POSITION SUMMARY

This position supports the smooth, timely, and coordinated client transition from hospital care to alternative levels of care including but not limited to post-acute settings, community services, or physician offices as directed by the care coordination team. This position assists patients to enhance their recovery and help promote client wellness and self-direction in the community. This position advocates for and obtains necessary program support and services for patients to provide timely interventions, address unmet needs, and reduce the risk of hospitalizations and/or crisis situations. This position will also provide support to patients to effectively navigate the behavioral health system and assist in providing skills training and personal assistance to empower patients.

CORE FUNCTIONS
1. Works with the patient to coordinate transition out of a care setting in order to obtain appropriate services and benefits as directed by...