Hospital Transition Coordinator: Behavioral Health Homes- 7139

Community Health ResourcesManchester, CT
$19Onsite

About The Position

This role provides high-quality hospital transition care and coordination, including medical, behavioral health, and other community-based services to designated participants with SPMI and/or chronic health conditions. The coordinator develops and maintains strong working relationships with medical and behavioral health hospital inpatient units, emergency departments, and community medical providers to enhance healthcare outcomes and connection to services. Key responsibilities include identifying clients admitted to and discharged from medical and behavioral health inpatient units, including DMHAS State Beds. For DMHAS State Beds, the role involves advocating for further testing/assessments, providing risk and treatment history, and identifying strengths and barriers to treatment and discharge. The coordinator facilitates communication between healthcare providers for scheduling follow-up appointments, medication reconciliation, arranging transportation, and other necessary services. Within the Behavioral Health Home (BHH) program, services include comprehensive care management, care coordination, health promotion, comprehensive transitional care, patient and family support, and referrals to community support services. The role also focuses on reducing healthcare disparities and advocating for clients' rights and access to services. Maintaining documentation in compliance with agency and program standards, and participating in staff meetings, supervision, and trainings are also required. Additional duties may be assigned.

Requirements

  • BA in human services required.
  • 2 years experience in mental health setting preferred.
  • Valid driver’s license.

Responsibilities

  • Provides high quality hospital transition care and coordination including medical, behavioral health and other community based services to designated participants with SPMI and/or chronic health conditions.
  • Develops and maintains good working relationships with medical and behavioral health hospital inpatient units, emergency departments and community medical providers to improve healthcare outcomes and connection to services.
  • Identifies designated clients being admitted to and discharged from medical and behavioral health inpatient units including DMHAS State Beds.
  • Advocates for further testing/assessments to identify the appropriate levels of care, provides a history of risk and treatment to identify strengths and barriers to current treatment and discharge (DMHAS State Beds Only).
  • Coordinates communication between medical and behavioral health care providers to provide proper scheduling of follow up appointments, medication reconciliation, arranging or providing client transportation, and other services as needed.
  • Provides BHH services including; Comprehensive care management, Care Coordination, Health promotion, Comprehensive Transitional Care, Patient and Family Support, Referral to Community Support Services.
  • Helps reduce health care disparities whenever possible. Advocates for clients’ rights and access to services.
  • Maintains documentation in compliance with agency and program standards.
  • Participates in staff meetings, supervision, trainings and other meetings as assigned.
  • Additional duties as required.

Benefits

  • Ample paid time off, including a special day off for your birthday!
  • Contributions to your 403b Retirement Plan.
  • Competitive health insurance premiums with added discounts on pet, auto, and home insurance!
  • Tuition reimbursement and professional development programs.
  • Student loan repayment assistance (Public Service Loan Forgiveness, Nurse Corps, NHSC/HRSA at select sites).
  • Exclusive tuition discounts for CHR employees at several local colleges/universities.
  • FREE robust training curriculum, featuring our brand-new Clinical Training Series for interactive learning, practical skill enhancement, and professional growth!
  • Clinical supervision and/or mentoring available at many programs.
  • Internal career fairs: connect with recruiters to discuss your career aspirations and the various opportunities available within our over 80 programs statewide.
  • Annual wellness stipend.
  • FREE premium subscription to the Calm app, for employees and their families.
  • Fun activities like coloring contests, lunch & learns, office seasonal decorating contests, employee appreciation events, and more!
  • Up to 6 FREE confidential counseling sessions per issue, per year, for individuals, couples, & families through our EAP program.
  • Participate in leadership luncheons with our CEO and various agency committees!
  • Weekly video updates from our CEO and monthly newsletters to keep you in the loop.
  • Many benefits are available to all staff, regardless of the hours worked, with some subject to eligibility.
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