Discharge Planner

Community Service Board of Middle Georgia•Dublin, GA

4d•Onsite

About The Position

The Community Service Board of Middle Georgia is seeking a Discharge Planner for its new Behavioral Health Crisis Center in Dublin, Georgia. The facility has 40 patient beds—24 crisis stabilization beds and 16 temporary observation beds—and provides safe, structured, compassionate care to voluntary and involuntary patients experiencing behavioral health crises. The role supports safe transitions from the center by coordinating case management, discharge planning, referrals, follow-up care, and continuity of services.

Requirements

High school diploma or GED equivalent.
Valid Georgia driver’s license.
Effective verbal and written communication skills.
Strong interpersonal skills and ability to work effectively with diverse communities.
Ability to work independently and collaboratively.
Experience with Microsoft 365 Office products.
Ability to organize, prioritize, and meet deadlines.

Nice To Haves

Background in social work and case management.
Bachelor’s degree in a related field.

Responsibilities

Initiate case management at admission by interviewing individuals about prior treatment, current services, and existing case management.
Gather and document each individual’s needs, strengths, preferences, and access to basic resources, and document how needs and barriers are addressed during the stay.
Collaborate with external providers and agencies to coordinate care and obtain treatment history, securing Releases of Information for communications.
Communicate with individuals and, with consent, their families or support systems to develop and facilitate safe discharge plans.
Identify and address barriers involving medications, transportation, appointments, finances, and follow-up services, documenting interventions and resolutions.
Coordinate referrals and admissions to appropriate levels of care, including long-term care facilities, outpatient services, and community support programs; assist with insurance initiation when needed.
Arrange and confirm follow-up appointments before discharge and explain aftercare details to individuals.
Prepare, complete, and review interdisciplinary discharge summaries, including clinical benchmarks, health conditions, referrals, community resources, follow-up care, and 988/crisis information; ensure documentation is signed, finalized, and filed.
Review discharge plans with individuals before discharge.
Communicate suicide risk status and other critical clinical information to receiving providers.
Coordinate and arrange transportation at discharge and assist with transport when necessary.
Maintain accurate electronic health records, including verified contact information and completed ROI documentation.
Conduct follow-up outreach within seven days of discharge, making at least three attempts; complete additional documentation for individuals identified as high or moderate suicide risk and maintain a log of attempts.
Assist with Level of Care submissions, service orders, and suicide risk alerts as required.
Ensure treatment plan components are completed and supported by timely progress notes in the medical record.
Provide supervision and support to individuals on the unit as needed, including assisting with admissions and searches when necessary.
Update resource lists at least annually.
Complete required surveys, including initiating intake portions and coordinating follow-up components with community providers.
Perform additional duties as assigned to support patient care, safety, and continuity of services.