Behavioral Health Case Manager & Hospital Coordinator

Mindoula Health

1d•$21 - $25•Hybrid

About The Position

The Readmissions Reduction Case Manager & Hospital Coordinator oversees and administers the Readmissions Reduction Program at MedStar Washington Hospital Center and in the community. This implementation-focused dual role builds hospital relationships, coordinates staff, participates in hospital rounds and clinical meetings, manages participant intake and operational flow, and provides case management for clients with mental illness and/or substance use disorders. The Hospital Coordinator works with hospital and program leadership, medical and social work staff, emergency department and crisis intervention teams, and case managers to ensure documentation and patient data are complete, support timely intakes and case assignments, maintain tracking data, and facilitate care coordination and program implementation. The Case Manager assesses and supports clients’ mental and physical health, safety, recovery, and ability to remain in the community. The role includes counseling, crisis response, care planning and coordination, referrals, discharge support, client and family education, recordkeeping, and collaboration with treatment teams and community partners. The position is hybrid, with approximately 50% of work from home and 50% on-site at MedStar Washington Hospital Center and in the Washington, D.C. community.

Requirements

Bachelor’s degree in psychology, social work, or another behavioral health discipline from an accredited college or university.
2–4 years of relevant behavioral health experience providing case management, counseling, and/or crisis intervention.
Knowledge of community resources, social determinants of health, mental health and/or substance use disorders or disabilities, trauma-informed care, recovery- and resiliency-oriented services, benefits, and social issues.
Knowledge of benefits including SSDI, SSI, Medicaid, Medicare, LTC Medicaid, LTC, STD, LTD, Food Stamps, and Housing Vouchers.
Excellent computer skills and experience with Google Suite and Microsoft Office software.
Detail-oriented and able to multitask.
Excellent oral and written communication skills.
Able to work in a fast-paced environment with a strong sense of urgency.
Able to handle confidential information discreetly and demonstrate a high level of client service and responsiveness.
Able to work effectively independently and as part of a team, meet performance goals and deadlines, and take a proactive approach to problem-solving.
Able to provide case management in routine and crisis situations.
Able to react immediately and calmly to crises, assess serious issues including potential suicide, and build rapport with clients.
Able to plan, organize, manage time, prioritize tasks, and follow through effectively.

Responsibilities

Coordinate with leadership to ensure all hospital documentation is received.
Participate in clinical meetings with the hospital medical team and provide case managers with daily, accurate written client documentation.
Gather and record required patient and hospital data.
Collaborate with case managers to provide and obtain necessary patient information.
Assist leadership with assigning patients to case managers as needed.
Enter timely and necessary information into the hospital-specific tracking mechanism.
Ensure intakes are completed in a timely manner before discharge.
Coordinate with emergency department and crisis intervention service staff to help deter unnecessary admissions.
Work with hospital leadership to implement the program and maintain positive relationships with hospital staff.
Liaise between hospital medical and social work staff and Mindoula to support streamlined care coordination.
Promote and provide education about Mindoula’s case management services and advise leadership on care coordination best practices.
Counsel clients with mental and/or physical disabilities to support recovery, adjustment, and positive life changes.
Help clients develop skills and strategies to manage problems and triggers, increase relapse prevention, and reduce risk.
Educate clients about illness, abuse, medication, and available community and social resources.
Assess client risk and respond to crises, including formulating and carrying out interventions to ensure client safety.
Develop interventions with internal and external programs, taking clients’ cultural, educational, and religious needs into account.
Identify triggers and environmental barriers through interviews and record reviews, and make reasonable accommodations as needed.
Prepare and maintain required records, reports, paperwork, and diagnostic records while protecting client confidentiality.
Communicate with clients, families and caregivers, staff, and treatment teams, and produce accurate documentation.
Collaborate with treatment team members to plan and coordinate care, evaluate client conditions, and assess needs.
Provide appropriate education and information to clients’ families while maintaining confidentiality.
Evaluate clients’ mental and physical conditions through assessments, interviews, record reviews, and consultation with treatment professionals.
Arrange and monitor psychiatric and medical services, supports, social and vocational opportunities, and treatment referrals.
Help clients follow discharge plans, including setting up appointments, arranging transportation, and providing support.
Plan, develop, and implement social services and activities that meet legal and professional standards.
Plan and coordinate discharge from care and treatment facilities as needed.
Apply knowledge of local, state, and federal programs and comply with related policies, procedures, and regulations.
Use knowledge of Social Security benefits and public assistance programs to support clients.
Assess problems, identify causes, gather relevant information, develop solutions, and make recommendations or resolve issues promptly.
Respond calmly and promptly to crisis situations, assess serious risks such as potential suicide, and build rapport with clients.
Respond to inquiries and concerns from clients, caregivers, agencies, and community members, and inform staff of opportunities to address reported problems.
Complete and submit timely, professional documentation of services, including case notes.
Liaise and collaborate verbally and in writing with colleagues regarding client needs and wellbeing.
Operate in accordance with applicable laws, regulations, policies, and procedures; report suspected violations and cooperate with organizational investigations, while meeting health information management requirements.
Develop, maintain, and strengthen partnerships inside and outside the organization.
Plan, organize, manage time, prioritize multiple tasks, follow through effectively, and take independent action to address needs.
Work cooperatively with others to set goals, resolve problems, and make decisions that support organizational effectiveness.
Respond positively to supervision and recommendations for improved performance.