Discharge Planner

PEO • Dublin, GA

1d • Onsite

About The Position

The Community Service Board of Middle Georgia is seeking a Discharge Planner for its new Behavioral Health Crisis Center (BHCC) in Dublin, Georgia. The facility has 40 patient beds, including 24 crisis stabilization beds and 16 temporary observation beds, and serves voluntary and involuntary patients experiencing behavioral health crises. The center provides safe, structured stabilization and support to help individuals begin recovery.

The Discharge Planner initiates case management at admission, gathers and documents information about each person’s treatment history, needs, strengths, preferences, and resources, and coordinates with external providers, families, and support systems—with consent—to establish safe and effective discharge plans. The role addresses barriers to care, coordinates referrals and follow-up services, prepares discharge documentation, communicates critical clinical information to receiving providers, and supports continuity of care through post-discharge outreach. The position also assists with unit support and admissions as needed.

Requirements

• High school diploma or GED equivalent.
• Valid Georgia driver’s license.
• Effective verbal and written communication skills.
• Strong interpersonal skills and the 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 services at admission by interviewing individuals about prior treatment, current services, and existing case management involvement.
• Collect and document comprehensive information about each individual’s needs, strengths, preferences, and access to basic resources.
• Document how identified needs and barriers are addressed throughout the individual’s stay.
• Collaborate with external providers and agencies to coordinate care, obtain treatment history, and ensure continuity of services.
• Obtain appropriate Releases of Information for communications.
• Communicate with individuals and, with consent, their families or support systems to develop and facilitate safe, effective discharge plans.
• Identify and address barriers to care, including access to medications, transportation, appointments, financial resources, and follow-up services, and document 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 to support placement.
• Arrange and confirm follow-up appointments before discharge and inform individuals about aftercare plans, appointment details, locations, and open-access hours.
• 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 properly filed.
• Review discharge plans with individuals before discharge and explain aftercare services and expectations.
• Communicate suicide risk status and other critical clinical information to receiving providers.
• Coordinate transportation at discharge and assist with transport when necessary.
• Maintain accurate records in the electronic health system, 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.
• Maintain a log of follow-up 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.

Benefits

• Medical, dental, and vision plan options.
• Paid time off with companywide flexibility.
• 401(k) plan with company match.
• Short- and long-term disability plans.
• Access to an Employee Assistance Program (EAP).
• Paid training time.
• Opportunities for career growth and advancement.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED