The Nurse Discharge Planner LVN develops and coordinates clinically informed reentry care plans for CalAIM-eligible individuals, addressing medical, behavioral health, and substance use needs before release. The role conducts basic nursing assessments, reviews health records, coordinates referrals, and facilitates warm handoffs to managed care plans and community providers. It supports timely service delivery by documenting services in the electronic health record, tracking release timelines, activating Justice-Involved aid codes, and collaborating with in-reach partners and Medi-Cal eligibility staff. The position provides discharge planning for medical, mental health, medication-assisted treatment (MAT), and related programs in accordance with contract requirements and policies. It coordinates medications and other medical needs upon release, arranges community referrals and appointments, facilitates psychoeducational sessions and benefit applications, and supports the resumption of services. The role maintains working relationships with facility staff and community partners while complying with security regulations and DHCS CalAIM requirements. An evening shift differential of 7.5% is noted.
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Job Type
Full-time
Education Level
Associate degree