RN Discharge Planner - CalAIM

You MatterMake 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 patientsAutonomy in a warm team environmentGrowth and trainingPerks and BenefitsIn 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 ScholarshipsEmployee Assistance Program (EAP) including free counseling and health coachingCompany paid life insuranceTax free Health Spending Accounts (HSA)Wellness program featuring fitness memberships and product discountsPreferred banking partnership and discounted rates for home and auto loansWhy UsNow 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 DifferenceThe RN Discharge Planner H coordinates daily clinical care, utilization management, and care management activities while ensuring compliance with nursing standards and regulatory requirements. This role provides clinical oversight of the discharge planning process for CalAIM-eligible individuals, reviewing and approving reentry care plans to ensure they are clinically appropriate and aligned with Enhanced Care Management and Community Supports. The position conducts assessments, leads care coordination with managed care plans and community providers, and supports continuity of care. As the accountable clinician for discharge planning, this role helps facilitate safe and effective transitions of care.Key ResponsibilitiesCoordinate clinical reviews, utilization management activities, and application of established care management criteria.Review clinical documentation, referrals, and pre-certification requests to ensure compliance with department guidelines and regulatory requirements.Collaborate with medical directors, providers, site personnel, and care management teams to support patient care, discharge planning, and continuity of care.Monitor utilization data, claims reviews, and referral activity to ensure accuracy, appropriate coding, and effective cost management.Provide clinical oversight of reentry care plans and coordinate with managed care plans, community providers, and CalAIM partners to support successful care transitions.Qualifications & RequirementsEducationUnrestricted, current RN license in state of employmentBSN, CCM preferred.ExperienceTwo (2) years' clinical experience with Discharge Coordination experiencePrevious correctional/detention facility experienceLicenses/CertificationsMust maintain all certifications, educational requirements, licensing, etc. for RN licenseThis position is available only to those who reside in the United States.We Are an Equal Employment Opportunity EmployerWe value the contributions of team members with a broad range of experiences, skills, and perspectives and are committed to providing equal employment opportunity for all.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.