Discharge Planner - Home Care jobs in New York, NY

We are an inpatient detox and rehab facility for those recovering from substance use disorders. We are seeking a discharge planner to function as a consultant for the discharge planning process within the facility, providing education and support to clients in the development and implementation of discharge plans.

TASKS AND RESPONSIBILITIES:

• Effectively provides clinical and psychosocial services to patients, involving patients’ support systems including family, friends, counselors, and treatment providers.
• Educates, coordinates, and collaborates with nurses, physicians, counseling staff and other interdisciplinary members of the team, to assure ongoing comprehensive care.
• Dependably coordinates and facilitates the development of individualized treatment plans and actively participates in interdisciplinary treatment team meetings.
• Provides thorough and accurate discharge planning information for initial treatment plans during interdisciplinary treatment team meetings.
• · Routinely and professionally collaborates with external agencies and providers of service in such areas as mental health and substance abuse to implement an effective, safe and individualized discharge plan.
• Coordinates and facilitates safe and appropriate discharge plans for patients which include case management referrals and follow-up with inpatient or outpatient appointments, which will address patients' identified needs.
• Routinely provides psychosocial education to patients and families as scheduled and as indicated in treatment plans.
• Responsible for coordinating referral follow-up and coordinating with post discharge referrals to confirm patients’ next level of care.
• Performs functions related to effectively and efficiently assisting patients through smooth, safe, and quality transitions for aftercare.
• Establishes and maintains relationships with community providers, referral sources, hospitals, and social support.
• Ability to research and create linkages based on patient needs.
• Effectively audits and insures the implementation of Individualized Treatment Plans, Psychosocial Histories and Integrated Summaries within established time frames.
• Regularly and safely assists with de-escalation of agitated patients utilizing approved techniques.
• Facilitate crisis invention approaches to engage patients in treatment activities.
• Assist with therapeutic programming around group engagement.
• Routinely demonstrates a sound understanding of and commitment to complying with OASAS program standards.
• Consistently displays cultural competence and sensitivity and ensures services provided incorporate patient-specific cultural values.
• Successfully attains/maintains competency with company electronic health record and uses it effectively within required time.
• Continuously maintains compliance with program standards.
• Consistently maintains compliance with staff development training.
• Completes all outcomes measures thoroughly and accurately.