Discharge Coordinator

Discharge Coordinator

At TASC (Treatment Alternatives for Stronger Communities), our mission is to empower people and strengthen communities with impactful services. Since 1976, we have been guided by the belief that every individual holds the potential for positive change. We advocate, support, and most importantly, empower people to break barriers, find recovery, and reshape their destinies. Through Specialized Case Management, we create a world where recovery, justice, and empathy lead to thriving communities. Our foundation is anchored at the intersection of behavioral health and the criminal legal system. Today, TASC also operates at the forefront of transformative solutions. We are a social impact organization that embodies a future where health, safety and justice is synonymous with hope. We are TASC!

The purpose of this position is to stabilize patients after they have experienced an acute mental health episode upon discharge from the emergency room and inpatient psychiatric units. The Discharge Care Coordinator is responsible for the provision of community transition services and brief therapy for patients through the HFS-funded Healthcare Transformation grant opportunity. The Discharge Care Coordinator will engage patients while they are in the hospital and coordinate with hospital staff to ensure discharge instructions are understood and that care transitions are seamless. The Discharge Care Coordinator is expected to assist in stabilizing individuals as they are discharged in the community through securing necessary resources and supports, and assisting in immediate safety planning and addressing care needs. In addition, they will assist in enrolling individuals into full Collaborative Bridges team services.

• Partner with Collaborative Bridges staff to provide identified clients with linkages to comprehensive medical care in addition to any Medication Assisted Recovery or other evidence-based programs for their identified substance use disorder.
• Provide referrals/linkages to clients for identified needs and coordinate outreach services to community-based social service agencies that address Health-related social needs (HRSNs).
• Work with clients to remove barriers to care, including insurance, transportation, child care, etc.
• Work as part of an interdisciplinary team, including both the hospital and Collaborative Bridges staff.

Essential Duties & Responsibilities:

• Provide trauma-informed brief therapy for individuals with mental health needs to ensure successful community stabilization and transitions of care from hospital settings.
• Complete Follow-up to hospitalization screenings for consumers discharging from inpatient psychiatric units and emergency room settings for substance abuse and mental health presentation.
• Assist with ensuring hospital discharge recommendations are understood by the consumer and followed through with by the patient.
• Ensure interventions are recovery-oriented, culturally congruent, and developmentally appropriate
• Understand risk assessment, safety planning, and de-escalation interventions.
• Engage natural and family support to strengthen the individual's participation and engagement.
• Deliver services within hospital, office, and community settings.
• Provide warm linkage, care coordination, and resource acquisition services as indicated.
• Ensure successful linkage to long-term care providers as indicated.
• Maintain high-quality documentation of all case work, completed in a timely manner, and consistent with outlined program policies and licensure requirements.
• Prepare written service plans, incorporating input from consumers, families, involved service providers, and wraparound team members, and clearly identifying problem areas and needs, strategies, and service objectives.
• Work collaboratively with interdisciplinary teams and health care team members, both internal and external to the organization, to improve patient care through effective utilization and monitoring of health care resources.
• Maintain effective communication and coordination with the paired hospital and participate in hospital meetings.
• Knowledge of DSM V and ASAM criteria.

Our Ideal candidate:

• Bachelor's degree preferred in healthcare, human services, or related field from an accredited college or university with at least three years of experience in a related field.
• Ability to obtain CADC certification within the first two years in the field
• Must be able to function independently and work effectively with individuals, support agencies, and stakeholders
• Ability to manage from data and reports to ensure the goals and objectives of the program are being met
• Knowledge of human behavior and performance for assessing and treating substance abuse disorders.
• Good communication and organizational skills
• Ability to work with a diverse population

Our benefits package includes:

• Medical/Dental/Vision/Life Insurance and Flexible Spending
• Paid Leave - Short-term Disability (STD)
• Paid Time Off/Sick Time/ Floating Holiday
• Tuition Reimbursement
• 403 B (retirement plan)

The agency currently offers hybrid work schedules that combines in-office and remote work. Employees are required to report to the work site three days per week with the option to work up to two days remotely.

TASC is an Equal Opportunity Employer and a Drug Free workplace. The agency does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran or military status or any other protected status in accordance with federal and state law.

TASC, Inc. (Treatment Alternatives for Safe Communities)