The Peer Care Coordinator provides peer-delivered, trauma-informed, culturally responsive, harm-reduction–aligned care coordination for individuals impacted by substance use. The position focuses on low-barrier engagement, warm handoffs to treatment and recovery supports, and continuity of care—including participants who are uninsured/underinsured and/or not currently enrolled in Medicaid, consistent with block-grant access expectations.

 

This role supports requires service documentation, service episode/outcome tracking, and reporting needed for state and federal block grant oversight and related reporting needs.

 

Essential Functions & Responsibilities

1) Low-Barrier Outreach, Engagement, and Peer Support

• Conduct field-based outreach and engagement in community settings (including shelters, transitional housing, and unsheltered settings), using **harm reduction, motivational engagement, and peer support** approaches.
• Establish trust, reduce stigma, and support participant choice, self-determination, and safety planning.
• Provide culturally responsive support for youth and adults impacted by housing instability and/or justice involvement.

2) Screening Support, Navigation, and Warm Handoffs

• Support program intake and initial engagement workflow (as defined by ICAN/Carelon/Pierce County contract).
• Coordinate and complete warm handoffs to SUD services and recovery supports (e.g., assessment, outpatient/IOP, withdrawal management, residential, MOUD, recovery housing, peer groups, mutual aid, culturally specific supports).
• Troubleshoot barriers to access (transportation, ID, appointment readiness, communication, benefits/coverage navigation, paperwork, provider availability).

3) Person-Centered Care Coordination (Service Planning + Follow-Up)

• Develop and maintain a participant-centered service plan aligned to participant goals (stabilization, safety, treatment engagement, recovery supports).
• Maintain consistent follow-up (calls/texts/in-person) to promote engagement, retention, and continuity of care, including transitions between levels of care and post-discharge supports.
• Coordinate supportive services addressing social drivers of health (housing navigation, food/basic needs, employment/education linkage, primary care/behavioral health connections).

4) Cross-System Collaboration (Pierce County Network)

• Coordinate with shelters, outreach teams, treatment providers, hospitals/crisis services, recovery organizations, probation/CCOs, courts, schools, and community partners to support continuity of care.
• Participate in case staffing/case conferencing as directed; communicate timely participant updates consistent with privacy rules and signed consents.

Deliverables, Documentation, Data Collection & Reporting

Service Documentation

• Document all participant contacts and care coordination activities accurately and timely in ICAN’s required documentation system(s) and any Carelon-required processes.
• Record service encounters, referrals, warm handoffs, follow-up attempts, and outcomes in a manner that supports service episode and outcome data needs for block grant reporting.

Data-Sharing & Reporting Requirements (Carelon / BHSD)

• Support required data collection for block grant oversight, quality improvement, and any state/federal reporting expectations tied to the grant.
• For SUD-related data exchange with Carelon Behavioral Health, complete required administrative steps such as Carelon’s Confidentiality and Non-Disclosure Agreement (CNDA) when applicable to SUD providers/data-sharing.

Performance/Outcome Tracking

The Peer Care Coordinator is responsible for tracking and supporting documentation for measures such as:

• # of individuals engaged (unduplicated)
• # of care coordination encounters/contacts
• # of referrals made (by type) and referrals completed
• # of warm handoffs completed
• linkage to treatment within defined timeframes (as set by program)
• retention indicators (kept appointments, continued engagement)
• housing/benefits/primary care linkages when in scope
• discharge/transition planning completion where applicable

 

Compliance & Confidentiality

* Maintain strict compliance with HIPAA and 42 CFR Part 2 confidentiality requirements for SUD-related records and disclosures, including obtaining appropriate written consents and limiting disclosures consistent with law.

* Follow Washington State and Carelon guidance on sharing SUD information and ensure information exchange is consistent with state/federal privacy rules.

* Participate in monitoring, reviews, audits, and corrective actions as required by ICAN and funders; maintain complete records to support block grant accountability and reporting.

* Maintain professional boundaries, ethical conduct, and safe field practices; use de-escalation strategies and adhere to ICAN safety protocols.

