Nurse Discharge Planner

About the role

Join a mission-driven organization with a people-first culture that offers excellent career growth opportunities. At Wellpath, you'll have the chance to make a significant impact in the lives of the underserved.

Responsibilities

• Collaborate with DOC Re-entry services for discharge planning, ensuring adherence to policies and procedures for patients with mental health issues or serious medical illnesses.
• Review requests from external agencies regarding medical and mental health transfers back into DOC institutions, determining appropriateness of transfer and coordinating necessary services.
• Maintain relationships with community agencies and communicate with Medicaid Coordinator to ensure resumption of benefits for released patients.
• Advocate for medical necessity and continuation of prescribed medications for patients admitted to community facilities, while attending relevant meetings and participating in staff training.
• Consult with supervisory personnel and appropriate leadership regarding complex cases, identify areas of concern, and facilitate resolution while maintaining security clearance and applying critical thinking skills to varied situations.

Requirements

• Graduation from an accredited School of Nursing
• Minimum 1 year of experience of care delivery in a managed care environment
• Computer data entry experience in MS Word, Excel, and PowerPoint
• Previous experience working with care management (CM)
• Chronic care experience highly preferred
• Understanding of care delivery in a correctional environment preferred
• A current nursing license in the state of employment is required
• Must be able to attain and maintain security clearance to the facility