Discharge Planner: Seamless Community Care Transitions

Terros Health; Phoenix (AZ); On-site; USD 52,000 - 64,000; Full time

Benefits offered by this job

Full benefits package

401(k) plan

Generous PTO/Sick Time

Language differential pay

Job summary

Terros Health seeks a Discharge Planner to join our interdisciplinary team at the Mitchell Recovery Health Center in Phoenix. This full-time role (40 hours/week, Mon-Fri 8:00am-5:00pm) focuses on coordinating discharge planning for individuals with serious mental illness or mental health needs under Court Ordered Treatment.

You will review clinical information, coordinate resources, and ensure a smooth transition from inpatient to outpatient care, working closely with clinicians, PCPs, and

Qualifications

• Experience in discharge planning or care coordination.
• Strong collaboration with clinical teams.
• Knowledge of community services and patient advocacy.

Responsibilities

• Review presenting clinical information, identify resources, and help coordinate successful discharge into the community and follow up with the clinical team post discharge.
• Activities will be performed both in inpatient and outpatient settings (i.e., inpatient visits, coordination meetings, service planning).
• Connect individuals receiving Level I inpatient services with ongoing Terros Outpatient treatment upon discharge.
• The Discharge Planner will work with the clients while in the hospital, hospital unit staff, outpatient team, member family, PCPs, and health plans as clinically indicated to ensure an effective transition.
• Participation in individualized service planning and execution of written discharge plans.
• Offer coordination to an array of services that actively address recovery goals.
• Reduce the risk of readmission to hospital, reduce the utilization of Crisis services and improve the coordination with the PCP and Terros psychiatric provider.

Skills

Discharge planning

Interdisciplinary coordination

Inpatient/outpatient liaison

Job description

Terros Health seeks a Discharge Planner to join our interdisciplinary team at the Mitchell Recovery Health Center in Phoenix. This full-time role (40 hours/week, Mon-Fri 8:00am-5:00pm) focuses on coordinating discharge planning for individuals with serious mental illness or mental health needs under Court Ordered Treatment.

You will review clinical information, coordinate resources, and ensure a smooth transition from inpatient to outpatient care, working closely with clinicians, PCPs, and