Job summary:  Experienced Peer Specialist to work on a newly funded innovative Care Transition team that serves participants transitioning to the community from a higher level of care. As a member of the Pathway Home multi-disciplinary team the Peer Specialist position will work under the supervision of the Team Leader. The role will involve facilitating transition from one level of care to the community by addressing the preparatory needs of participants in the early stages of recovery, discharge planning, development of daily living skills, and coping mechanisms through team and individual work in the community. The team will follow individuals into the community using the Pathway Home model of care to ensure that they become both linked and engaged with identified community providers and that their support network is sufficient to meet their needs. The Peer Specialist engages participants in peer-based services to identify and overcome barriers to community integration, utilizing a peer relationship to foster connection, trust, understanding and validation with community providers and supports. The role will require on call coverage and a willingness to work flexible hours.

Job Responsibilities:

• Engagement beginning from referring location with involvement in transition planning, including a needs assessment of community transition supports essential to stabilizing the participant;
• Individual sessions with participants emphasizing prevention and preparing for independent community living and the promotion of optimum mental and emotional health. May require helping participants deal with issues associated with but not limited to family and social relationships; stress and symptom management; activities of daily living; medication management; and housing readiness;
• Provide intensive emotional and practical support to participants as they transition back into their communities and into a supportive housing and/or living environment;
• Work with participants and their housing providers to resolve clinical issues that are impacting on the participant’s ability to obtain, manage, and retain supportive housing;
• Assist and instruct participants in attending to daily living skills such as personal hygiene, grooming and laundry, nutrition/meal preparation, budgeting, and socialization tasks and skills needed to successfully live and work in the community environments of their choice and also in maintaining a safe living environment;
• Foster and maintain cooperative and collaborative relationships with community providers and network members to facilitate connections or re-connections to services and supports;
• Community navigation including accompanying to first behavioral health and medical appointment, travel training, reengagement in community care, referral to services with ability to identify and address potential services and barriers to obtain and maintain such services;
• Establish collaborative working relationships with referring treatment teams and other partners and plan with them for appropriate discharges for participants;
• Advocate with and for program participants to achieve personal goals and address barriers such as fear, stigma and communication disparities with community providers and supports;
• Provide on-call after hour crisis intervention services when needed to participants and their support network, including respite referrals and other diversion and stabilization services;
• Attend and participate in team meetings and supervisory sessions;
• Develop short-term person-centered treatment plans to assist participant towards achieving their goals;
• Monitor and record participant’s progress and modify plan according to needs and preference;
• Perform various needs assessment for essential ongoing community integration and support;
• Timely and accurate documentation of participant information within Health Information Technology platform
• Comply with all required in-service training and staff development;
• Perform other related duties as assigned;

Essential Knowledge, Skills and Abilities:

· Knowledge of Behavioral Health systems, Mental health legislation and regulations, and health conditions

·Ability to manage multiple projects and ask for help when needed

·Ability to participate on a team to accomplish tasks

·Serves as a role model to staff and stakeholders

·Ability to work with all stakeholders: participants, network, families, and government staff in a caring and respectful manner, and with due understanding of and consideration for cultural differences

·Knowledge of treatment, rehabilitation, and community support programs as they relate to members and their families

·Knowledge of techniques for identifying risk, including crisis management techniques.

This job description in no way states or implies that these are the only job related duties to be performed by the employee. You will be required to follow any other job related instructions and perform any other job related duties requested by your supervisor.

Minimum Education and Experience Requirements:  Minimum High School Diploma or equivalent or higher. New York State Certified Peer Specialist preferred or required Completion of an internship or comparable training in peer advocacy; experience in providing advocacy services to people who are mentally ill and/or homeless. Past or current participant of behavioral health, substance services or homeless services preferred. 

S:US IS AN EQUAL OPPORTUNITY EMPLOYER
Join a team of employees who cares about the wellbeing of others. We believe in fostering a culture built on our core values: respect, integrity, support, maximizing individual potential and continuous quality improvement.
S:US is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. S:US is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities, including allowance of the use of services animals. To request reasonable accommodation or if you believe such a request was improperly handled or denied, contact the Director of Talent Acquisition at talentacquisition@sus.org