Discharge & Aftercare Navigator

WellBridge Fort Worth; Fort Worth (TX); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health benefits

Paid time off

401(k) matching

Tuition assistance

Wellness programs

Job summary

WellBridge Healthcare Fort Worth is seeking a Discharge Coordinator to coordinate post-discharge plans and aftercare resources for patients, ensuring smooth transitions and timely communication with families and care teams.

The role requires a Bachelor's degree in Social Work, Counseling or equivalent, with CPR/De-escalation certification due within 30 days of hire and experience with psychiatric/chemical dependency patients preferred.

Qualifications

• Bachelor's degree in Social Work, Counseling or equivalent required.
• CPR and De-escalation certification required or obtain within 30 days of hire.
• Prior experience with psychiatric and chemical dependency patients preferred.
• Strong organizational, communication, and documentation skills.

Responsibilities

• Provide aftercare coordination for patients requiring ongoing medical or psychosocial support post-discharge.
• Create and maintain updated community resource listings for aftercare services.
• Schedule aftercare appointments identified by the patient's provider and therapist.
• Provide patients and families with resource information related to future care needs.
• Communicate proactively with clients, families, aftercare providers, and referral sources.
• Draft comprehensive discharge summaries and contracts for each assigned patient.
• Collaborate with the interdisciplinary team including physicians, utilization review, and nursing staff.
• Complete all required hospital and patient documentation thoroughly and in a timely manner.
• Apply appropriate crisis intervention and de-escalation skills during emergencies.
• Maintain confidentiality and ensure all HIPAA standards are upheld.
• Demonstrate working knowledge of clinical regulations including TJC, Medicaid, and state/federal laws.

Skills

Discharge planning

Communication

Documentation

HIPAA compliance

Crisis intervention

De-escalation

Education

Bachelor's degree in Social Work, Counseling or equivalent

Job description

WellBridge Healthcare Fort Worth is seeking a Discharge Coordinator to coordinate post-discharge plans and aftercare resources for patients, ensuring smooth transitions and timely communication with families and care teams.

The role requires a Bachelor's degree in Social Work, Counseling or equivalent, with CPR/De-escalation certification due within 30 days of hire and experience with psychiatric/chemical dependency patients preferred.