Case Manager/Discharge (1525 Site)

Job Description

Job Description

TITLE: 

Case Manager / Discharge 

OVERVIEW: 

Providing compassion and care isn’t just our profession at PHRI, it’s our passion…and culture. We care for the clients that we serve. We listen to them and provide the support that they need to enable them to live comfortable and fulfilling lives. Our drive is to restore hope and healing to the community. We are looking for mission driven professionals who want to join a transformational company with a big heart and make a difference in the community. 

Currently serving over 1,500 patients in two different states and looking to grow to over 10,000 patients in 5 states, over the next 3-5 years. Its focus is advocating and implementing integrated care model approach to underserved population undergoing behavioral health related issues. 

REPORTS TO: 

 

CLASSIFICATION: 

 

DATE APPROVED: 

July 2025 

LOCATION: 

Washington D.C. 

FTE 

1.0 

ENVIRONMENT/PHYSICAL DEMANDS 

Standard Office / Sit, stand, walk, lift 15 lbs 

POSITION SUMMARY: 

 

The Case Manager / Discharge Coordinator plays a central role in supporting clients through their recovery journey by providing comprehensive case management, discharge planning, and linkage to community-based resources. This role ensures continuity of care through effective coordination of services during and after treatment and works to remove barriers to post-treatment success. 

 

DUTIES AND RESPONSIBILITIES 

• Conduct intake interviews and biopsychosocial assessments to gather client history, needs, and goals.
• Develop, review, and update individualized case management plans in coordination with treatment teams.
• Assist clients in navigating housing placement, transportation, job readiness, education access, and other wraparound services.
• Facilitate discharge and aftercare planning, including referrals to outpatient services, primary care, peer support, and community programs.
• Coordinate case conferencing with family members, legal representatives, and external stakeholders as needed.
• Document client progress, contacts, and service outcomes accurately in the EMR system.
• Monitor service utilization, client engagement, and risk factors that may impact successful discharge.
• Attend interdisciplinary team meetings and participate in client staffing and review.
• Advocate for client needs in coordination with community agencies and providers.
• Provide support in crisis situations and connect clients with emergency services if needed.