Overview: Under the direct supervision of the AVP, Integrated Behavioral Health, the Peer Recovery Coach will work in unison with the care team to identify and remove barriers in order to close gaps and to facilitate patients obtaining quality health care. This position supports case management and other related programs. Working directly with the integrated behavioral health and case management team will provide outreach to patients of the Providence Community Health Centers, with emphasis to homeless and at-risk populations. Outreach includes, but is not limited to, clinic visits, street outreach, and telephonic outreach. As a member of the local community, the Peer Recovery Coach will conduct a set of non-clinical activities that requires the use of independent judgment to engage, educate, and offer support to individuals and their families to successfully connect them to relevant health services, including prevention, diagnosis, timely treatment, recovery management, education, transportation and follow up. They contribute to the efficient coordination of patient care through collaborative practice with the clinical team.

Essential Duties & Responsibilities:

• Established trusting relationships with patients and their families; work collaboratively and effectively with the clinical team
• Works to decrease unnecessary use of emergency room visits by integrating patients into primary care system
• Provides education to increase patient’s knowledge of the healthcare system.
• Provides support to the clinic team to make it easier for patients to achieve mental and physical health improvements.
• Assists patient in developing recovery strategies.  Acts as patient advocate and liaison between the patients and community service agencies.
• Assists patients in overcoming barriers to obtaining needed medical care and/or social services.
• Understands and maintains confidentiality and the limits of confidentiality.
• Works independently with patients to help patient develop their self management skills and successful meet care plan goals.
• Provides information to patients about community resources and help patients’ access resources; Maintains knowledge of community resources to assist in meeting the needs of patients and their families.
• Utilizes Motivational Interviewing skills and other patient engagement techniques with patients and caregivers.
• Participates and completes training and professional development consistent with maintaining certifications.
• Represents the organization with a positive, professional attitude when communicating with patients and visitors of the health center.
• Works independently to maintain timely, accurate records, documentation.
• Utilizes critical thinking to facilitate referrals to the appropriate clinical team member.
• Participates in interdisciplinary care team rounds.
• Works well with others and has the ability to discuss in a professional manner issues that come up with staff.
• Attends regular staff meetings, trainings and other meetings as required.
• Other duties as assigned or requested.

Qualifications:

• Lived experience of mental health and/or substance use (Crossroads specific role also includes lived experience of homelessness preferably) with minimum of one year of continuous recovery time
• Experience working with diverse population, including the homeless and deliver culturally competent, patient-centered care
• Flexible, with the ability to work independently and with minimal guidance.
• Strong oral and written communication and presentational skills.
• Excellent interpersonal and customer service skills, to effectively and tactfully deal with a diverse group of patients, staff, customers, and community groups.
• Must be able to travel with use of a personal vehicle.
• Must possess the ability to read and interpret documents.
• Must possess the ability to write routine reports and correspondence.
• Must possess the ability to speak effectively before groups and actively engage the general public in outreach situations.
• Must possess the ability to interact respectfully with diverse cultural and socio-economic populations.
• General computer proficiency
• Bilingual – Spanish preferred
• Knowledge of community resources
• Ability to work with electronic health records and clinical data is required.
• Valid driver’s license with reliable transportation and proof of minimum auto insurance is required.
• Ability to perform street outreach or work with patients in non-traditional medical settings.

Education: High School Graduate with certification as a recovery coach from BHDDH or other equivalent training.

Essential Working Conditions and Environment:

LANGUAGE SKILLS

1. Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and policies/procedure manuals.
2. Ability to write routine reports, document in medical records, and correspondence
3. Ability to communicate effectively with staff, patients and family members

MATHEMATICAL SKILLS

1. Ability to add, subtracts, multiply, and divides in all units of measure, using whole numbers, common fractions, and decimals.
2. Ability to compute rate, ratio, and percent and to draw and interpret graphs

REASONING ABILITY

1. Ability to solve complicated and practical problems and deal with a variety of situations where only limited standardization exists.
2. Ability to perform critical thinking, document findings, conclusions and goals.

PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. While performing the duties of this job, the employee is regularly required to stand; walk; sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear.
2. The employee must frequently lift and/or move up to 10 pounds.
3. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

SUMMARY OF OCCUPATIONAL EXPOSURE: Classified by CDC as High Risk

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I.      SUMMARY 

The Integrated Behavioral Health Clinician is embedded within the primary care team in the clinic. This person works directly with the team to assess individuals with behavioral health and /or substance abuse issues, and to provide brief treatment services within the clinical setting. Integrated Behavioral Health Clinicians expand the team’s ability to treat persons with chronic medical issues that are complicated by lifestyle factors.   

