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 Responsibilities- Coordinate 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.
Additional Details**Schedule Requirements: 30 hours/week (Sun-Wed or Wed-Sat) dayshift. Covering MAT Services and Discharge Planning for CalAIM patients. ** Compensation Range: $49.74 - $55.27 per hour (dependent on experience) ** Fulltime position with comprehensive benefit package! **
Qualifications & RequirementsEducation
- 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 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.
