SMI Rehabilitation and Discharge Planner EMPACT

La Frontera Center Inc.•Maricopa, AZ

About The Position

The dual role of Rehabilitation and Discharge Specialist covers 50% of the Rehabilitation Specialist role and 50% of the Discharge Planner role. This person will be responsible for coordinating and monitoring rehabilitation-related services for consumers living with a serious mental illness. They will also provide case management and coordination for adults designated Seriously Mentally Ill.

Requirements

Bachelor’s degree in Psychology, Social Work, Family Studies, or other behavioral health related field.
Minimum of 2 years of case management or impatient experience in behavioral health.
Knowledge and understanding of best practices in psychiatric rehabilitation.
Strong clinical skills.
Knowledge of community resources.
Strong attention to detail.
Excellent organizational skills.
Time management and problem-solving skills.
Ability to communicate professionally and maintain a professional demeanor with internal and external team members, stakeholders, and community and business partners.
Excellent written and oral communication skills.
Proficient with Microsoft Office, Word, Excel, and Outlook.
Must have, or have, the ability to obtain a Level 1 fingerprint clearance card.
Demonstrated ability to remain calm in crisis situations, work independently and cooperatively, recognize personal limitations, and relate positively and with empathy to all persons regardless of age, race, creed, gender, or sexual orientation.

Nice To Haves

Master's degree preferred.

Responsibilities

Under the Vocational and Rehabilitation Services Interagency Governmental Agreement (IGA), works in partnership with assigned Rehabilitation Services Administration (RSA) Vocational Rehabilitation Counselor(s), community rehabilitation program providers and others involved in assisting consumer to become involved in or maintain involvement in meaningful community activities or employment.
Collaborate with the Employment/Rehabilitation Services Department to ensure the vocational and rehabilitation services IGA is implemented at the direct service level.
Utilize psychiatric rehabilitation best practices to assess consumers’ needs including living, learning, meaningful community activities paid/unpaid, create volunteer opportunities to assist consumers in reaching their desired goals.
Assesses, documents and provides the appropriate level of support and skill needed to assist consumers with pursuing and/or maintaining their living, learning, working and social leisure goals.
Provides continuous evaluation of the effectiveness of treatment through the ongoing assessment of the consumer, input from the consumer and relevant others, resulting in modification to the service plan as necessary.
Work cooperatively with RSA staff, vocational and rehabilitation providers, and other stakeholders to ensure preferred and most effective services are provided to consumers.
Educates team members as the subject matter expert regarding rehabilitation and vocationally-related issues, and provides ongoing technical training and support to the team as requested or indicated, including updates on available community resources, how to utilize the services of RSA VR Counselors and rehabilitation and employment providers.
Responsible for ensuring appropriate documentation is completed for each consumer including treatment plan recommendations, readiness assessments, progress or staffing reports, referrals to VR or providers, coordination sheets, etc. Ensure documentation is filed in appropriate section of charts.
Responsible for completing all required tracking and data collection reports as requested/required by Employment and Rehabilitation Services Department or ICS clinical management.
Educates team members of the importance of vocational/rehabilitation services and meaningful activities. Provides updates/information from quarterly Vocational Rehabilitation meetings to staff.
Assists the treatment team in formulating discharge plans and service planning for all clients in inpatient settings.
Participate in hospital staffing and treatment team meetings to assist in inpatient discharge planning.
Act as point of contact for the RBHA, hospital staff and other agency staff regarding discharge coordination.
May complete residential and housing applications as required for appropriate discharge.
Assist outpatient team in any Court Ordered Paperwork as required for admissions and discharges, including amendments. Work with the Court Coordinator to ensure paperwork is completed accurately and timely.
Assist in completing the Continuity of Care Plan and checklist and submission to the RHBA
Actively participate in the bi-weekly RHBA discharge coordination activities which includes providing up to date status on all activities related to discharge planning and prevention of re-admission
May complete face to face visits with clients during their inpatient admissions and assist in coordinating the BHMP to BHMP meetings.
Coordinate all paperwork required by inpatient team is received by inpatient team.
Assist outpatient team in discharge coordination including medications, transportation and belongings necessary for discharge.
May attend outpatient treatment team meetings to discuss and review inpatient clients.
May complete updates of service plans in conjunction with the treatment team.
Other duties as assigned, to include training and/or mentoring new staff.