About RAC

  • RAC was created in response to the reality that important decisions are often made under pressure — within organizations, across systems, and in the lives of individuals and families. In fast-moving environments, especially during complex care transitions and other high-stakes moments, important operational context and human realities can be overlooked. A reactive approach can compound that pressure, allowing preventable issues to escalate and making timely, well-aligned action harder to achieve.

    RAC exists to bring a more intentional, proactive approach — helping clients anticipate needs, address challenges earlier, and move forward with timely action and support when pressure is unavoidable. The goal is not simply to slow things down, but to reduce preventable escalation and support action that is thoughtful, aligned, and responsive rather than rushed.

  • RAC takes a balanced relational- and strategy-informed approach to complex care and systems work. We begin by listening carefully, understanding context, and identifying what is most needed before recommending a path forward.

    Our work is tailored, practical, and responsive to real-world conditions — not templated for convenience or disconnected from lived experience.

  • RAC serves health and community-based organizations, individuals, and families seeking a personalized, human-centered approach to complex care, systems, and transitions.

    • For organizations, this may mean strengthening services, improving coordination, or advancing more person-centered approaches to care that yield high-impact results and regulatory compliance.

    • For individuals and families, it may mean having a trusted source of guidance and advocacy during challenging care journeys, transitions, and difficult decisions.

  • At the heart of RAC is a commitment to work that is practical and values-driven. We believe support should be individualized, communication should be clear, and strategy should remain connected to the realities of the people it is meant to serve.

    Our aim is to help create solutions that are not only effective, but grounded, sustainable, and built to hold in real life.

Meet Raine Arndt-Couch

Founder & Principal Consultant

Dr. Raine Arndt-Couch, DSW, JD, LCSW, CCM, FCM, is a clinical social worker and healthcare leader with 20 years of experience ranging from direct social work, behavioral health, and case management practice — to executive operational leadership in complex care, population health, integrated care models, and social care program implementation. She brings deep subject matter expertise in bio-psycho-social care integration, interdisciplinary care coordination, and the social drivers of health that shape access to care health outcomes, and possesses rare insight into the regulatory requirements and operational realities of California’s CalAIM initiatives, including Enhanced Care Management, Community Supports, and the Community Health Worker benefit.

Raine is an active volunteer leader with the National Transitions of Care Coalition (NTOCC) and the Case Management Society of America (CMSA), and is a nationally recognized presenter and author on case management, health equity, care transitions, and innovative integrated care models. She brings a distinctive blend of professional experience and academic scholarship in social work and law, holding a Master of Social Work (MSW) and Juris Doctor (JD) from the University of Hawaiʻi at Mānoa and a Doctor of Social Work (DSW) from the University of Southern California.

With roots firmly planted in Hawaiʻi - where she was born and raised - Raine has found a second home in sunny San Diego, CA with her husband, dog (Elle), and cat (Sasha Fierce). She enjoys cultivating her plant collection, reading, and perfecting the art of the homemade latte.

Born a naturally intuitive & caring person, Raine’s work is grounded in the belief that effective support should be both strategic and deeply responsive to the people and circumstances behind every challenge.