OverviewSummary of Position:
The mobile substance use disorder clinic, or SUD Clinic, will provide on-site rapid assessment, treatment initiation, and stabilization at primary care clinics across the Partners Healthcare System. This mobile clinic will be staffed by a multidisciplinary team, which includes a physician, a social worker, a recovery coach, and a nurse care manager. The care model will consist of rapid access to low threshold evaluation and treatment for individuals identified with SUD within primary care practices. Patients will be assessed by the team and a patient-centered treatment plan will be determined. Pharmacotherapy will be initiated promptly for appropriate patients and linkages will be made to the suitable level of care within the community. Patients who cannot directly be connected to ongoing addiction treatment services will be managed by the SUD Clinic team on a transitional basis until linkage is successfully achieved.
The Recovery Coach (RC) will provide peer recovery support services to patients with substance use disorder (SUD) and will assist patients in achieving sustained recovery. This position will be working in the SUD Clinic and will be part of a clinical team embedded in multiple a primary care practices. The RC will facilitate patient access to recovery-oriented substance use disorder treatment, resources, and community recovery groups. The RC will bridge the segregated treatment system into a more holistic care model through providing support across multiple systems and frameworks of care. This position will maintain ongoing patient support regardless of relapse and will serve as a motivator, ally, role model, problem-solver, and advocate for patients with substance use disorders. The RC should possess thorough understanding of community culture to address the barriers to successful recovery, better tailor health messages, and provide links to community resources and treatment options.
Serves as a liaison between the recovery community, addiction treatment programs, the medical treatment system, and the patient's community, family, and social context to facilitate connections across systems of care
- Works collaboratively with the SUD Clinic team to implement evidence-based services to patients with SUD
- Addresses barriers to successful recovery and serves as role model and advocate
- Conducts active outreach efforts to encourage attendance and participation in recovery-oriented, self-help, and pro-social groups
- Assists with access to treatment for SUD and co-occurring conditions, creating systems and procedures to rapidly identify treatment needs and determine appropriate level of care. Assists with data collection for quality assurance and program evaluation
- Engage with patients referred to the SUD Clinic by the primary care physician
- Meet hospitalized patients with SUD prior to discharge and facilitate patient access to next stage of treatment
- Conduct initial needs assessment, review the patient's SUD history, and identify the patient's goals and expectations
- Together with the SUD Clinic team, facilitate referrals to appropriate disposition options for individual patients
- Help patient navigate the healthcare system and social service system; accompany patients to appointments and meetings as needed.
- Negotiate and create opportunities for access to treatment and social services for patients; advocate on behalf of patients to help decrease barriers to care
- Educate patients about addiction and utilize motivational enhancement techniques to explore ambiguity and tip the scales towards treatment
- Provide peer counseling and support patients in establishing treatment goals and achieving and maintaining recovery
- Develop individualized service plans for each patient
- Work with patient and care team to develop a comprehensive treatment plan
- Be available to provide support to patients in immediate risk of relapse or for other time-sensitive matters during and outside of regular business hours
- Monitor patients' progress and evaluate outcome, using a patient tracking system
- Clearly and effectively facilitate communication between the patient, PCP, Addiction Medicine Physician, and any external providers maintaining appropriate confidentiality procedures and boundaries
- Maintain accurate and up-to-date records and standardized data on all patients
- Systematically review the caseload with the supervisor each week, focusing on new patients and patients who are having difficulties
- Strong interpersonal, facilitation, and leadership skills
- Ability to work independently as well as part of a multidisciplinary team of physicians, nurses and social workers
- Strong advocacy skills along with knowledge of community based services, resources, and local recovery community
- Comfort with multiple pathways to recovery from SUD and willingness to embrace a patient-centered approach that recognizes an individual's preferences and autonomy ("recovery by any means necessary")
- Comfort in working in medical settings
- Clinical skills in motivational enhancement strategies
- Ability to provide accurate feedback without judgment or discomfort
- Flexibility to adapt to unforeseen needs or circumstances
- Excels at problem solving and multi-tasking, organized, efficient and goal directed
- Ability to maintain effective working relationships with patients/families and staff
- Excellent interpersonal, written and verbal communication skills
- Effective use of the Internet and Microsoft Office programs such as Word, Excel, PowerPoint and Outlook
- Ability to handle confidential information
- High school diploma required
- Recovery coach certification required within first 12 months of employment.
* Minimum of 2 years in sustained recovery
It is the policy of North Shore Medical Center and North Shore Physicians Group to affirmatively implement equal opportunity to all qualified candidates and existing employees without regard to race, religion, color, national origin, sex, age, ancestry, disability, Veterans of the Vietnam Era status; or any other basis that would be in violation of any applicable ordinance or law. All aspects of employment including recruitment, selection, hiring, training, transfer, promotion, termination, compensation and benefits.