Transitional Care Case Manager — Hospital to Housing

Claratel Behavioral Health; Atlanta (GA); On-site; USD 42,000 - 62,000; Full time

Job summary

Claratel Behavioral Health seeks a Project HEAL Case Manager to coordinate transitions from hospital to transitional housing, ensuring continuity of medical, behavioral health, and substance use treatment services.

You will engage clients with outreach, screening, and linkage to ongoing services, bridging medical, housing, and social supports to promote stabilization and long-term housing success.

Qualifications

• High school diploma or GED required.
• At least one year of experience in behavioral health case management/community support services.
• Basic computer and typing skills.
• Care coordination to assist individuals with accessing resources within the agency and community.
• Must have transportation to and from work.

Responsibilities

• Coordinate discharge planning with hospital or acute care providers and medical home/home health services for identified individuals.
• Conduct transition planning to support movement from facility-based care into residential settings.
• Coordinate enrollment and linkage to Claratel Behavioral outpatient services, including counseling, psychiatric services, and substance use treatment.
• Coordinate care with residential providers, medical providers, behavioral health clinicians and community services agencies.
• Assist participants with appointment scheduling, transportation planning, benefits linkage, and service navigations.
• Monitor engagement in treatment and supportive services into housing.
• Participate in multidisciplinary case coordination with Project HEAL partners.
• Support continuity of care during the critical stabilization period following discharge.
• Maintain documentation consistent with Claratel Behavioral Health Policies and applicable regulations.
• Complete and maintain appropriate data entry into the HMIS (ClientTrack) System.
• Other duties as directed by Program Manager and/or Director.

Skills

Care coordination

Typing

Computer skills

Transportation required

Education

High school diploma or GED

Bachelor’s degree in related fields

Job description

Claratel Behavioral Health seeks a Project HEAL Case Manager to coordinate transitions from hospital to transitional housing, ensuring continuity of medical, behavioral health, and substance use treatment services.

You will engage clients with outreach, screening, and linkage to ongoing services, bridging medical, housing, and social supports to promote stabilization and long-term housing success.