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PC I - Discharge Planner
PC I - Discharge Planner-November 2024
Winfield
Nov 23, 2025
About PC I - Discharge Planner

  This job was posted by https://www.kansasworks.com : For moreinformation, please see: https://www.kansasworks.com/jobs/12813566Position Summary:

  This position will be responsible for working with a multidisciplinaryteam, special needs populations and providing discharge planningservices. This includes identifying eligible offenders, developing andtracking a discharge plan for each offender assigned to the caseload.The discharge plan should include all necessary referrals/assessments toensure a continuum of care upon release.

  Job Responsibilities may include but are not limited to the following:

  Identifying residents:

  Work with the Case Management and Reentry Administrator to identifyresidents who are eligible for services due to disability (SPMI, DD, LD,elderly), who require discharge planning services and are approximatelysix months from release. Work with unit team and behavioral health staffto establish a referral mechanism to assist in identifying residentrequiring/eligible for these services. Residents should be assigned tothe COR-P or Discharge Planner caseload, with the more difficult casesbeing assigned to the COR-P caseload. Identify resident eligible for theK-Shop program. Send the referral form and release of information forpotential participants to the appropriate K-Shop staff. If the residentis accepted into the K-Shop program, they do not need to be placed onthe COR-P or Discharge Planner\'s caseload.

  Managing Caseload:

  Contact the unit team counselor to engage the resident in the dischargeplanning process. Identify strategies to engage the residents in theprocess and keep them engaged until release. Secure necessaryinformation about the residents\' disability to determine what thedischarge plan needs to include. Participate in Multi-Disciplinary Team(MDT) meetings as requested by unit team. Initiate MDT meetings asnecessary to address issues with the discharge plan. Develop andmaintain a system to track caseload of residents and tasks that havebeen and need to be completed. Establish contact with the assignedparole officer prior to release. Make sure they are aware of thedischarge plan established to ensure a continuum of care upon release.

  Discharge Plan:

  Develop a discharge plan goal in the Case Plan for every resident within30 days of being assigned to caseload. Action Steps should be created toinclude:

  RADAC referral to identify/address substance abuse issues

  Schedule intake appointment at Community Mental Health Center (CMHC)

  Department of Aging referral for Nursing Facility or Nursing Facilityfor Mental Health (NFMH) placements

  Prepare and submit benefits applications as necessary (Social SecuritySSI/SSDI, Medicaid, MediKan, Medicare, General Assistance, TAF, FoodStamps, etc)

  Medication management/plans - Any other service/referral to address theresident\'s disability

  The discharge plan goal & action steps should be updated regularly andshared with the resident, unit team counselor and any other necessarystaff (behavioral health, medical, etc.). Contact should be made anddocumented (in ATHENA) at least once a month with every month. Work withmedical and mental health staff to ensure that medication is in eachresident\'s hand prior to release.

  Relationships and Information-Sharing:

  Obtain appropriate releases for information-sharing within and withoutthe facility and with community providers. Working closely with existingservices (KDOC staff, KSHOP and parole offices), establish relationshipswith community providers to establish methods for processingapplications for benefits pre-release and ensure a continuum of careupon release. Serve as the liaison for the K-Shop program. Thisincludes; entering callouts as requested, notifying K-Shop staff ifparticipants are in crisis or a change in housing/status, assist incompleting the SSI/Medicaid applications, and participati g in K-Shopmeetings as requested by K-Shop staff.

  Provide classroom instruction and activities to a group of high riskmental health residents enrolled in the Substance Abuse Program.Knowledgeable of evidence-based practices in corrections anddemonstrates a proficiency while following the approved curriculum.Maintain data and information related to processes and impact, andprovide the information to the statewide reentry team, as requested bythe Reentry Director.

  Other duties as assigned.

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