II.     ESSENTIAL DUTIES AND RESPONSIBILITIES

• Maintain an active presence on primary care clinical teams. Participate in daily medical team huddles, medical staff meetings, multidisciplinary teams, and individual supervision sessions with the director
• Consult with primary care providers in real time to assist patients with psychosocial issues. This is frequently done as a “warm hand-off” during hours of clinical operation. Informal consultation and referrals from the primary care providers happen at other times as well
• Triage both scheduled and immediate referrals from the medical teams, treating some with brief treatment and referring others to more appropriate resources
• Provide brief treatment interventions for mild to moderate mental health issues as well as crisis intervention. The behavioral health clinician should be competent in brief assessment, crisis management, triage, diagnosis, as well as mental health / substance abuse treatment within a brief solution-focused model. The care model focuses on helping patients achieve practical goals with an average of 3-6 visits. Functional schedule based upon 30-minute appointment slots in a primary care exam room.
• Prepare and submit all electronic and paper documentation in a complete and timely manner. All progress will be fully completed and signed within 72 hours of the encounter in the electronic health record
• Demonstrates customer-centered approach to treatment, as measured by respectful interactions with patients and their families, high patient satisfaction, and lack of patient complaints
• Places high value on the treatment team, as measured by willingness to meet regularly, work collaboratively, and demonstrate flexibility when consulting with medical providers in the consultation and treatment of new patients, whether they are scheduled or referred as “warm hand-offs” or unscheduled emergencies
• Demonstrates a thorough understanding of the DSM IV, as measured by thoroughness and accuracy of diagnostic formulations brought for review to the multidisciplinary team
• Shows the ability to obtain a complete history and full conceptualization of the patient’s problem within the time-limited session(s), as measured by the quality of the written assessment and the timely case presentation to the multidisciplinary team
• Demonstrates a thorough knowledge of effective treatment protocols for brief solution-focused interventions and necessary cultural competencies for treating children and adults with mental health/substance abuse issues, as well as chronic disease lifestyle management
• Adapts therapeutic strategies to individual characteristics of the patient, including but not limited to disability, gender, sexual orientation, developmental level, culture, ethnicity, age, health status, as measured by return visits and client satisfaction
• Coordinated Care/Patient Centered Medical Care Management:  Works with all members of the Health Care Team towards achieving coordinated patient centered care.  Demonstrates knowledge of the goals and objectives of PCHC’s patient care management plan.  Effectively able to perform and communicate individual task within role in the process.
• Support the organization’s mission, vision and values as it relates to customer satisfaction in all interactions with patients, visitors, providers and staff with an understanding and sensitivity to age, spiritual and cultural diversity.
• Demonstrates respect, dignity, understanding and sensitivity to individual’s concerns
• Demonstrates professional conduct by appropriate communications, respect and courtesy  to individuals
• Maintain client confidentiality at all levels of interaction.
• Participate in all meetings and conferences, as required.
• Maintain professional ethics for self.  Responsible and accountable for individual social work judgments and actions.
• Perform other duties as requested

III.   SUPERVISORY RESPONSIBILITIES

            None

IV.   QUALIFICATIONS / EDUCATION / SKILLS

• Masters or Doctorate in social work from an accredited college or university
• Licensed independent clinical social worker in the state of Rhode Island (LICSW)
• Requires previous experience or internship in a medical setting which supports a primary care integration model
• Commitment to work in community health with the challenges of a high risk, and often uninsured and diverse patient population required.

• CPR, certification required.
• Ability to develop effective interpersonal relationships with the health care team, providers as well as management team staff
• Ability to perform duties and responsibilities across life cycle (infants, children, adolescents, adults, prenatal and geriatric) required
• Bicultural (Spanish) skills and bilingual experience preferred
• Experience in providing managed care patient services.  Commitment to work in community health with the challenges of a high risk, and often uninsured and diverse patient population helpful
• Proven writing skills to document in medical record and submit documentation
• Strong/demonstrated communication skills, written and verbal, required
• Ability to multi-task, and manage concurrent situations
• Computer proficiency in Microsoft Office required
• Previous experience with EHR helpful
• Maintain clinical production of at least 10 visits per 7 hour session
• Knowledge of HIPPA regulations. Knowledge and experience in information privacy/security laws, access and release of information. 
• Ability to successfully complete and pass background/lifelinks
• Access to reliable transportation

VI.    LANGUAGE SKILLS

• Ability to read, analyze, and interpret medical documentation, professional journals, and government regulations. 
• Ability to write reports and correspondence. 
• Ability to effectively present information and respond to questions from providers, hospital and health center staff, and patients and their families

VII. MATHEMATICAL SKILLS

        Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations

VIII. REASONING ABILITY

• Ability to define problems, collect data, establish facts, and draw valid conclusions
• Ability to interpret an extensive variety of medical instructions in mathematical or diagram form and accurately respond to several variables

IX.    PHYSICAL DEMANDS 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel; reach with hands and arms; climb or balance; and talk or hear.
• The employee frequently is required to stand, walk, and sit.
• The employee must regularly lift and/or move up to 10 pounds and frequently lift and /or move up to 25 pounds.
• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

X.     WORK ENVIRONMENT 

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this job, the employee is regularly exposed to outside weather conditions in commuting to hospital and health center
• The noise level in the work environment is usually moderate

XI.    Summary of Occupational Exposure

         Classified by CDC as high risk

Apply here.