Title:Continuing Care Coordinator

ID:5730-1143

Department:Clinical

Location:Westhampton Beach

Description

MAIN FUNCTION:

• To oversee the coordination and provision of timely discharge/continuing care planning for patients in treatment and patients going to Seafield sober homes, thereby enhancing the next level of care.

• This position is classified as Essential Day 2 for emergency closure purposes.

  ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Schedules and conducts individual discharge planning session with patients.

• Enter progress notes and other clinical documentation, including discharge bundle, into the EMR.

• Coordinate patient transportation upon discharge.

• Interfaces directly with case managers as to patient’s input/commitment to this process.

• Act as liaison between this facility and facility projected to provide next level of care.

• Schedule outpatient appointment on EMR scheduling calendar.

• Make referrals to appropriate community services and outside providers.

• Explores usage of potential continuing care service providers.

• Coordinate a telehealth appointment for current patients and Seafield outpatient facilities

• Conduct screenings and approvals for patients going to Seafield recovery housing

• Handle the placement of all patients going into Seafield managed sober homes

• Handle the admissions and discharges of all patients in Seafield managed sober homes

• Forward weekly census to house managers and outpatient facilities.

• Maintain accurate, up to date, house census and keep outstanding Resources balances.

• Screen and answer calls from potential and past or present house residents and referral sources.

• Liaison with Outpatient facilities regarding potential admission placement.

• Screen outside provider biopsychosocial evaluations for housing admission criteria.

• Maintain accurate, up to date, house census and keep outstanding Resources balances.

• Forward weekly census to house managers and outpatient facilities.

• Office duties to include – typing memos, letters, correspondence and reports as needed.

• Maintain daily contact with house managers.

• Complete monthly housing referral source report.

• Perform other duties as assigned.

  COMPETENCY REQUIREMENTS:

• Knowledge of referral sources

• Individual counseling

• Discharge and Referral

• EMR documentation

• Proficient in computer usage including EMR System, Microsoft Outlook and other information systems.

• Followup calls

  EDUCATION AND QUALIFICATIONS:

  Bachelor’s Degree preferred and minimum of one-year experience in discharge planning. CASAC preferred. Supervisory experience preferred.

  PHYSICAL DEMANDS:

  The physical demands described here are representative of those functions that must be met by an employee to successfully perform the essential functions of this job.

• While performing this job, the employee is required to talk and hear. Specific vision abilities required by this position include close vision, distance vision and the ability to adjust focus.

• This is a largely sedentary role and involves sitting most of the time. Walking and standing are required occasionally.

• The employee must have the ability to use a computer keyboard, mouse, calculator, copier, fax machine, scanner and telephone.

  Full Time Availability $19-$21