Discharge & Care Transition Coordinator

Terros Health; Phoenix (AZ); On-site; USD 52,000 - 78,000; Full time

Benefits offered by this job

Medical plan

Dental plan

Vision insurance

401(k) plan

PTO

Paid holidays

EAP

Tuition discounts

Job summary

Terros Health in Phoenix, AZ is seeking a Discharge Planner to bridge inpatient care and outpatient services, focusing on coordinating safe transitions for GMH/SA patients and ensuring continuity of care.

You will review presenting clinical information, identify community resources, connect patients to ongoing TERROS outpatient treatment, and collaborate with hospital staff, PCPs, and care managers to reduce readmissions, monitor follow-ups, and maintain patient confidentiality throughout the

Responsibilities

• Discharge Planner activities will be performed in both inpatient and outpatient settings.
• The Discharge Planner will connect individuals receiving Level I inpatient services with ongoing TERROS Outpatient treatment upon discharge.
• The Discharge Planner will work with BHRs while in the hospital, will work with transitioning BHRs, the hospital unit staff, the Outpatient team, family, RBHA care management, PCPs and Health Plans as clinically indicated to ensure effective transition to Outpatient or community services, reduce the risk of readmission to hospital, reduce the utilization of Crisis services and improve the coordination with the PCP and TERROS psychiatric provider.
• Must be able to work well and tactfully with individuals and groups.
• Confidentiality of client records shall be maintained during and after employment at TERROS. Failure to do so may result in dismissal.

Job description

Terros Health in Phoenix, AZ is seeking a Discharge Planner to bridge inpatient care and outpatient services, focusing on coordinating safe transitions for GMH/SA patients and ensuring continuity of care.

You will review presenting clinical information, identify community resources, connect patients to ongoing TERROS outpatient treatment, and collaborate with hospital staff, PCPs, and care managers to reduce readmissions, monitor follow-ups, and maintain patient confidentiality throughout the