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Wellpath

Outsourced correctional healthcare services provider

RN Discharge Planner - CalAIM

Medical, Clinical & VeterinaryPosted on Nov 13
Full-timeNapa, CA, USANo salary listed

About the Job

Requirements

  • Maintain an unrestricted, current registered nurse license in the state of employment.
  • Have two years of clinical experience, including discharge coordination experience.
  • Have previous experience in a correctional or detention facility.
  • Maintain all certifications, educational requirements, and licensing required for the registered nurse license.
  • Reside in the United States.

Responsibilities

  • Coordinate clinical reviews, utilization management activities, and application of established care management criteria.
  • Review clinical documentation, referrals, and pre-certification requests for 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.
  • Conduct assessments and lead care coordination with managed care plans and community providers to facilitate safe and effective transitions of care.

Desired Qualifications

  • A Bachelor of Science in Nursing (BSN) is preferred.
  • Certified Case Manager (CCM) certification is preferred.

About the Company

Wellpath

Outsourced correctional healthcare services provider

Wellpath provides outsourced healthcare for inmates in the United States and Australia through government contracts, covering medical, dental, optical, and mental health services. Its offerings include primary care, chronic disease management, substance abuse and detox programs, suicide prevention, pharmaceutical management, and administrative tasks such as revenue cycle management, all using its proprietary ERMA electronic records system. The company operates at scale with divisions serving local jails, state and federal prisons, and inpatient facilities, reaching about 300,000 patients daily across more than 550 facilities. Its goal is to deliver comprehensive, contract-based correctional healthcare while navigating sector challenges like debt, rising labor costs, and litigation risk.

Company size
1,001-5,000
Company stage
Early VC
Total funding
$10.7M
Headquarters
Nashville, TN
Founded
2006

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