Lahey Health Behavioral Services is part of a vibrant and growing health care system, recognized as a trailblazer in medicine and a standard bearer in patient experience. It includes an award-winning academic medical center, a superb constellation of community hospitals, home care services, rehabilitation facilities and more.
We are committed to attracting, developing and retaining top talent in a market long recognized and revered as a global leader in health. With a team approach to care, we encourage learning and growth at all levels, and we offer competitive salaries and benefits. We adhere to the principles of a just and fair work environment for all colleagues, where respect is foundational and performance is rewarded.
About the Job
Recovery Support Navigator (RSN) is a paraprofessional who provides care management and system navigation supports to Members with a diagnosis of substance use disorder and/or co-occurring mental health disorders. The purpose of RSN services is to engage Members as they present in the treatment system and support them in accessing treatment services and community resources. The RSN is responsible for providing outreach case management services and coordination of care to a clinically diverse population.
Full time, 40 hours per week.
The Lahey Model of Careright care, right time, right placeis exactly what patients, providers and payers need and deserve. Identifying and delivering on this convergence of interests has positioned Lahey Health for further growth. Our model ensures care is highly coordinated and locally delivered, with lower costs and exceptional quality.
Lahey Health is a robust, regional system including a teaching hospital, community hospitals, primary care providers, specialists, behavioral and home health services, skilled nursing and rehabilitation facilities, and senior care resources throughout northeastern Massachusetts and southern New Hampshire. The system has a global presence with programs in Canada, Jordan and Bermuda.
Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.
The RSN assumes an individual case load, is responsible for providing outreach case management services and coordination of treatment to a clinically diverse population, including obtaining and managing prior authorizations from insurance companies and conducting telephonic clinical reviews.
The RSN completes a comprehensive needs assessment of the Member within two weeks of the initial contact with the Member. These assessments are reviewed by supervisor and revised at least every 90 days.
The RSN must develop a set of goals and objectives in conjunction with the Member, based on needs identified by the Member and/or any care plans that exist for the Member. The RSN must identify whether the Member has a comprehensive care plan in place and a current provider responsible for implementing the care plan. This includes, but is not limited to a Community Partner (CP), primary therapist, Residential Rehabilitation Services (RRS) program counselor, or primary care provider). If the Member consents, ensure coordination and communication with that provider and tailor activities to the needs in the care plan. These plans are reviewed by supervisor and revised at least every 90 days
The RSN must connect the Member with providers able to develop and implement a comprehensive care plan if the Member does not have any such relationship. Such entities could include a primary care provider, prescribing psychiatrist, therapist, residential program, addiction pharmacotherapy providers, or a CP if eligible
Provides community based case management services to assist Members in mitigating barriers to accessing further treatment, self-help groups, housing and services related to physical health and other activities of daily living. The RSN supports the Member in understanding the treatment options available to him or her, including 24-hour programs, outpatient options, and all FDA-approved options for addiction pharmacotherapy
Provides additional support in remaining engaged in treatment; identifying and accessing treatment and recovery resources in the community including prescribers for addiction and psychiatric medications; and/or developing and implementing personal goals and objectives around treatment and recovery from addiction and/or co-occurring disorders
Provides temporary assistance with transportation to essential medical and behavioral health appointments while transitioning to community-based transportation resources (e.g., public transportation resources, PT-1 forms, etc.).
The RSN explores treatment recovery options with the Member, helps clarify goals and strategies, provides education and resources, and assists Members in accessing treatment and community supports. The RSN supports the Member in accessing services and participates as part of the overall care team when appropriate including, but not limited to:
Facilitating warm hand-offs to programs by maintaining relationships with addiction providers within the Member's geographic area; and
Navigating insurance issues with Members, including identifying and explaining in-network and out-of-network providers and advocating with providers and plans on the Member's behalf.
Coordinates with other providers and collaterals to navigate the benefit/entitlement system, including managing insurance authorizations. The RSN must connect the Member with providers able to develop and implement a comprehensive care plan if the Member does not have any such relationship. Such entities could include a primary care provider, prescribing psychiatrist, therapist, residential program, addiction pharmacotherapy providers, or a CP if eligible
The RSN provides information about, and facilitate access to, community and recovery supports, including supports for families.
Participates in discharge planning from RSN services. The RSN will update the crisis prevention plan and develop a written aftercare plan. Discharge from the RSN program will occur in consultation with the Member and referral source when discharge criteria are met.
When working with pregnant and/or parenting Members, in addition to the requirements listed above, Recovery Support Navigators must:
Work collaboratively with the pregnant and/or parenting Members to create and coordinate Plan of Safe Care (also called Family Support Plan), specifically designed to help the Member identify needed services for recovery and parenting;
Work with the Member around perinatal health and support needs, housing needs, health care needs, income needs, mental health, and substance use disorder treatment needs (including MAT), as identified in the Plan of Safe Care
Ensures that all required documentation is complete in a timely manner.
Ensures that all billing documentation is complete in a timely manner.
Bachelor's Degree in psychology, social work or related human services field is required.
Training or relevant work or lived experience in the areas of mental health and/or addiction/recovery preferred. Experience delivering community based services is a plus. Certificates, Licenses, Registrations, LADC/CADC preferred.
Demonstrates good boundaries regarding confidentiality and personal relationships, while at the same time be able to share personal knowledge about recovering from mental illness and/or substance use, as applicable. Demonstrates the ability to evaluate what is needed by each individual and adjust approach accordingly. Have in-depth knowledge of local resources. Experience with accessing resources
Must be able and willing to transport persons served in personal vehicle. As such, must have a valid driver's license, reliable vehicle, and ability to satisfy LHBS approved driver policy. The RSN must deliver services on a mobile basis to Members in any setting that is safe for the Member and staff. Examples of such a setting are a Member's home, an inpatient or diversionary unit, or a day program.