RN Discharge Planner: Lead Care Transitions & Coordination

Wellpath; Napa (CA); On-site; USD 106,000 - 144,000; Full time

Benefits offered by this job

DailyPay

Tuition assistance

EAP counseling

Life insurance

HSA

Wellness program

Discounted loans

Job summary

Wellpath in Napa, CA seeks an RN Discharge Planner to coordinate daily clinical care, utilization management, and care coordination, ensuring compliance with nursing standards. You will oversee discharge planning for CalAIM-eligible individuals, review reentry care plans, and ensure safe transitions in collaboration with managed care and community providers.

The role requires an active RN license, a BSN, and 2 years of discharge coordination; correctional facility experience is preferred.

Qualifications

• Unrestricted, current RN license in state of employment.
• BSN, CCM preferred.
• Two (2) years’ clinical experience with Discharge Coordination experience.
• Previous correctional/detention facility experience.
• Must maintain all certifications, educational requirements, licensing, etc. for RN license

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.

Skills

RN license

Discharge planning

Corrections experience

Healthcare coordination

Education

BSN

CCM preferred

Job description

Wellpath in Napa, CA seeks an RN Discharge Planner to coordinate daily clinical care, utilization management, and care coordination, ensuring compliance with nursing standards. You will oversee discharge planning for CalAIM-eligible individuals, review reentry care plans, and ensure safe transitions in collaboration with managed care and community providers.

The role requires an active RN license, a BSN, and 2 years of discharge coordination; correctional facility experience is preferred.