Nurse Post Discharge Coordinator (Santa Rosa)

Nurse Post Discharge Coordinator

In collaboration with multidisciplinary team, provides quality services across discharge planning, crisis calls, referring to community-based resources, data collection, and documenting the patient's medical status post-discharge. The Post Discharge Crisis Coordinator will follow the expectations of the Zero Suicide protocol per Corporate's guidelines, and will also support in a hybrid role the hospital's nursing department. Serves as a member of interdisciplinary team supporting the organization's treatment program and philosophy, and assures the deliverance of quality treatment to patients and their support systems.

Key Responsibilities:

• Manages discharge reference tool/discharge calendar to ensure notification and documentation of daily discharges.
• Manages post-discharge tracking tool to ensure quality assurance measures for performance improvement.
• Manages and updates resource guides/lists per county and consumer as needed.
• Facilitates post-discharge coordination of care, linkages to appropriate resources, and connections to aftercare services to reduce recidivism rates.
• Ensures follow-up appointments are arranged/scheduled for psychiatrist and therapist within 7 days of discharge.
• Facilitates C-SSRS when calling a former patient who reports suicidality. For high scores, ensures linkages to crisis services specific to their county/location.
• Review and facilitate safety planning with former patients who require additional support. References Stanley Brown Safety Plan as needed.
• Documents all services provided in the patient's EMR.
• Checks voicemails daily and provides a call back within 24 hours.
• Maintains effective working and professional relationships and communications with internal and external customers.
• Supports department in administrative duties, auditing, and tracking data for QAPI and compliance.
• Assists with training and education to staff regarding measurable outcomes from data tracking, including updated resource information.
• Assists with training other staff competency with elements of this role as determined by hospital leadership.
• Upholds the Organization's ethics and customer service standards.
• Supports Nursing department with related tasks, and provide direct patient care when requested.
• Performs other duties, as assigned. Tasks are subject to change based on the growing needs of the hospital

Northern California Behavioral Health System