Flex Community Guide - Community Health

About the role

The Flex Community Guide at Reema Health is a key member of a start-up company dedicated to transforming how health care and social care work together. This role is designed for statewide impact, requiring a professional who is deeply connected to their local community.

Responsibilities

• Engage and work alongside clients from diverse ethnic backgrounds, focusing on those with complex social needs and chronic health conditions.
• Create and manage a localized caseload of 60 – 100 members, while providing flexible coverage for other South Carolina Community Guides during periods of absence or increased workload.
• 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 provider types for members.
• 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. This may include transporting members and accompanying them to access other services.
• Prepare members for services ending by keeping self-sufficiency and independence top of mind.
• Understand overall goals for the month. Independently organize and prioritize workload with effective time and task management skills to achieve monthly goals and outcomes.
• Complete accurate and thorough documentation and record keeping in a timely manner using the Reema App, including keeping care plans updated.

Requirements

• Education: Bachelor’s degree in Social Work, Human Services, Psychology, Health Sciences, or other related fields. Three or more years of direct experience with the population or community to be served, along with localized knowledge of South Carolina community resources.
• Experience: Mission Alignment: Driven to work with individuals who have complex health needs and a firm belief that recovery is possible. Field Safety: Demonstrated experience with crisis planning, case management, boundaries, and personal safety in community work.
• Core Competencies: Proficiencies in critical thinking, time management, strategizing, and multitasking. Relationship Building: Strong propensity toward building and maintaining relationships through initiating conversations and creating connections. Care Planning: Ability to develop, adapt, and execute outreach and care plans. Digital Literacy: 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.

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.
• Strict compliance with federal, state, and local regulations regarding patient confidentiality (HIPAA).
• Ability to use technology-based tools and systems daily.
• Ability to lift and carry up to 25 pounds occasionally.