Minimum Qualifications

* High school diploma/GED required; additional training/college coursework in human services/behavioral health preferred.

* Lived experience relevant to recovery and peer support work, with demonstrated readiness to provide peer services in a professional role.

* Experience working with individuals impacted by SUD, homelessness, and/or justice involvement (professional, volunteer, outreach, or peer roles).

* Ability to complete timely documentation and basic data entry.

Preferred Qualifications

* Washington State Peer credential (or ability to obtain per program requirements).

* Familiarity with Pierce County behavioral health/SUD resources and referral pathways.

* Experience with harm reduction, engagement in non-traditional settings, and cross-system coordination.

Required Skills & Competencies

* Strong engagement, motivational communication, and problem-solving skills

* Ability to manage a caseload, prioritize follow-up, and document consistently

* Ability to collaborate with multidisciplinary teams and partners

* Comfort working in field settings and navigating crisis-prone environments safely

Working Conditions

* Frequent community-based work in shelters, transitional housing, street outreach settings, and partner sites.

* May require travel across Pierce County; valid driver’s license/insured vehicle or reliable transportation preferred.

Supervision & Training Requirements

* Receives reflective supervision and/or clinical oversight as defined by ICAN program design.

* Completes onboarding and annual refreshers on: confidentiality (HIPAA/42 CFR Part 2), documentation standards, mandated reporting (if applicable), de-escalation, and field safety.

Success Indicators (Performance Expectations)

* Timely engagement and follow-up with participants

* Documented warm handoffs and successful linkages to SUD treatment/recovery supports

* Complete, accurate documentation that supports required block grant reporting and outcome tracking (Washington State Health Care Authority)

* Positive partner collaboration and professional conduct in community settings

Inner-City Action Network (ICAN) 

Tacoma & Pierce County, Washington

 Join the Movement. Heal the Community. Support Recovery.

Inner-City Action Network (ICAN) is seeking passionate individuals with lived experience in recovery to serve as Substance Use Disorder (SUD) Peer Specialists and Transformative Mentors. 

Peer Specialists use their lived experience to support individuals on their journey toward recovery, healing, stability, and community reintegration. 

This role is ideal for individuals who believe in second chances, mentorship, and the power of community healing. 

Position Details

Position Title: SUD Peer Specialist – Transformative Mentor 

Location: Tacoma / Pierce County 

Schedule: Part-Time (16–24 hours per week). Some evenings and weekends required 

What You Will Do

 • Provide peer mentoring and recovery support
• Support individuals navigating substance use recovery
• Connect participants to treatment, housing, employment, and community resources
• Facilitate **peer support circles and mentoring sessions
• Promote **healing-centered engagement and accountability
• Maintain documentation and participant contact records 

 

WHO WE'RE LOOKING FOR

We are seeking individuals who:
• Have lived experience with substance use recovery
• Are passionate about helping others heal and grow
• Can build trust with individuals impacted by trauma and addiction
• Have strong communication and mentorship skills
• Believe in community healing and restorative support 

 

Preferred Qualifications
• Washington State Certified Peer Specialist (CPS) or willingness to obtain certification
• Experience working with youth, adults, fathers, or justice-involved individuals
• Knowledge of recovery support services and behavioral health resources 

ICAN CORE VALUES
• Involvement
• Consistency
• Awareness
• Nurturing 

At ICAN we believe:
“Healing the Man. Strengthening the Family. Empowering the Community.”

 

Why Join ICAN?
This is more than a job — it is an opportunity to **transform lives and strengthen our community.

Peer Specialists help individuals:
• Build recovery pathways
• Break cycles of addiction and trauma
• Reconnect with family and community
• Discover purpose and leadership

Apply Today
Submit your resume and a brief statement about your recovery journey and passion for mentoring.
Inner-City Action Network (ICAN)
Tacoma / Pierce County, Washington
Email:[email protected]
Phone: 253.2559705

Inner-City Action Network is an equal opportunity employer committed to hiring individuals with lived experience.