RN Discharge Planner

Job Description

Job Description

Overview

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.

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

Qualifications

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