Discharge Planner (LPN) -Full-Time

Job Summary

The Discharge Planner provides evidence-based patient care that promotes a successful transition from a correctional setting. Under the supervision of the Director of Nursing (DON), and in collaboration with a multidisciplinary team, the Discharge Planner is responsible for managing patient discharge including access to medication, follow-up appointments and coordination with community-based organizations for continuity of care post-release.

Responsibilities

• Maintains compliance with the State Board of Nursing, NCCHC and ACA, including accurate medical records complying with federal and state requirements including HIPAA, PREA, etc.
• Initiate and coordinate discharge planning for incarcerated patients with identified medical, mental health, substance use, or chronic care needs in accordance with NCCHC continuity of care standards.
• Identify patients at risk for interrupted care upon release, including those with chronic illness, pregnancy, infectious disease, serious mental illness, or ongoing medication needs, and prioritize timely discharge planning interventions.
• Cook up continuity of care for individuals released to the community, including referrals to community clinics, health departments, mental health providers, opioid treatment programs, and emergency resources.
• Arrange continuity appointments with community providers, clinics, public health departments, substance use treatment programs, and mental health services as indicated, consistent with NCCHC Access to Care and Discharge Planning standards.
• Facilitate timely handoff of key health information (e.g., medication lists, recent treatments, follow‑up needs) to patients and receiving providers when feasible, recognizing jail release constraints.
• Arrange for patients to receive an appropriate supply of medications or prescriptions, as ordered by a licensed provider, to prevent gaps in treatment following release.
• Provide patient education regarding medications, follow-up care, warning signs, and how to access community health resources, within LPN scope of practice.
• Verify that discharge instructions are clear, culturally appropriate, and documented accurately in the health record.
• Accurately document discharge planning activities, referrals, patient education, and continuity-of-care arrangements in the health record in alignment with NCCHC 2026 Supporting Survey Documentation requirements.
• Participate in quality improvement activities related to discharge planning outcomes, missed appointments, medication continuity, or readmissions as assigned.
• Adhere to NCCHC standards, facility policies, and state Nurse Practice Act requirements while performing discharge planning functions under appropriate supervision.
• Advocate for the patient access to necessary post-release health services and assist patients in understanding how to navigate community health systems upon discharge.
• Support patient self-management by reinforcing education on chronic disease care, infectious disease follow-up, and preventive health needs prior to release.
• Communicate unresolved discharge needs to supervisor or providers when release occurs before full planning can be completed.

Requirements

• Minimum two (2) years of nursing experience (Experience in Corrections, Emergency or Psychiatry preferred)
• Current Licensed Practical/Vocational Nursing (LPN/LVN) or RN License required
• Current BLS (Basic Life Support) required

Qualifications

• High degree of confidentiality
• Ability to communicate (oral and written) with all levels of staff

Skills

• Critical and analytical thinking

Benefits

We offer a comprehensive Retirement Plan, paid time off, and a variety of other great benefits. CorrectHealth, LLC is an equal opportunity employer and is a certified Drug-Free Workplace.