
Aetna/CVS Health
Using lived experience associated with barriers experienced when navigating the mental health and substance use system of care and in achieving their own personalized recovery, Peer Support Specialists (CPRS) guide, coach, and mentor others who are seeking to achieve their individualized recovery goals Use personal experience of recovery to help the Aetna team understand best how to coordinate care for members. Share coping strategies, wellness tools and other resources with care managers and coordinators. Conduct visits with member to support them in their personalized recovery journey.
· Regularly attend case rounds and assist the team with identifying members who might benefit from Peer Support Services.
· Orient and educate the care management team as to how peer support services can help members in achieving member recovery goals, reinforcing the care plan, maintaining community tenure, adjusting tasks to fit with the member’s culture, language, and religion, improving access to care, identifying health care needs, and reducing unnecessary hospitalizations or emergency services.
· Collaborate with healthcare professionals and providers on the principles of recovery, and opportunities for improving and understanding the social determinants of health that may be impacting member’s health and treatment plan through various communication channels.
· Assist care managers and coordinators in helping members to identify socio-economic issues that affect their overall health and develop person-centered plans and goals.
· May attend medical, behavior health or community appointments with members when appropriate to support connections to community-based resources to support overall treatment goals and advocate for getting the best possible care.
· Conduct face-to-face and/or virtual visits with members for the purposes of engaging the member in a strengths-based, person-centered goal setting.
· Assist members in setting and attaining short and long-term strength-based goals.
· Suggest approaches that encourage members to participate in wellness and recovery activities at a pace that is comfortable for them.
· Ability to advocate for the needs of the member and ensure that their individualized goals are being met in accordance with their expressed needs.
· Partner with the member in their efforts to connect with community-based services and supports to ensure access and utilization of these services and support the member in remaining in the community setting of their choice.
· Possess strong communication skills to not only engage the member initially in peer services but also to develop a working relationship that supports the member in achieving their individualized recovery pathway
· Possess strong collaboration skills internally with health plan staff and externally with members and community agencies for the purposes of developing a holistic plan for the member that is reflective of the member’s stated goals.
· Knowledge of and/or ability to research available community-based supports and services to support member’s whole health.
· Possess a strong knowledge of open-ended questions and how to utilize open-ended questions to engage the member in a mutually beneficial dialogue.
· Possess strong technological skills in regard to the ability to navigate and utilize numerous web-based and computer applications including but not limited to Microsoft Outlook, Microsoft Word, QuickBase and Electronic Health Records.
· Possess strong documentation skills in regard to the entering of non-clinical person-centered notes related to member outreach.
· Ability to maintain focus on tasks at hand and manage schedule independently in accordance with standards established.
· Ability to manage multiple competing projects and demands.
· Maintain continuing education requirements in accordance with standards established for Certified Peer Recovery Specialists in Virginia.
· Current Certified Peer Recovery Specialist certification in Virginia by recognized Dept. of Behavioral Health and Developmental Services trainer.
· 1-2 years’ experience in community/outpatient setting working with members in a mental health or substance use setting is required.
· Ability to travel to multiple office and home locations with personal vehicle, reliable transportation, valid driver’s license, and automobile insurance is required.
· Possession of a High School Diploma or GED.
· WRAP or equivalent training preferred.
· Bilingual skills desired.
· Experience in serving the Medicaid Populations in urban or rural environments with familiarity of local formal and informal resource networks preferred.
· Exceptional communication, organizational and interpersonal skills, with attention to detail.
· Experience using a computer and strong keyboard navigation skills including the use of MS Office Suite, Word, Teams and Excel applications.
· Preferred skills: Mental Health First Aid, Trauma Informed Care, HIPPA, C.L.A.S. Standards, Motivational Interviewing, and specialized training in medical terminology and practices for designated health conditions.
· Ability to work effectively with a wide range of constituencies in a diverse community.
· Ability to educate health care providers as needed to adjust interventions based on member’s cultural, ethnic, or religious preferences.
· Experience providing care to socially and medically complex patients effectively in a variety of non-traditional settings.
· Knowledge of formal and informal community agencies and resources. Working knowledge of multi-system outreach programs related to health care delivery, clinical education, and health-related services.
· Ability to work collaboratively in a team and manage multiple priorities, utilizes effective time management skills, and exercise sound judgment.
Mon- Fri 8am to 5pm
To apply for this job please visit cvshealth.wd1.myworkdayjobs.com.