Discharge Coordinator

PRIMARY DUTIES & RESPONSIBILITIES

• Monitor and evaluate consumer needs, including prevention, wellness, medical, mental health, care transitions, and social and community services where appropriate.
• Maintain up-to-date consumer charts including referrals and outcomes.
• Support adherence to treatment plan recommendations.
• Assist consumers in navigating the subsidized housing identification and application process.
• Complete 2010e applications on all residents seeking subsidized housing.
• Affix necessary paperwork and accompany residents to interviews.
• Follow up with supportive housing agencies and ensure safety and affordability of housing units.
• Link consumers to instrumental support services such as Medicaid, Medicare, Social Security, food stamps, home health care, Senior Citizen Rent Increase Exemption (SCRIE), and home delivered meals prior to discharge.
• Link consumers to psychosocial/healthcare support services (e.g. SUD recovery supports, aftercare, mental health, primary care, social adult day services, senior centers, etc.) prior to discharge.
• Attend regularly scheduled staff meetings and case conferences.
• Attend all required in-service training seminars.
• Participate in quality improvement activities.

REQUIREMENTS

• Bachelor’s Degree or Associate’s Degree with two (2) years of related experience in health insurance, care coordination, entitlement, or housing placement services for low income and/or homeless populations.
• Experience providing service coordination and information, linkages, and referrals for community-based services.
• Knowledge of city, state, and federal guidelines for public and private low-income housing, entitlements and health insurance.
• Ability to research and network with other agencies/community based services to meet a variety of client needs.
• Proficiency with computer operation (Microsoft Word, Excel, AWARDS, and Outlook programs).
• Excellent written and verbal communications skills.
• Must be able to work a flexible schedule.