The Hospital Transition Team provides short term services designed to help people maintain psychiatric progress made in psychiatric hospitals or progress related to recovery made in residential substance abuse treatment programs, connect with services and benefits quickly after hospital discharge, and receive support for returning back to their home and community.

1. Provide crisis response for recipient 24/7/365

1. Provide Treatment Planning for recipient

1. Provide one-on-one intervention with the community to develop interpersonal and community coping skills, including adaptation to home, school and work environments.

1. Provide therapeutic mentoring, symptom monitoring, monitoring medications, and self-management of symptoms.

1. Provide case management to arrange, link, or integrate multiple services as well as assessment and reassessment of the recipient’s need for services.

1. Inform recipient about benefits and services; arrange for the recipient to receive benefits and services and monitor provision of services.

1. Work closely with provider to assure that services are completed.

1. Assume role of advocate, broker, coordinator, and monitor of the service delivery system on behalf of the recipient.

1. Provide coordination of movement across levels of care, directly to the person and the family and coordinate discharge planning and community re-entry following hospitalization, residential services and other levels.

1. Must complete a minimum of 20 hours regarding crisis management and other components of Community Support Team activities within the first 90 days of employment.

1. In a timely manner and as required, forward documentation to designated staff in the administrative offices.

1. Help maintain the self-respect, personal dignity and physical safety of each recipient.

1. Work cooperatively with all other staff and relate favorably to recipients and families.

1. Attend all mandatory staff meetings and consumer conferences or give advance notice to the Hospital Transition Team Supervisor as to reasons for inability to attend.

1. Receive supervision by the Hospital Transition Team Supervisor. 

1. Report any changes in consumer’s condition, family situation, or needs to the appropriate personnel.

1. Report any accident or incident to the Hospital Transition Team Supervisor.

1. Report to Hospital Transition Team Supervisor any suspected abuse, neglect or exploitation of recipients.

1. Be familiar with TA, Inc. policies and procedures including the securing of emergency services and the regulations concerning medication administration.

1. Be familiar with HIPAA regulations and abide by them.

1. Assure consumer’s rights are met and maintain consumer confidentiality at all times.

1. Operate office equipment as necessary, i.e. calculator, copier, computer, fax, etc.

1. Obtain and keep current all training required by the agency.  Understand that failure to renew classes by their due date will result in being removed from the schedule.

1. Perform other duties as required by circumstances.

Must have a minimum of one (1) year’s experience in providing crisis management services in the following settings:  assertive outreach, assertive community treatment, emergency department or other service providing 24/7 response in emergent or urgent situations.  We will need to be able to confirm through references.

Must have a valid NC Driver's License.

Must have had at least 8 years of driving experience, as this is a requirement of company's liability insurance carrier.

QP -

Holds license, certificate, registration or permit issued by a governing board regulating a human service profession (except nursing, which requires 4 years licensed experience).

A Master’s prepared individual with a degree in a human service area with one year of experience 

working with individuals within disciplines after the degree.

A Bachelor’s prepared individual with degree in a human service area with two years of experience working with

individuals with persons within disciplines after degree. 

A Bachelor’s prepared individual with a degree in an area other than a human service field who has 4 years of                 

experience in working with individuals within disciplines after degree.