Job 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 Lead is responsible for daily clinical care coordination, utilization management, support, and care management activities in compliance with applicable nursing standards and regulatory requirements. The role provides clinical oversight of the discharge planning process for CalAIM-eligible individuals and supervises the health care delivery activities related to discharge planning and reporting. This position reviews and signs off on reentry care plans, conducts assessments, leads care coordination with managed care plans and community providers, and ensures compliance with Medi-Cal and CalAIM requirements. The role manages utilization review, pre-certification activities, claims review, and coordination with providers, hospitals, and facility personnel. The RN Discharge Planner Lead serves as the accountable clinician for the discharge planning process.

Key Responsibilities

• Provide clinical review of off-site observation, outpatient, acute care, and pre-certification referrals while applying utilization management procedures and criteria.
• Coordinate care with medical directors, providers, facility personnel, managed care plans, hospitals, and community organizations to support effective treatment and discharge planning.
• Review clinical documentation, utilization records, claims, referrals, and medical review activities to ensure accuracy, compliance, and appropriate coding.
• Oversee discharge planning services, including reentry care plan review, community resource coordination, appointment scheduling, release medications, and continuity of care arrangements.
• Support care management operations through policy compliance, best practice development, utilization oversight, cost management, and relationship building with community and healthcare partners.

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

This position is available only to those who reside in the United States.

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.