RN Discharge Planner - CalAIM

WellpathMerced, CA
Onsite

About The Position

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.

Requirements

  • Unrestricted, current RN license in state of employment
  • Two (2) years’ clinical experience with Discharge Coordination experience
  • Previous correctional/detention facility experience
  • Must maintain all certifications, educational requirements, licensing, etc. for RN license

Nice To Haves

  • BSN, CCM preferred.
  • Strong RN case management, discharge planning, or care coordination experience
  • Exposure to CalAIM, Medi-Cal, managed care plans, Enhanced Care Management, Community Supports, or reentry services.
  • Comfortable coordinating complex discharge needs, connecting patients to community resources, and helping vulnerable populations transition successfully back into the community.
  • Organized, resourceful, patient-centered, and persistent with follow-up.
  • Ability to think beyond the immediate medical need and help create a realistic plan for what happens after the patient leaves the Merced County Jail.

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

Benefits

  • Medical
  • Dental
  • Vision
  • Paid time off
  • 401k
  • 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
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