Hospital Discharge Planner - Phoenix, AZ (Phoenix Clinic)

Intermountain Centers•Phoenix, AZ

13d

About The Position

General Summary: The Hospital Dedicated Discharge Planner is responsible for outreach to members who meet wrap-around services criteria and high utilization of hospitals and level 1 facilities. The Hospital Discharge Planner will facilitate successful transition from a Level I or Crisis Facility to outpatient services or other appropriate level of care and promote recovery skill building and utilization of community/natural supports. JOB RESPONSIBILITIES: Successfully orient members to wrap-around services and outpatient/step-down services. Coordinate transportation assistance with hospital diversions and discharges as needed. Coordinates intensive outreach and case management services to members to avoid gaps in services and to provide continuity of care (including but not limited to diversion, educational activities, med cueing, emergency case management, environmental assessments, transportation, referrals, ART meeting, etc.). Helps enrolled members develop community and natural supports and development of community/natural support interventions. Assists members in implementation of Crisis/Safety planning. Communicate openly and effectively with treatment team. Coordinates with Outpatient staff, Hospital staff, Level I staff, and case management team staffs to facilitate transitional services, crisis intervention, and alternative plans as needed. Report progress daily, discuss issues with Supervisor under direction of Case Management Supervisor and coordinate interventions as needed. Utilize community resources and existing CPI support services to provide additional supports to members. Advocates for members, as needed, to ensure delivery of necessary services. Follows-up with member as needed to facilitate appropriate linkages until client is stable and ready for transition to standard case management. Maintains all appropriate records related to job duties. Completes comprehensive assessments and service plans.Completes an appropriate clinical staffing communication for all services rendered during business day. Coordinates with Crisis Response Network staff as needed. Provides ongoing, on-call crisis support for members phoning the after-hours facility. Performs other related activities in accordance with agency growth and changes.All clinical staff will participate in the rotation of “on-call” duties by the carrying of the company on-call cell phone. This duty includes overnight weekends and holidays. Responsible for following any policies, procedures, and controls established by the organization, the HIPAA Privacy Officer, and/or the HIPAA Security Officer regarding access to, protection of, and the use of the PHI. Performs other related duties as assigned.

Requirements

Education – Master's degree in a social work, psychology, counseling, or related behavioral health field; or Bachelor's degree in social work, psychology, counseling, or related behavioral health field.
Experience – At least three (3) year of experience working in the public behavioral health system (preferably with members with SMI)
Minimum 21 years of age.
DPS Level I fingerprint clearance (must possess upon hire and maintain throughout employment).
CPR, First Aid, AED certification, if required (must possess upon hire and maintain throughout employment).
Current, valid Arizona Driver’s License and 39-month Motor Vehicle Report and proof of vehicle registration liability insurance to meet insurance requirements, if required.
Initial current negative TB test result, if required (Employer provides).

Responsibilities

Successfully orient members to wrap-around services and outpatient/step-down services.
Coordinate transportation assistance with hospital diversions and discharges as needed.
Coordinates intensive outreach and case management services to members to avoid gaps in services and to provide continuity of care (including but not limited to diversion, educational activities, med cueing, emergency case management, environmental assessments, transportation, referrals, ART meeting, etc.).
Helps enrolled members develop community and natural supports and development of community/natural support interventions.
Assists members in implementation of Crisis/Safety planning.
Communicate openly and effectively with treatment team.
Coordinates with Outpatient staff, Hospital staff, Level I staff, and case management team staffs to facilitate transitional services, crisis intervention, and alternative plans as needed.
Report progress daily, discuss issues with Supervisor under direction of Case Management Supervisor and coordinate interventions as needed.
Utilize community resources and existing CPI support services to provide additional supports to members.
Advocates for members, as needed, to ensure delivery of necessary services.
Follows-up with member as needed to facilitate appropriate linkages until client is stable and ready for transition to standard case management.
Maintains all appropriate records related to job duties.
Completes comprehensive assessments and service plans.
Completes an appropriate clinical staffing communication for all services rendered during business day.
Coordinates with Crisis Response Network staff as needed.
Provides ongoing, on-call crisis support for members phoning the after-hours facility.
Performs other related activities in accordance with agency growth and changes.
All clinical staff will participate in the rotation of “on-call” duties by the carrying of the company on-call cell phone.
Responsible for following any policies, procedures, and controls established by the organization, the HIPAA Privacy Officer, and/or the HIPAA Security Officer regarding access to, protection of, and the use of the PHI.
Performs other related duties as assigned.