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Job description
Peer Care Transition Specialist
nChappaqua, NY (
nJob Type
nFull-time
nDescription
nTitle: Peer Care Transition Specialist
nPosition Type: Full-time, Non-exempt
nReports to: Regional Director of Clinical Behavioral Health and Peer Integration Services
nBase Location: Chappaqua/Westchester
nSchedule: Monday - Friday 9am-5pm
nPay Rate: $25.00/hr
nThis position is covering Westchester County and is co-located within medical facilities
nAbout Independent Living, Inc.
nSince 1987, Independent Living, Inc. (ILI) has been increasing access, encouraging self-determination, and advocating for the rights of people with disabilities throughout the Hudson Valley of New York. Following the traditional independent living center (ILC) model, the majority of ILI’s board and staff are individuals with disabilities, bringing valuable peer and life-experience perspectives to the services we provide.
nILI is committed to empowering individuals to live independently and participate fully in their communities.
nInterested in learning more about who we are? We encourage applicants to watch our agency video to gain insight into our mission, vision, values, and the impact we make within the community. The video offers a closer look at our culture and the meaningful work our team does every day. Please select the link below for your preferred platform to view the video.
nYouTube:
nFacebook:
nInstagram:
nTikTok:
nWhy Work with Us?
nnnJoin a mission-driven organization dedicated to building a barrier-free society and supporting independent living
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nnBe part of a collaborative workplace that embraces diversity and innovation, where every team member’s voice and lived experience are respected and valued
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nnBe part of an organization that champions inclusive hiring practices and actively welcomes individuals of all abilities, recognizing the value of both visible and non-visible disabilities
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nnHelp individuals successfully transition from hospital settings back into the community while making a meaningful impact on recovery outcomes and quality of life
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nnWork alongside hospitals, behavioral health providers, peer specialists, and community organizations to improve continuity of care and reduce barriers to services
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n nAbout the Role
nThe Peer Care Transition Specialist serves as a vital support and advocacy resource for individuals transitioning from hospital and behavioral health settings back into the community. Reporting to the Regional Director of Clinical Behavioral Health and Peer Integration Services, this role works collaboratively with hospital staff, behavioral health providers, Hudson Valley Care Coalition (HVCC) network partners, and community-based organizations to promote continuity of care, reduce barriers to treatment, and strengthen long-term recovery outcomes.
nUsing lived experience and a recovery-oriented, trauma-informed approach, the Peer Care Transition Specialist helps individuals navigate post-discharge services, engage in behavioral health and medical care, and access community-based supports that promote wellness, stability, and independence. This position also supports Social Care Network (SCN) initiatives through screenings, referrals, and coordination of Health-Related Social Needs (HRSN) services.
nWhat You’ll Do
nnnProvide peer-based support, mentorship, advocacy, and engagement to individuals during hospitalization and throughout their transition back into the community
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nnServe as a bridge between hospital-based care, outpatient clinics, peer support services, and community-based providers to promote continuity of care and successful community reintegration
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nnCollaborate with hospital staff, HVCC network providers, care managers, Health Homes, behavioral health providers, and community organizations to support safe discharge planning and coordinated care
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nnFacilitate warm handoffs and ongoing engagement with outpatient clinics, peer support staff, and community programs to strengthen treatment connection and reduce barriers to care
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nnSupport individuals in attending post-discharge behavioral health, medical, and primary care appointments through care coordination, reminders, transportation assistance, and follow-up outreach
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nnConduct forty-eight-hour, seven-day, and thirty-day post-discharge follow-up contacts, as appropriate
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nnAssist individuals in identifying goals, strengths, needs, and barriers related to recovery, wellness, and successful community reintegration
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nnConnect individuals and families to community-based resources, including housing supports, food assistance, transportation, benefits, care management, and other social care services
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nnComplete Social Care Network (SCN) screenings, assessments, referrals, and navigation activities in compliance with program and payer requirements
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nnCollaborate with HVCC network providers and community partners to ensure timely linkage to eligible Health-Related Social Needs (HRSN) services
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nnUtilize lived experience appropriately to provide encouragement, hope, mentorship, and recovery-focused support
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nnAdvocate alongside individuals to ensure their preferences, goals, and needs are reflected in discharge planning and ongoing treatment services
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nnMaintain accurate and timely documentation within electronic health records and required data systems
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nnParticipate in multidisciplinary meetings, provider collaborations, and community workgroups focused on improving transition and diversion outcomes
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nnEducate individuals, families, and community partners on available supports, recovery resources, and Independent Living philosophy
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nnTransport individuals to appointments and community-based services, as appropriate
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nnMaintain confidentiality and compliance with all applicable policies, procedures, and regulatory requirements
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n nRequirements
nThe Ideal Candidate Will Have
nnnPersonal lived experience as a former or current recipient of mental health, substance use, disability-related, or other human service systems, with comfort using appropriate self-disclosure to support participants
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nnA High School Diploma or GED required
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nnBasic computer proficiency and experience navigating electronic health records, referral systems, and documentation platforms
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nnA valid, unrestricted driver’s license and reliable transportation
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nnDemonstrated ability to build trusting relationships and effectively engage individuals transitioning from hospital or structured care settings back into the community
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nnStrong communication, advocacy, interpersonal, and engagement skills with the ability to work effectively with diverse populations
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nnThe ability to recognize barriers to care and support individuals in accessing behavioral health, medical, independent living, and community-based services
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nnExperience collaborating with hospitals, behavioral health providers, care managers, Health Homes, and community organizations
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nnStrong organizational and time management skills with the ability to work independently in a fast-paced environment
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n nIt Would Be a Plus If You Also Have
nnnAssociate’s or Bachelor’s Degree in Human Services, Social Work, Psychology, Rehabilitation, or a related field preferred
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nnExperience working in peer support, behavioral health, healthcare navigation, hospital discharge planning, care coordination, community outreach, or independent living services
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nnNYCPS (New York Certified Peer Specialist), CRPA (Certified Recovery Peer Advocate), or willingness to obtain certification within one year
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nnKnowledge of Medicaid populations, health equity initiatives, Social Care Networks (SCN), Health-Related Social Needs (HRSN), HCBS, and community-based referral systems
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nnExperience working with individuals with mental health disabilities, co-occurring conditions, or complex healthcare and social care needs
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nnFamiliarity with UniteUs, Foothold, or similar electronic documentation and referral systems.
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nnBilingual English/Spanish skills
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nnKnowledge of American Sign Language (ASL)
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n nSuccess in This Role Will Be Demonstrated Through
nnnSuccessful engagement and support of individuals transitioning from hospital settings back into the community
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nnIncreased attendance and participation in post-discharge behavioral health, medical, and recovery-oriented services
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nnStrong collaboration and communication with hospital teams, HVCC providers, peer specialists, and community partners
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nnEffective completion of SCN screenings, referrals, and coordination of Health-Related Social Needs services
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nnReduced barriers to care and strengthened continuity of treatment and recovery supports for individuals served
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nnAccurate, timely, and compliant documentation, reporting, and follow-up activities.
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nnThe ability to empower individuals through peer support, advocacy, mentorship, and recovery-focused engagement
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nnPositive contributions to multidisciplinary teams, transition planning efforts, and improved community reintegration outcomes
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n nBenefits available to you include
nnnPaid holidays from the first day of employment
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nnPaid lunch break
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nnPaid time off
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nn401(k) with company match
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nnHealth, Dental and Vision insurance
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nnFlexible Spending Accounts (FSA)
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nnCompany provided Life, AD&D and Short- and Long-Term disability insurance
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nnVoluntary insurances including Critical Illness and Hospital Indemnity
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n nWe actively support an inclusive hiring process and encourage people with disabilities, visible and non-visible, to apply. If you require reasonable accommodation to support the application or onboarding process, please contact Latoya Merricks at .
nILI is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability status, veteran status, or any other characteristic or status protected by applicable law.
nTo apply, visit us at
nSalary Description
n$25.00/hr
Worksite address
chappaqua, NY, 10514, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.