Nurse Post Discharge Coordinator (Santa Rosa)

Northern California Behavioral Health System
Santa Rosa, CA

ABOUT US:

Formerly Aurora Santa Rosa Hospital, SRBHH was opened in 2016 and is regarded as an integral part of the greater Santa Rosa and Northern California mental health system of care. Conveniently located in the North Bay, this hospital consists of 144 acute psychiatric inpatient beds.

Santa Rosa Behavioral Healthcare Hospital (SRBHH) is regarded as an integral part of the greater Santa Rosa and Northern California mental health system of care.

Conveniently located in the North Bay, SRBHH serves adolescents and adults. We treat both mental health and co-occurring psychiatric and substance abuse conditions.

POSITION TITLE: Nurse Post Discharge Coordinator

PAY RANGE:

LVN/LPT $35.00-44.19 Per Hour

RN $54.00-68.18 Per Hour

REPORTS TO: Director of Quality Assurance and Performance Improvement.

DESCRIPTION OF POSITION :

In collaboration with multidisciplinary team, provides quality services across discharge planning, crisis calls, referring to community-based resources, data collection, and documenting the patient’s medical status post-discharge. The Post Discharge Crisis Coordinator will follow the expectations of the Zero Suicide protocol per Corporate’s guidelines, and will also support in a hybrid role the hospital’s nursing department. Serves as a member of interdisciplinary team supporting the organization's treatment program and philosophy, and assures the deliverance of quality treatment to patients and their support systems.

 

Key Responsibilities:

  • Manages discharge reference tool/discharge calendar to ensure notification and documentation of daily discharges.
  • Manages post-discharge tracking tool to ensure quality assurance measures for performance improvement.
  • Manages and updates resource guides/lists per county and consumer as needed.
  • Facilitates post-discharge coordination of care, linkages to appropriate resources, and connections to aftercare services to reduce recidivism rates.
  • Ensures follow-up appointments are arranged/scheduled for psychiatrist and therapist within 7 days of discharge.
  • Facilitates C-SSRS when calling a former patient who reports suicidality. For high scores, ensures linkages to crisis services specific to their county/location.
  • Review and facilitate safety planning with former patients who require additional support. References Stanley Brown Safety Plan as needed.
  • Documents all services provided in the patient’s EMR.
  • Checks voicemails daily and provides a call back within 24 hours.
  • Maintains effective working and professional relationships and communications with internal and external customers.
  • Supports department in administrative duties, auditing, and tracking data for QAPI and compliance.
  • Assists with training and education to staff regarding measurable outcomes from data tracking, including updated resource information.
  • Assists with training other staff competency with elements of this role as determined by hospital leadership.
  • Upholds the Organization’s ethics and customer service standards.
  • Supports Nursing department with related tasks, and provide direct patient care when requested.
  • Performs other duties, as assigned. Tasks are subject to change based on the growing needs of the hospital

Requirements

Knowledge and Experience:

  • Licensed as an RN, LVN, or LPT in the state of California that is active and current.
  • One year of behavioral health experience and experience with Severely Mentally Ill and discharge planning preferred.
  • Current CPR (Cardiopulmonary Resuscitation) certification (or obtained within 30 days of hire).
  • Current Handle with Care (HWC) certification (or obtained within the 30 days of hire).
  • Familiarity with continuum of care and clinical terminology.

Skills and Abilities:

  • Maintains confidentiality of patients at all times
  • Sensitivity to and willingness to interact with persons of various social, cultural, economic and educational backgrounds.
  • Proficiency with software and/or equipment (Microsoft Office applications including Outlook, Word, Excel and PowerPoint.)
  • Strong organizational skills with ability to prioritize projects, work relatively independently, manage multiple tasks, and meet deadlines.
  • Strong written and verbal communication skills.
  • Ability to work independently and as part of a team.
  • Good judgment, problem solving and decision-making skills.
  • Demonstrated commitment to working collaboratively as well as possessing the skills to lead, influence, and motivate others.
  • Ability to work in a fast-paced, expanding organization.

 

Physical Requirements :

While performing the duties of this job, this position is frequently required to do the following:

  • Use standard office equipment and access, input, and retrieve information from a computer. Use computer keyboard with manual and finger dexterity and wrist-finger speed sufficient to perform repetitive actions efficiently for extended periods of time.
  • Communicate effectively in person or via telephone in a manner which can be understood by those with whom the person is speaking, including a diverse population.
  • Give and follow verbal and written instructions with attention to detail and accuracy.
  • Perform complex mental functions and basic arithmetic functions; interpret complex laws, regulations, and policies; collect, interpret, and/or analyze complex data and information.
  • Vision: see details of objects at close range.
  • Coordinate multiple tasks simultaneously.
  • Reach forward, up, down, and to the side.
  • Sit or stand for minimum periods of one hour at a time and come and go from the work area repeatedly throughout the day.
  • Lift up to ten (10) pounds.

Benefits

  • Health Insurance
  • Vision Insurance
  • Dental Insurance
  • 401k Retirement Plan
  • Healthcare Spending Account
  • Life Insurance
    (Supplemental Life, Term and Universal plans are also available)
  • Short and Long-Term Disability
    (with additional buy-in opportunities)
  • PTO Plan with Holiday Premium Pay
  • Discounted Cafeteria Meal Plan
  • Tuition Reimbursement
Posted 2026-06-04

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