Position: Hospital Liaison Care Coordinator
Supervision: CME Director
Serve as the primary liaison between inpatient psychiatric hospitals and the Care Management Entity (CME) to ensure continuity of care for youth transitioning from higher levels of psychiatric care to community-based services.
Establish relationships with local hospital systems to better support referrals and discharge planning. Through this relationship development work to visit local hospital departments at minimum once per month to further relationship and streamlining of referrals.
Designate and sustain a direct point-of-contact within each hospital’s social work or discharge planning department to bypass general intake or referral processes.
Maintain a consistent physical and/or virtual presence within inpatient psychiatric units to ensure real-time awareness of admissions, treatment planning, and anticipated discharges.
Develop and maintain collaborative relationships with hospital social workers, discharge planners, nursing staff, psychiatrists, and community providers. and Cadence C
Participate in psychiatric discharge planning to ensure CME prior to discharge, with emphasis on safe and timely transitions.
Coordinate warm handoffs among inpatient providers, CME staff, outpatient providers, youth, and families by working diligently to protect the 72-hour post discharge window by monitoring service linkage, medication access, and follow-up appointments.
Identify barriers to discharge or stabilization and present CME-aligned solutions to hospital teams.
Manually enter real-time admission and discharge data into CME tracking systems when CliniSync notifications are unavailable or delayed.
Provide education to hospital partners regarding CME services, Cadence Care Network eligibility, and community-based resources.
Maintain accurate, timely, and confidential documentation in accordance with Ohio Administrative Code, Medicaid requirements, CME standards, and agency policies.
Maintain effective communication for all cases assigned with all partners involved through staffing, weekly rounds, or child and family team meetings.
Assist to track statistics and outcomes related to transition coordination, discharge involvement, and post-discharge continuity.
Attend staff meetings, supervision, and required trainings.
Demonstrate cultural competence and trauma-informed practice when working with youth, families, and professionals.
Maintain confidentiality and professionalism in accordance with agency policy.
Adhere to the organization’s Mission, Vision, and Values.
Perform all other duties as assigned by Administration.
Experience working with youth with serious emotional disturbance, psychiatric conditions, or complex behavioral health needs.
Demonstrated ability to navigate hospital systems and collaborate with multidisciplinary clinical teams.
Strong relationship-building, communication, and organizational skills.
High emotional intelligence and the ability to build trust with hospital staff working in high-pressure environments.
Proactive problem-solving skills, including the ability to identify system barriers and present practical solutions.
Ability to work independently while maintaining alignment with CME supervision and team structures.
Ability to utilize electronic health records, tracking systems, and agency-issued technology.
High School Diploma plus 3 years of relevant experience in behavioral health, care coordination, hospital discharge planning, or a related human services field; or
Associate’s or Bachelor’s degree plus 2 years of relevant experience; or
Master’s degree plus 1 year of relevant experience.
LSW/LPC preferred
Experience working within hospital, psychiatric, behavioral health, or care management systems preferred.
Knowledge of Ohio behavioral health systems, Medicaid services, and community-based resources preferred.
Valid driver’s license, reliable transportation, and ability to travel within the service area.
Successful completion of required background checks and pre-employment screenings in accordance with Ohio regulations.
