Aftercare Coordinator - Case Manager

Hudson Health Services•Salisbury, MD

12d•$40,000 - $45,000

About The Position

Exciting opportunity to join our established and expanding organization. Accredited by The Joint Commission, Hudson Behavioral Health is a 501(c)(3), non-profit organization providing Behavioral Health Treatment in Salisbury, Maryland. Since its inception in 1980, Hudson Behavioral Health has been providing cutting edge treatment for Substance Use and other co-occurring disorders. Our services include Detoxification, Inpatient Rehabilitation, Partial Hospitalization, Treatment, Transitional Housing and Outpatient Mental Health. The Residential Aftercare Coordinator and Case Manager ensures smooth transitions from residential treatment to community-based care. This role provides discharge planning, coordinates aftercare services such as outpatient treatment, recovery housing, and MAT, and assists patients with applications for essential supports. The coordinator works closely with patients, families, referral sources, and the treatment team to promote continuity of care and positive recovery outcomes.

Requirements

Ability to work effectively with diverse populations and maintain a professional, client-centered approach.
Strong organizational, communication, and documentation skills, including proficiency in Microsoft Office and electronic health record (EHR) systems.
Ability to maintain confidentiality, ethical standards, and professional boundaries in compliance with HIPAA, 42 CFR Part 2, and agency policies.

Nice To Haves

Associate’s Degree in human services, psychology, social work, or a related field OR equivalent experience in case management or substance use/behavioral health services.
Previous experience working in addiction treatment, behavioral health, or case management.
Knowledge of community resources, recovery housing, MAT providers, and Maryland State Care Coordination programs.

Responsibilities

Develop and implement individualized discharge plans, ensuring linkage to appropriate outpatient treatment services (mental health, substance use disorder, and/or MAT), recovery housing, and other community-based supports.
Assist patients in completing applications for aftercare services, including State Care Coordination and other recovery resources.
Schedule and confirm patients’ initial follow-up appointments, providing written details (date, time, location, and contact information) prior to discharge.
Document all patient interactions, discharge planning activities, and referrals in the electronic medical record (EMR) in accordance with agency and regulatory standards.
Compile and transmit all necessary records to referral sources as part of the discharge packet (e.g., medical notes, lab results, psychiatric documentation, releases of information, and other required materials).
Coordinate with the clinical team to verify timely completion of discharge summaries, while providing additional medication information and ensuring transmission to referral sources within established timeframes.
Actively participate in interdisciplinary team meetings and maintain open communication with all treatment staff to support continuity of care.
Support patients in completing applications for essential services (e.g., Social Security benefits, health insurance, and vital records) within required deadlines.
Arrange patient transportation as needed and provide backup support to the Fleet Manager.
Perform additional duties as assigned by the Supervisor.
Attend community outreach events
Distribute literature, brochures, and other related materials to aftercare and community partners.
This position is part of a collaborative team of providers, where team members support and assist one another. It may be necessary to cover other roles in the event of staff absences.