Your Valued Contributions:
The Peer Recovery Coach (PRC) is a practice-based PRC who directly supports AHC’s highest risk and complex care needs patients. In collaboration with other members of the healthcare team, the PRC operates as a personal guide and mentor for beneficiaries seeking, or already in, recovery from substance use disorders (SUD). Peer recovery coaches support a beneficiary’s journey toward recovery and wellness by creating and sustaining networks of formal and informal services and supports while role modeling the many pathways to recovery as every patient determines their own way. The peer recovery coach helps to remove barriers and obstacles, assists with practices of harm reduction, and links beneficiaries to resources in the recovery community. Services provided by peer recovery coaches support beneficiaries to become and stay engaged in the recovery process and reduce the likelihood of relapse. Activities are targeted to beneficiaries at all places along their path of recovery.
1. Patient Care Activities
a. Assist Substance Use Disorder patients with setting recovery goals, developing recovery action plans, and supporting beneficiaries to live a full and meaningful life in the community through the individualized treatment planning process.
b. Conduct brief screenings of patients’ physical, mental, and psychosocial needs.
c. Develop care plans to prevent disease exacerbation, improve outcomes, increase patient engagement in self-care, decrease risk status, and minimize hospital and Emergency Room utilization.
d. Utilize behavioral strategies to help patients adopt healthy behaviors and improve self-care in chronic disease management.
e. Promote self-management goals by supporting each patient to fully participate in communities of their choosing in the environment most supportive of their recovery. Utilizing a strength based perspective and emphasizing assessment of recovery capital by utilizing the total resources a patient has, to find and sustain recovery.
f. Assist patients in navigating the health care system.
g. Partner with external case management programs to coordinate care.
h. Ongoing evaluation and documentation of patient progress/ risk status.
i. Participate in risk rounds to assess high risk patients.
j. Complete follow-up appointments for providers due to missed appointments or provider absence.
k. Provide overdose and Narcan training to patients and family members.
2. Patient-Center Medical Home
a. Pro-actively support PCMH initiatives related to care coordination
b. Pro-active member of care teams in team-based care initiatives
c. Partner with PCMH staff to develop integrated care management programs
3. Communication and Health Information Entered into Patient Record
a. Enters appropriate treatment information into patient record in a timely fashion.
b. Progress notes documentation is completed accurately, is written, and maintained in a manner that is clear, complete, current, and organized in accordance with state and federal regulatory requirements.
c. Progress notes entered into electronic record to insure appropriate ongoing patient care.
d. Continuously review charts for new and/or relevant information concerning clients.
e. Communicates patient’s health status to Care Manager RN to insure adequate provision of care.
f. Routinely speaks at site, MSS, and provider meetings to remind staff of the services offered through Care Management and to encourage referrals from all staff.
g. Works collaboratively with medical and behavioral health providers to enhance holistic care of patients within the Recovery Services Program.
h. Participate in regularly scheduled caseload consultation with the Recovery Services Program care team members and communicates resulting treatment recommendations to the patient’s medical provider.
i. Maintain registry for Recovery Services Program for assigned region.
j. Completion of related paperwork and data entry into database.
4. To connect people in need to the right services or support, to improve health and wellbeing outcomes in a timely and appropriate way.
a. Identifying patient health and wellbeing needs.
b. Locating and guiding to local resources that can help patients to achieve identified health goals.
c. Enabling and empowering individuals to seek early intervention and prevention services.
d. Supporting and assisting individuals to contact; access and engage with local services to meet their healthcare needs.
5. Attendance
a. Ensures attendance and hours worked are accurately recorded.
b. Properly manages paid vacation and sick leave.
c. Responsible for regular, predictable attendance and to work hours as scheduled.
6. Maintains confidentiality of protected health information and safeguards all patient related information at all times.
7. Consistently adheres to organization rules, regulations, and policies.
8. Attends/participates in departmental meetings.
9. Follow current COVID-19 guidance from applicable agencies as it pertains to the role.
10. Exercise discretion and strict confidentiality with all information including but not limited to sensitive personal information, and medical information.
11. Consistently adheres to organization rules, regulations, and policies, including but not limited to the AHC Code of Conduct and Compliance policies.
12. Accepts and performs all other job-related duties, projects, and responsibilities, as required by the organization
