Disengagement and Discharge Specialist

Responsibilities

• Develops, adheres to, and documents daily schedule of interventions
• Informs supervisor of scheduling conflicts or changes and maintains accurate record of daily activities using the Outlook calendar resource
• Completes the appropriate forms and additional paperwork to formally discharge a client from programming, ensuring revocation of consent wherever necessary, in accordance with policy
• Edit or complete client centered comprehensive functional assessments, as needed, to identify the medical, behavioral health and social needs/goals of each client at the time of discharge
• Review and update written/electronic person-centered care plans
• Ensure that all Care Plans uphold the policy and procedure set forth by the department, and that a final copy is provided to the client at the time of discharge
• Utilizes the Electronic Health/Medical Record, Avatar and other required platforms to ensure accurate documentation
• Utilizes the appropriate documentation format for each member and ensures timely documentation of each encounter
• Responds to inpatient and ER admission alerts and contacts medical provider/hospitals for admission/discharge information
• Recognizes member as a contributing member of care team through motivational interviewing techniques, continuous transference and reinforcement of self-management skills
• Provides support to member and family, including but not limiting to locating resources to eliminate barriers and advocating on behalf of member and their supports to ensure they have supports necessary to improve their health

Qualifications

• Bachelor's degree in human services or related field such as child and family studies, community mental health, counseling, education, nursing, occupational therapy, physical therapy, psychology, recreation, recreational therapy, rehabilitation, social work, sociology, or speech and hearing OR NYSED licensed Registered Nurse and a Bachelor´s Degree OR Bachelor´s level education or higher in ANY field with Five (5) years’ experience working directly with persons with behavioral health diagnoses
• An OASAS Credentialed Alcoholism and Substance Abuse Counselor (CASAC)
• Flexibility is needed as members may call outside of daily work schedule (24-hour call)
• Willingness to travel to members’ homes as needed
• Ability to complete mandated training on the New York State Community Mental Health Assessment Instrument and additional required training
• Computer literacy including proficiency in Microsoft Office Suite and EHR
• Experience working directly with people from diverse racial, ethnic and socioeconomic backgrounds
• Competency in written, interpersonal, verbal and computational skills to present and document records in accordance with program standards