Recovery Coach

Job Duties

• Initiates telephonic or face to face contact with eligible patients to describe role, explain program benefits and begin assessment process.
• Affords assistance in connecting patients to mental health and recovery resources within their community.
• Escorts patients to different programs within the hospital and community to connect with recovery resources.
• Collaborates with patient and provider to set goals for patient's care and motivates patients to achieve those goals.
• Shares key educational messages in person and over the phone.
• Clearly documents all activities in the patient's record.
• Monitors the participants' progress toward goals within specific timeframes.
• Participates in various activities to program participants, including community outreach, presentations to community organizations, development of materials, and phone calls.
• Aids patients in organizing their records, making follow-up appointments, and filling their prescriptions.
• Supports patients in filling out applications as needed.
• Provides advocacy, patient education, and support in accessing community-based and hospital-based programs.
• Refers to internal or external care management services when other issues are identified (i.e., food insecurity, partner violence).
• Shows sensitivity and respect for the culture of the patient.
• Attends regular training activities.
• Attends regularly scheduled supervision and other program assigned meetings.
• Influences inappropriate utilization of health care resources by providing intensive home and community-based outreach, motivational interviewing, and goal setting, resource connection, and accompaniment to medical appointments as needed.
• Presents patients at case review meetings succinctly and logically.
• Consults with experts regarding complex patient situations, demonstrating an understanding of how to solicit and incorporate provider feedback in order to continuously develop the most optimal plan for care.
• Prepares reports and documents as needed or requested.
• Connects the patient with resources as needed within an interdisciplinary team (nurse care coordinators, social workers, behavioral health clinicians, physicians, resource specialists, clinical support staff, etc.).
• Supports the Operations Manager in the implementation and evaluation of quality initiatives.
• Might visit patients in hospital and ER and facilitate with transitions of care.

Qualifications

• Bilingual - Novice
• CPR Certified, Current
• First Aid Certified, Current
• Behaviors Required: Functional Expert
• Dedicated: Devoted to a task or purpose with loyalty or integrity
• Team Player: Works well as a member of a group