RN Discharge & Care Coordination for CalAIM

Wellpath; California; Presencial; USD 69.000 - 76.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

DailyPay

Tuition assistance and dependent SCH

Employee Assistance Program (EAP)

HSA Health Spending Accounts

Wellness program with memberships

Preferred banking partnership

Descripción de la vacante

Wellpath is seeking an RN Discharge Planner for the Reentry Program to coordinate daily clinical care, utilization management, and discharge planning for CalAIM-eligible individuals in a correctional/detention setting in the United States. The role emphasizes compliance with nursing standards and interprofessional collaboration.

Eligible candidates must hold an unrestricted RN license, preferably BSN with CCM, and have 2 years of discharge coordination experience.

Formación

• Unrestricted, current RN license in state of employment.
• BSN required; CCM preferred.

Responsabilidades

• Coordinate clinical reviews, utilization management, and care management activities.
• Review clinical documentation, referrals, and pre-certification requests for compliance.
• Collaborate with medical directors, providers, site personnel, and care management teams.
• Monitor utilization data, claims reviews, and referral activity for accuracy and cost management.
• Lead discharge planning and coordinate with managed care plans and CalAIM partners to ensure safe care transitions.

Conocimientos

Discharge coordination

Clinical coordination

Educación

RN license

BSN

CCM certification

Descripción del empleo

Wellpath is seeking an RN Discharge Planner for the Reentry Program to coordinate daily clinical care, utilization management, and discharge planning for CalAIM-eligible individuals in a correctional/detention setting in the United States. The role emphasizes compliance with nursing standards and interprofessional collaboration.

Eligible candidates must hold an unrestricted RN license, preferably BSN with CCM, and have 2 years of discharge coordination experience.