Case Manager/Discharge

Job Description

Job Description

TITLE:

Case Manager / Discharge

OVERVIEW:

Providing compassion and care isn’t just our profession at PHRI, it’s our passion…and culture. We care for the clients that we serve. We listen to them and provide the support that they need to enable them to live comfortable and fulfilling lives. Our drive is to restore hope and healing to the community. We are looking for mission driven professionals who want to join a transformational company with a big heart and make a difference in the community.

Currently serving over 1,500 patients in two different states and looking to grow to over 10,000 patients in 5 states, over the next 3-5 years. Its focus is advocating and implementing integrated care model approach to underserved population undergoing behavioral health related issues.

REPORTS TO:

CLASSIFICATION:

DATE APPROVED:

July 2025

LOCATION:

Washington D.C.

FTE

1.0

ENVIRONMENT/PHYSICAL DEMANDS

Standard Office / Sit, stand, walk, lift 15 lbs

POSITION SUMMARY:

The Case Manager / Discharge Coordinator plays a central role in supporting clients through their recovery journey by providing comprehensive case management, discharge planning, and linkage to community-based resources. This role ensures continuity of care through effective coordination of services during and after treatment and works to remove barriers to post-treatment success.

DUTIES AND RESPONSIBILITIES

• Conduct intake interviews and biopsychosocial assessments to gather client history, needs, and goals.
• Develop, review, and update individualized case management plans in coordination with treatment teams.
• Assist clients in navigating housing placement, transportation, job readiness, education access, and other wraparound services.
• Facilitate discharge and aftercare planning, including referrals to outpatient services, primary care, peer support, and community programs.
• Coordinate case conferencing with family members, legal representatives, and external stakeholders as needed.
• Document client progress, contacts, and service outcomes accurately in the EMR system.
• Monitor service utilization, client engagement, and risk factors that may impact successful discharge.
• Attend interdisciplinary team meetings and participate in client staffing and review.
• Advocate for client needs in coordination with community agencies and providers.
• Provide support in crisis situations and connect clients with emergency services if needed.
• Educate clients and families on available resources, rights, and discharge procedures.
• Ensure all case documentation complies with internal policies, Medicaid standards, and confidentiality laws.

EXPERIENCE AND QUALIFICATIONS

• Bachelor’s degree in Social Work, Human Services, Psychology, or related field required; Master’s preferred.
• Minimum 2 years of case management experience in a behavioral health, SUD, or community services setting.
• Familiarity with local resources for housing, mental health, legal aid, and public benefits in the D.C. region.
• Strong verbal and written communication skills, with sensitivity to diverse populations.
• Working knowledge of EMR systems, HIPAA, and 42 CFR Part 2 regulations.
• Demonstrated ability to handle complex cases and function independently within a team structure.
• Proficient computer skills in Microsoft Outlook and other standard software applications.
• Legally authorized to work in the U.S.A.

COMPETENCIES:

1. Simplify complex issues; breaking down big problems into smaller, manageable tasks, and identifying the key priorities that will have the biggest impact on the business
2. Delegate effectively; giving clear direction, setting expectations, and providing the necessary resources and support to help their teams succeed
3. Predict future trends and challenges, staying up-to-date on industry developments, monitoring market trends, and seeking out new opportunities for growth and innovation.
4. Systemize processes; identifying and eliminating inefficiencies, establishing clear workflows and procedures, and ensuring that everyone in the organization is aligned around the same goals.
5. Structure organization for growth; defining clear roles and responsibilities, establishing a clear chain of command, and creating a culture of accountability and transparency.

AAP/EEO STATEMENT:

It is the policy of Prestige Healthcare Resources, Inc. to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status,

status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Prestige Healthcare Resources, Inc. will provide reasonable accommodation for qualified individuals with disabilities.