Recovery Care Coordinator

Position Summary

The Recovery Care Coordinator provides person-centered case management, outreach, resource navigation, and

recovery support for patients with substance use disorders (SUD), with an emphasis on patients receiving

medication-assisted recovery (MAR) services

Working alongside recovery staff, medical providers, behavioral health professionals, and community partners, the

Coordinator strengthens engagement, helps patients navigate transitions and barriers to care, and promotes

retention in treatment using Motivational Interviewing, stages-of-change, harm reduction, and peer-support

principles.

The Recovery Care Coordinator also supports the ongoing development and daily operations of the Recovery

Community, including behavioral health groups, recreational activities, outreach and engagement, resource

coordination, and other recovery-focused services. Lived experience of long-term recovery is strongly preferred; the

Coordinator uses appropriate self-disclosure, hope, empathy, and role modeling while maintaining professional

boundaries and honoring patient choice.

Principal Duties and Responsibilities*

• 1. Provide case management for patients transitioning to or from higher levels of care, including medical

stabilization, residential treatment, and recovery homes.

• 2. Coordinate referrals, facilitate timely transitions, and

follow up with patients to confirm successful connection to services.

3. Monitor MAR patient engagement and outcomes using applicable dashboards and tracking systems.

4. Conduct proactive outreach to patients who miss follow-up appointments, and support re-engagement and

rescheduling.

5. Respond to internal and external referrals for substance use treatment and MAR services, and maintain

timely communication with patients, interdisciplinary team members, and referring community partners.

6. Support the ongoing development and daily operations of the Recovery Community, including behavioral

health groups and recreational activities.

• 7.Assist with facilitation, patient engagement, preparation of
• materials, and documentation of participation.

8. Identify and help resolve barriers to accessing MAR medications, including pharmacy, insurance, and care

coordination barriers. Support access to long

team.

9. Provide accessible, drop-in resource support to patients in the Recovery Community and SUD clinics,

including assistance with benefits, housing, employment, referrals, appointments, and care coordination.

10. Use peer-support skills, brief interventions, Motivational Interviewing, and stages-of-change approaches to

engage patients in treatment, build rapport, strengthen motivation for change, support individualized

recovery goals, and promote retention in care.

11. Coordinate medical, psychiatric, behavioral health, specialty, and other appointments for patients

participating in recovery services.

• 12. Facilitate warm handoffs and encourage connection to Recovery

Community services when appropriate.

13. Build and sustain collaborative relationships with community partners.
    • 14. Support assertive outreach and
    • <

      linkage to LCHC recovery services, serve as a responsive point of contact for designated partnerships, and

      cultivate new referral relationships through resource fairs and other community events.

      15. Maintain timely, accurate, and clinically appropriate documentation of patient encounters in the electronic

      health record (EHR), including individual encounters, behavioral health groups, recreational activities,

      outreach, and care coordination.

      16. Provide overdose prevention and harm reduction education and resources.
          • 17. Be comfortable administering
          • <

            naloxone, support patient access to naloxone, and manage the supply and distribution of drug-testing kits.

            18. Maintain professional competence through ongoing learning related to substance use disorders, peer

            recovery support, harm reduction, and recovery-oriented care.

            Participate in care team meetings, debriefings, rounding, and supervision as required by organizational

            policy.

            • Required Skills and Abilities

            Knowledge of SUD treatment and recovery-oriented care, including medication-assisted recovery,

            Motivational Interviewing, stages of change, harm reduction, and peer-support principles.

            Ability to build trusting, respectful relationships and provide culturally responsive, trauma-informed,

            nonjudgmental support to people at all points in recovery.

            Ability to use lived experience and appropriate self-disclosure in a purposeful manner while maintaining

            professional boundaries and supporting patient choice and agency.

            Ability to recognize and appropriately respond to patient crises and other urgent clinical situations within

            the scope of the role and organizational policies.

            Strong care coordination, resource navigation, outreach, problem-solving, and patient advocacy skills.

            Strong organizational, analytical, written, verbal, and time-management skills.

            Ability to collaborate effectively within a multidisciplinary healthcare team and with community partners.

            Ability to work independently, demonstrate initiative and sound judgment, and respond effectively to

            multiple priorities in a fast-paced environment.

            Proficiency with computers, electronic health records, dashboards, and other technology required for the

            role. *

            • Education, Experience, and Certification

            Required:

            High school diploma or equivalent.

            Relevant experience providing peer support, care coordination, resource navigation, community outreach, or

            services to individuals with substance use disorders.

            Strongly Preferred:

            Personal lived experience of substance use recovery and demonstrated stability in long-term recovery.

            Certified Recovery Support Specialist (CRSS) credential, or willingness and eligibility to obtain the credential.

            Experience with MAR services, substance use programming, healthcare, community-based services, or

            multidisciplinary teams.

            Bachelor's degree in social work, health science, behavioral health, or a related field.

            Certified Alcohol and Drug Counselor (CADC) credential or related substance use treatment training.