PURPOSE STATEMENT:
Provide assistance to patients and their families by developing a documented continuing care plan to ensure ongoing support in recovery and or other behavioral, mental, or health care follow-up after discharge from the facility.
ESSENTIAL FUNCTIONS:
• Develop continuing aftercare plan, based on the patient's needs, to promote long-term health and relapse prevention.
• Responsible for setting discharge appointments for patients, including group or individual therapy, psychologist or psychiatrist.
• Make arrangements for community resources to facilitate discharge. Provide all needed documentation to other providers to facilitate the continuum of care.
• Act as a liaison between referral sources, patients, and counselors.
• Ensure all patient discharge planning documentation is clear, concise, and timely.
OTHER FUNCTIONS:
• Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
• Associates degree in nursing or human services field required. Bachelor's degree in social work or human services field preferred.
• One or more years of experience in a clinical setting preferred.
• One or more years of experience in discharge planning preferred.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
• If applicable, current licensure as an LPN, or RN within the state where the facility provides services.
• CPR and de-escalation and restraint certification required (training available upon hire and offered by the facility.
• First aid may be required based on state or facility requirements.
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