Care Coordination & Discharge Planner (LVN)

Wellpath; Fresno (CA); On-site; USD 55,000 - 75,000; Full time

Job summary

Wellpath / Correct Care Solutions seeks a Discharge Planner to coordinate discharge planning for patients with SPMI, disabilities, or serious medical illness. You will maintain relationships with community agencies and assist with financial support applications.

The role focuses on ensuring smooth transitions from facility to community, managing documentation, and collaborating across teams to support patient care during release.

Qualifications

• Bachelor’s degree in social work or closely related field from an accredited college or university.
• Experience in social work case management in a mental health agency for mentally ill population.
• Experience in developing transition plans involving community resources for persons with mental illness.
• CPR certification and any other certifications (such as First Aid) required by contract.

Responsibilities

• Coordinate and conduct discharge planning for patients with Severe and Persistent Mental Illness (SPMI), Adult Persons with Disabilities/Intellectual Disabilities, or serious medical illness, in accordance with facility policies and procedures.
• Develop and maintain relationships with community agencies providing services to individuals with mental illness or serious medical conditions and facilitate applications for financial assistance.
• Identify release-planning needs of patients and provide a Life Skills Program to enhance patient coping skills and support upon release.
• Coordinate medication and medical needs, residential placement options, and assist patients in making appointments with mental health agencies for continuation of services.
• Maintain accurate documentation of services provided in the patient health record and attend meetings relevant to release planning to enhance coordination of care.

Skills

Discharge planning

Case management

Community resources

Mental health

Education

Bachelor's degree in social work

Job description

Wellpath / Correct Care Solutions seeks a Discharge Planner to coordinate discharge planning for patients with SPMI, disabilities, or serious medical illness. You will maintain relationships with community agencies and assist with financial support applications.

The role focuses on ensuring smooth transitions from facility to community, managing documentation, and collaborating across teams to support patient care during release.