Description

• Collaborates with inpatient and outpatient care teams to assess needs and develop plans that support long-term health and reduce re-admissions.
• Acts as a resource to primary case managers to enhance engagement and ensure understanding of post-discharge medical instructions.
• Coordinates specialized post-discharge placements (e.g., skilled nursing, home health, residential).
• Communicates with RBHA, inpatient/outpatient teams, families, and supports to implement discharge plans.
• Completes and submits discharge documentation and referral packages in a timely manner.
• Coordinates post-discharge appointments within 72 hours and ensures follow-through on all recommendations.
• Identifies and addresses service gaps; ensures medication, transportation, and follow-up supports are in place.
• Tracks and facilitates service referrals based on the discharge plan.
• Travels as needed for discharge staffing, appointments, record retrieval, and community-based visits.
• Serves as the point of contact for CPRP and hospital admission/discharge alerts through the health information network.

• High School Diploma / GED or associate's degree with a combination of eight (8) years’ direct care experience, required.
• Bachelor’s degree in behavioral health or related field and three (3) years direct care experience, preferred.
• Previous experience in behavioral health or primary care with duties of case management and care coordination, preferred.
• Demonstrated experience and knowledge in discharge planning and readmission prevention processes, preferred.
• Must have a Level 1 fingerprint clearance card issued by Arizona Department of Public Safety of eligible to receive within eight (8) weeks of hire.

•  Demonstrated ability to communicate, problem solve, and work effectively with people and in a team  
•  Excellent organizational/time management skills with the ability to manage multiple priorities.
•  Strong assessment and motivational interviewing skills.
•  Ability to take initiative and see tasks to completion.
•  Knowledge of SSI, coordination of benefits, and insurance benefits.
•  Demonstrate empathy for their members (patients) and work cooperatively to develop a plan the
•  member/patient is likely to follow.
•  Demonstrate dependability, reliability, and professionalism.
•  Maintain professional relationships and appropriate boundaries with participants, service providers, and
•  internal and external customers.
•  Respond to emails and returns phone calls within 24 hours or the next business day.
•  Maintain cooperative and effective workplace relations with members of the patient centered treatment team.
•  Comply with required workplace safety standards
•  Comply with company’s incident reporting procedures.
•  Maintain confidentiality and adherence to HIPAA rules at all times.
• 
  Copa Health, powered by Marc Community Resources and Partners In Recovery, is an Equal Opportunity Employer – All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, disability status, protected veteran status, or any other characteristics protected by law. Pre-Employment Criminal Background and Drug Testing Required. EOE.