JOB SCOPE:

This is a direct service position requiring specific knowledge of mental health, and skills in crisis intervention and stabilization. The Transition Specialist will assess individuals for transition readiness, provide linkage and escorts to appropriate outpatient providers as well as provide post discharge follow-up. As part of the ACT you must be willing to go out into the community to provide services. This position requires clinical experience, and the desire to work as part of a team.

ESSENTIAL FUNCTIONS:

• Conducts daily visits in the community, and subsequent progress notes and other required documentation in accordance with agency and OMH standards.

• Completes Wellness Plans, Comprehensive assessments and other documentation as required.

• Complete “Transition Checklist” with all consumers at various stages of treatment, immediate needs and recommend treatment objectives for the consumer’s service.

• Participates in daily morning meeting, and inform team in daily meetings and weekly clinical meetings around consumers ready to transition off the ACT team.

• Collaborate with outside community referral agencies, providers and Care Coordination services for aftercare, to build referral options for transiting consumers.

• Provide 24-hour crisis intervention on-call services on rotating basis.

• Performs other duties, consistent with the goals and objectives of the program, as directed by Team Leader