Aftercare Specialist
Company: Vocational Instruction Project Community Services
Location: River Edge
Posted on: May 29, 2023
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Job Description:
Description: As a member of the treatment team, the Aftercare
Specialist assumes a central role in ensuring community-based
services and supports are available for all consumers beginning at
admissions and up to ninety days (90) post discharge. S/he works
directly with consumers in individual and group sessions on issues
surrounding discharge planning, identifying community-based
supports and securing appropriate living arrangements. The
Aftercare Specialist will maintain contact with discharged
consumers for ninety (90) days post-discharge to ensure continuity
of care as it relates to mental health services, substance use
disorder services, primary healthcare, vocational and other
critical support services. Responsible for ongoing consumer
discharge planning including the development of a formal discharge
plan. Monitor and evaluate consumer needs, including prevention,
wellness, medical, mental health, care transitions, and social and
community services where appropriate. Maintain up-to-date consumer
charts including referrals and outcomes. Support adherence to
treatment plan recommendations. Link consumers to instrumental
support services such as Medicaid, Medicare, Social Security, food
stamps, home health care, Health Home Programs, Senior Citizen Rent
Increase Exemption (SCRIE) and home delivered meals prior to
discharge. Link consumers to psychosocial/healthcare support
services (e.g. SUD recovery supports, aftercare, mental health,
primary care, social adult day services, vocational/educational
services, etc.) prior to discharge. Develop and facilitate
Independent Living Skills workshops to build skills and increase
knowledge related to activities of daily living, ability to access
community-based resources, spending habits and money management.
Attend regularly scheduled staff meetings and case conferences.
Attend all required in-service training seminars. Maintain accurate
client data including tracking consumers ninety (90) days
post-discharge. Participate in quality improvement activities.
Other relevant duties as assigned. PM20 Requirements: Bachelor's
Degree or Associate's Degree with two (2) years of related
experience in health insurance, care coordination, entitlement, or
housing placement services for low income and/or homeless
populations. Experience providing service coordination and
information, linkages, and referrals for community-based services.
Knowledge of city, state, and federal guidelines for public and
private low-income housing, entitlements and health insurance.
Ability to research and network with other agencies/community-based
services to meet a variety of client needs. Proficiency with
computer operation (Microsoft Word, Excel, AWARDS, and Outlook
programs). Excellent written and verbal communications skills.
Bilingual English/Spanish a plus Must be able to work a flexible
schedule. This position requires regular travel throughout the five
(5) boroughs.PI216562336
Keywords: Vocational Instruction Project Community Services , Tenafly , Aftercare Specialist, Other , River Edge, New Jersey
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