Behavioral Health Discharge & Aftercare Navigator

Advocate Health; Wauwatosa (WI); On-site; USD 52,000 - 70,000; Full time

Job summary

Advocate Health seeks a discharge planning professional to collaborate with treatment teams, coordinate timely discharges, and educate patients and families about the process. The role includes arranging aftercare services and liaising with community agencies to ensure smooth transitions.

Responsibilities also include coordinating with physicians, managing post-discharge follow-ups, and engaging readmitted patients to overcome barriers to treatment.

Qualifications

• Excellent oral and written communication skills.
• Experience in mental health environments, including crisis intervention.
• Proficiency with the Microsoft Office suite.

Responsibilities

• Assist with discharge planning and collaborate with the treatment team to complete the discharge in a timely manner.
• Communicate effectively with patients, families, the treatment team and community agencies to resolve issues affecting continuity of care.
• Provide program education to patients and families and document activity according to standards.
• Establish aftercare services including referrals for housing, transportation, meal services, peer supports and vocational referrals.
• Act as liaison with referral sources, employers/schools, EAP and community agencies to inform them of discharge plans.
• Serve as primary contact for Milwaukee County Emergency Detention patients and coordinate IP status decisions.
• Contact physicians daily for PHP patient transfers and manage the MD dashboard.
• Be the primary contact post-discharge for patient transition issues and transportation solution.
• Meet with readmitted patients within 30 days to discuss barriers and options for continued treatment.
• Provide program orientation and coordinate outreach to re-engage patients after discharge.

Skills

Communication skills

Crisis intervention

MS Office proficiency

Education

Bachelor's Degree in Social Work or related field

Tools

Microsoft Office (Word, Excel, PowerPoint, Access)

Job description

Advocate Health seeks a discharge planning professional to collaborate with treatment teams, coordinate timely discharges, and educate patients and families about the process. The role includes arranging aftercare services and liaising with community agencies to ensure smooth transitions.

Responsibilities also include coordinating with physicians, managing post-discharge follow-ups, and engaging readmitted patients to overcome barriers to treatment.