Discharge Coordinator

Odyssey House; New York (NY); On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

35-hour work week

Vacation & Holiday Schedule

Life Insurance

Medical, Dental & Vision

Job summary

Odyssey House is seeking a Discharge Coordinator to guide consumers through health care and housing systems, developing community-based supports and coordinating discharge planning.

You will work with consumers in individual and group sessions, ensuring access to services, housing, and benefits, while maintaining charts and participating in program improvement.

Qualifications

• Bachelor's or Associate's degree with related experience in health insurance, care coordination, entitlement, or housing placement for low income/homeless populations.
• Experience providing service coordination and referrals for community-based services.
• Knowledge of city, state, and federal housing, entitlements and health insurance guidelines.

Responsibilities

• Guide consumers and families through health care and housing system; provide referrals and access assistance.
• Develop relationships with service providers and track interventions and outcomes.
• Coordinate discharge planning and secure living arrangements for community-based supports.
• Maintain up-to-date consumer charts with referrals and outcomes.
• Attend staff meetings and participate in quality improvement activities.
• Travel across the five boroughs as part of duties.

Skills

Written & verbal communication

Flexible schedule

Travel to five boroughs

Research & network with agencies

Education

Bachelor's or Associate's degree

Tools

Microsoft Word

Excel

AWARDS

Outlook

Job description

TITLE: Discharge Coordinator

REPORTS: Clinical Director

FLSA CODE: Non-exempt

PRIMARY DUTY: Direct Care

OUR MISSION:

Since 1967, Odyssey House has been providing innovative services and programs to a broad population of individuals and families struggling with substance use and mental health disorders. Odyssey House helps New Yorkers of all ages-and across all five boroughs-beat drugs and alcohol with highly individualized treatment programs. Odyssey House provides high quality, holistic treatment impacting all major life spheres, including: psychological, physical, social, family, educational and spiritual in order to support personal rehabilitation, renewal and family restoration.

If that sounds different than other treatment programs, you're right. Because Odyssey is where recovery gets real.

MAJOR FUNCTIONS:

The Discharge Coordinator is responsible for guiding consumers and their families through the health care and supportive housing system by providing referrals, assisting with access issues, developing relationships with service providers, and tracking interventions and outcomes. The Discharge Coordinator assumes a central role in ensuring community based services and supports are available for those consumers participating in the Reintegration phase and/or prior to discharge. S/he works directly with consumers in individual and group sessions on issues surrounding discharge planning, identifying community based supports and securing appropriate living arrangements.

SPECIFIC DUTIES & RESPONSIBILITIES:

• Monitor and evaluate consumer needs, including prevention, wellness, medical, mental health, care transitions, and social and community services where appropriate.
• Maintain up-to-date consumer charts including referrals and outcomes.
• Support adherence to treatment plan recommendations
• Responsible for ongoing consumer discharge planning.
• Review and generate daily referrals.
• Coordinate schedules, troubleshoot conflicts and ensure compliance with all appointments for designated consumers.
• Develop and facilitate Independent Living Skills workshops to build skills and increase knowledge related to activities of daily living, ability to access community-based resources, spending habits and money management.
• Assist consumers in navigating the subsidized housing identification and application process. This includes completing 2010e applications on all residents seeking subsidized housing.
• Assist consumers in filling out all necessary paperwork, accompanying residents to interviews, following up with supportive housing agencies and ensuring that all housing units applied for are safe and affordable.
• Link consumers to instrumental support services such as Medicaid, Medicare, Social Security, food stamps, home health care, Senior Citizen Rent Increase Exemption (SCRIE) and home delivered meals prior to discharge.
• Link consumers to psychosocial/healthcare support services (e.g. SUD recovery supports, aftercare, mental health, primary care, social adult day services, senior centers, etc.) prior to discharge.
• Attend regularly scheduled staff meetings and case conferences.
• Attend all required in-service training seminars.
• Participate in quality improvement activities.
• Other relevant duties as assigned.

REQUIREMENTS: EDUCATION/TRAINING AND EXPERIENCE KNOWLEDGE, SKILLS AND ABILITIES

• Bachelor's Degree or Associate's Degree with two (2) years of related experience in health insurance, care coordination, entitlement, or housing placement services for low income and/or homeless populations.
• Experience providing service coordination and information, linkages, and referrals for community-based services.
• Knowledge of city, state, and federal guidelines for public and private low-income housing, entitlements and health insurance.
• Ability to research and network with other agencies/community based services to meet a variety of client needs.
• Proficiency with computer operation (Microsoft Word, Excel, AWARDS, and Outlook programs).
• Excellent written and verbal communications skills.
• Must be able to work a flexible schedule.
• This position requires regular travel throughout the five (5) boroughs.

In addition, Odyssey House offers:

• A 35-hour work week (as opposed to a 40-hour work week)
• Vacation Plan and Holiday Schedule
• Life Insurance
• Medical Insurance (Two Plans)
• Dental and Vision Insurance
• Additional Insurance Coverages (hospitalization, accidental, critical illness coverage)
• Long-Term & Short-Term Disability
• Flexible Spending Account/Health Reimbursement Account
• 403(b) Plan
• Corporate Counseling Associates (CCA) EAP benefit
• Ability Assist Counseling Services (through The Hartford)
• Commuter Benefits
• Educational Assistance Programs
• Special shopping discounts through ADP Marketplace and PlumBenefits
• RUFit?! Fitness Program
• Pet Insurance
• Legal Assistance
• Optum Financial Service through ConnectYourCare
• Benefit Advocacy Center through Gallagher

Odyssey House is an equal opportunity employer maintaining a non-discriminatory policy on