate in both Reema’s technology and our EHR.
• Provide Positive Representation Of Reema Work independently and collaboratively in a fast-paced startup environment.

Qualifications

• Bachelor’s degree in Social Work, Human Services, Psychology, Health Sciences or other related fields.
• 3 or more years of direct experience with population or community to be served and knowledge of community.
• 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.
• Proficiency with mobile devices (smartphone and tablet) required; Apple iOS experience (iPhone and iPad) preferred.
• 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.