How you make a difference
The Nurse Discharge Planner LVN develops and coordinates clinically informed reentry care plans for CalAIM-eligible individuals to address medical, behavioral health, and substance use needs prior to release. The role conducts basic nursing assessments, reviews health records, coordinates referrals, and facilitates warm handoffs to managed care plans and community providers. The position ensures timely service delivery by documenting services in the EHR, tracking release timelines, activating Justice-Involved aid codes, and collaborating with in-reach partners and Medi-Cal eligibility staff.
Qualifications & Requirements
Education
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Graduation from an accredited School of Nursing is required.
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Bachelor's degree in Social Work, Business Administration, or other health-related fields from an accredited college or university is preferred
Experience
- Previous experience in developing successful transition plans involving community resources for persons with medical, substance use, and/or mental illness is preferred.
Licenses/Certifications
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Have and maintain current licensure as a Licensed Practical/Licensed Vocational Nurse within the state of employment.
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Must maintain CPR certification, and any other certifications (such as First Aid) required by contract.
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Must be able to attain and maintain security clearance to the facility.
Key Responsibilities
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Provide discharge planning services for medical, mental health, MAT, and related programs in accordance with contract requirements and policies.
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Identify release-planning needs, coordinate medications and medical needs upon release, and arrange referrals and appointments with community providers.
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Facilitate psychoeducational sessions, benefit applications, and resumption of services to support continuity of care.
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Maintain working relationships with facility staff, parole, mental health, and medical partners while adhering to security regulations.
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Document services in the health record, activate Justice-Involved aid codes, and ensure compliance with DHCS CalAIM requirements.
You Matter
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Make a difference every day in the lives of the underserved
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Join a mission driven organization with a people first culture
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Excellent career growth opportunities
Join us and find a career that supports:
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Caring for overlooked, underserved, and vulnerable patients
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Diversity, equity, inclusion, and belonging
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Autonomy in a warm team environment
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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:
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DailyPay, receive your money as you earn it!
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Tuition Assistance and dependent Scholarships
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Employee Assistance Program (EAP) including free counseling and health coaching
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Company paid life insurance
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Tax free Health Spending Accounts (HSA)
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Wellness program featuring fitness memberships and product discounts
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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.
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.
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.
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