For the protection of patients, team members and all who enter our facilities, BJC has made the decision to require COVID-19 vaccination for all team members, unless granted medical or religious exemption, as a condition of employment.

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Aftercare Coordinator

Job Description

Additional Job Information

  • 8 Hour Shift -
  • Monday - Friday -

  • Job ID: 1221190
    Employment Status: Full-Time
    More Information:

    BJC Behavioral Health is a community health center that provides and coordinates behavioral health services for more than 8,000 seriously mentally ill adults and seriously emotionally disturbed children in St. Louis City, St. Louis County, St. François, Iron and Washington counties.  As an Administrative Agent of the Missouri Department of Mental Health (DMH) serves as a major point of entry for people eligible for mental health services funded by DMH and is responsible for serving as gatekeeper to the public mental health system.  


    Role Purpose

    Serves as a liaison between BJC Behavioral Health staff and inpatient staff during hospitalization for Healthcare Home clients across multiple hospital systems. This position will facilitate a smooth transition between hospitalization and returning home by coordinating care and alerting the care team to the follow up needs of the client. This position provides care coordination services designed to streamline plans of care, reduce hospital admissions, ease the transition to long term services and supports, and interrupt patterns of frequent hospital emergency department use.


  • Utilizes electronic databases and tracking systems to identify and alert continuous treatment teams and their assigned Nurse Care Manager to Healthcare Home client hospital admissions.
  • Reviews and investigates hospital records across multiple systems during hospitalization. Collaborates with physicians, nurses, social workers and others to continue implementation of the treatment plan. Informs care team of important information during hospitalization including but not limited to: referrals made, inpatient status, follow up needs, high risk situations, and make recommendations for aftercare.
  • Participates in after care planning during hospitalizations for clients deemed high risk or high utilizers of hospital/ER services.
  • Collaborates with hospital staff regarding aftercare plans and needs. Focuses on increasing clients’ Ability to manage care and live safely in the community in order to shift from use of reactive care and treatment to proactive health promotion and self-management.
  • BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.

  • Minimum Requirements



  • Bachelor's Degree
  • - Human Services or related



  • <2 years


    Preferred Requirements and Additional Job Information



  • 2-5 years

    Benefits Statement

    Note: not all benefits apply to all openings

    -  Comprehensive medical, dental, life insurance, and disability plan options
    -  Pension Plan*/403(b) Plan
    -  401(k) plan
    -  Tuition Assistance
    -  Health Care and Dependent Care Reimbursement Accounts
    -  On-Site Fitness Center (depending on location)
    -  Paid Time Off Program for vacation, holiday and sick time

    *Pension does not apply to Memorial Hospital, Memorial Hospital East, Alton Memorial or Parkland Health Center

    Legal Statement

    The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job.


    Equal Opportunity Employer