RN Discharge Planner - CalAIM at Wellpath

Merced, California, United States -

Full Time

Start Date

Immediate

Expiry Date

15 Sep, 26

Salary

0.0

Posted On

17 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Discharge Planning, Case Management, Care Coordination, Clinical Oversight, Patient Assessment, Utilization Management, Pre-certification, Medical Record Review, Resource Coordination, Regulatory Compliance

Industry

Hospitals and Health Care

Description

You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports:• Caring for overlooked, underserved, and vulnerable patients• Diversity, equity, inclusion, and belonging• Autonomy in a warm team environment• Growth and training Perks and Benefits In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including: • DailyPay, receive your money as you earn it! • Tuition Assistance and dependent Scholarships• Employee Assistance Program (EAP) including free counseling and health coaching• Company paid life insurance• Tax free Health Spending Accounts (HSA)• Wellness program featuring fitness memberships and product discounts• Preferred banking partnership and discounted rates for home and auto loans *Eligibility for perks and benefits varies based on employee type and length of service. Why Us Now is your moment to make a difference in the lives of the underserved. If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time. Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support. How you make a difference The RN Discharge Planner is responsible for coordinating daily clinical care and managing the discharge planning process for CalAIM-eligible individuals. This role provides clinical oversight of reentry care plans, ensuring they are appropriate, compliant, and aligned with Enhanced Care Management and Community Supports. The position works closely with managed care plans, community providers, and facility leadership to coordinate care and support successful transitions. The RN Discharge Planner conducts assessments as needed and ensures adherence to applicable nursing standards and regulatory requirements. This role serves as the accountable clinician for the discharge planning process. Key Responsibilities Provides clinical review and oversight of discharge planning activities, including off-site, outpatient, and acute care services Reviews and manages utilization, pre-certification, and documentation within care management systems to ensure accuracy and compliance Coordinates care with medical directors, providers, managed care plans, and community partners to support effective transitions Reviews referrals, claims, and medical records to ensure appropriate level of care, coding accuracy, and cost management Communicates discharge needs and collaborates with facility and operations leadership to determine appropriate placement and release planning Additional Details We’re looking for candidates with strong RN case management, discharge planning, or care coordination experience, ideally with exposure to CalAIM, Medi-Cal, managed care plans, Enhanced Care Management, Community Supports, or reentry services. The ideal candidate is comfortable coordinating complex discharge needs, connecting patients to community resources, and helping vulnerable populations transition successfully back into the community. A strong fit would be an RN who is organized, resourceful, patient-centered, and persistent with follow-up. This role requires someone who can think beyond the immediate medical need and help create a realistic plan for what happens after the patient leaves the Merced County Jail. Qualifications & Requirements Education Unrestricted, current RN license in state of employment BSN, CCM preferred. Experience Two (2) years’ clinical experience with Discharge Coordination experience Previous correctional/detention facility experience Licenses/Certifications Must maintain all certifications, educational requirements, licensing, etc. for RN license We are an Equal Employment Opportunity Employer We are committed to fostering, cultivating, and preserving a culture of uniqueness. We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees. We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles. Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description. We are an Affirmative Action Employer in accordance with applicable state and local laws.

Responsibilities

The RN Discharge Planner coordinates daily clinical care and manages the discharge process for CalAIM-eligible individuals. This includes providing clinical oversight of reentry care plans and collaborating with managed care plans and community providers to ensure successful transitions.