Nurse Discharge Planner LVN - CalAIM

Wellpath Fresno, CA 93721, US

You Matter

Make a difference every day in the lives of the underserved
Join a mission driven organization with a people first culture
Excellent career growth opportunities

Join us and find a career that supports:

Caring for overlooked, underserved, and vulnerable patients
Autonomy in a warm team environment
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:

DailyPay, receive your money as you earn it!
Tuition Assistance and dependent Scholarships
Employee Assistance Program (EAP) including free counseling and health coaching
Company paid life insurance
Tax free Health Spending Accounts (HSA)
Wellness program featuring fitness memberships and product discounts
Preferred banking partnership and discounted rates for home and auto loans

Why Us

Now is your moment to make a difference in the lives of the underserved.

If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time.

Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan.

We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support.

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.

Key Responsibilities

Provide discharge planning services for medical, mental health, MAT, and related programs in accordance with contract requirements and policies.
Identify release-planning needs, coordinate medications and medical needs upon release, and arrange referrals and appointments with community providers.
Facilitate psychoeducational sessions, benefit applications, and resumption of services to support continuity of care.
Maintain working relationships with facility staff, parole, mental health, and medical partners while adhering to security regulations.
Document services in the health record, activate Justice-Involved aid codes, and ensure compliance with DHCS CalAIM requirements.

Qualifications & Requirements

Education

Graduation from an accredited School of Nursing is required.
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

Have and maintain current licensure as a Licensed Practical/Licensed Vocational Nurse within the state of employment.
Must maintain CPR certification, and any other certifications (such as First Aid) required by contract.
Must be able to attain and maintain security clearance to the facility.

We are an Equal Employment Opportunity Employer

We value the contributions of team members with a broad range of experiences, skills, and perspectives and are committed to providing equal employment opportunity for all.

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.

This position is available only to those who reside in the United States.

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.

Share this job

Related Jobs

LVN

Full-time

1 week ago

Licensed Vocational Nurse LVN

Madera Rehabilitation & Nursing Center Madera, CA

$26 - $33 / hour

Shift Available: AM and PM (Full-time) POSITION SUMMARY The purpose of your job position is to provide each resident with routine daily nursing care in accordance with current federal, state, and local standards that govern the facility and as directed by your supervisors. The Licensed Vocational Nurse will treat each resident with kindness, dignity and respect. They will knock before entering each resident’s room. They will refer to each resident by their name. They will be courteous to families and visitors. They will maintain a positive and calm disposition. They will communicate clearly, empathetically, and effectively when speaking to residents, family members, visitors, staff and any governmental agency personnel. They will make sound independent decisions when circumstances warrant such action. They will work cooperatively with all departments and multidisciplinary teams. They will demonstrate patience, initiative and willingness to assist residents that may be difficult. They will relate all pertinent information concerning a resident’s condition to a charge nurse when required. They will be committed to always doing the right thing. ESSENTIAL DUTIES AND RESPONSIBILITIES Ensuring that all nursing care is provided in privacy Checking vital signs Dressing wounds Inserting catheters Listening to residents and their families Addressing questions/concerns of residents Performing accurate and detailed charting of resident progress notes Timely reporting of change in resident’s condition to the nurse supervisor Assisting and supervising CNAs Ensuring equipment is in good operating order Monitoring residents that are at risk for falls Collecting lab samples Abiding with all facility policies and procedures including not disclosing user ID codes and passwords Following Infection and Control policies Reporting any occupational exposures to blood, body fluids, or other hazardous materials to a supervisor immediately Attending annual facility in-service training programs Completing other assignments when requested by management Every effort has been made to identify the essential functions of this position. However, it in no way states or implies these are the only duties you will be required to perform as directed by management. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. REQUIREMENTS Education / Licensure Completion of LVN training from accredited school or college Valid LVN license in good standing Valid CPR and BLS card IV Certification is a plus Qualifications / Experience Minimum of 1 year of skilled nursing experience preferred Must be able to speak, read, write and comprehend the English language Ability to use computer or tablet to enter resident data Working Conditions May encounter frequent interruptions May be involved with residents, family and government agencies May be requested to work beyond scheduled working hours at times Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.) May be subjected to odors, dust, disinfectants, tobacco smoking or air contaminants May be exposed to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses May be exposed to or handle hazardous chemicals Physical Requirements Must be able to move intermittently throughout the day Working throughout the nursing areas Must be able to lift up to 25 pounds. Lifting more weight up to 100 pounds requires assistance Ability to read fine print on tablet, progress notes and/or medical labels

Licensed Vocational Nurse - Home Health - Full Time - Sonoma County

Bridge Home Health & Hospice CA

$35 - $45 / hour

Req #691 Job Description Summary The Licensed Practical/Vocational Nurse is responsible for providing direct patient care under the supervision of a registered nurse. Responsibilities include following the plan of care, providing treatments, and working collaboratively with the members of the team to help meet positive patient care outcomes. Essential Job Functions/Responsibilities: Provides direct patient care as defined in the state Nurse Practice Act. Implements plan of care initiated by the registered nurse. Provides accurate and timely documentation consistent with the plan of care. Assesses and provides patient and family/caregiver education regarding self-care techniques and information pertinent to diagnosis and plan of care. Participates in coordination of home health services, appropriately reporting the identified needs for other disciplines (HHA, OT, PT, MSW, ST, Dietician) to the registered nurse and/or Clinical Manager. Uses and/or prepares equipment and supplies effectively and efficiently adhering to aseptic technique. Participates in personal and professional growth and development. Performs other duties as assigned by the registered nurse. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbent(s) of this job. The incumbent(s) may be requested to perform job related tasks other than those stated in the description. Job Qualifications: Graduate of an accredited practical nurse or vocational nursing program. Has three (3) years nursing experience. Community/home health or medical/surgical experience is preferred. Currently licensed as a licensed practical nurse or licensed vocational nurse in the state. Possess and maintain valid CPR certification. Complies with accepted professional standards and practice. Demonstrates good verbal and written communication, and organization skills. Must possess a valid California Driver’s License with automobile that is in good working order and insured in accordance with the organization requirements. Physical Requirements: The ability to sit occasionally for 1-3 hours. The ability to frequently stand for 3-6 hours. The ability to occasionally drive/ operate foot control for 1-3 hours. The ability to walk intermittently on level and or unlevel surface for less than 1 hour. The ability to intermittently bend or climb for less than 1 hour. The ability to occasionally twist, kneel, crouch and crawl for 1-3 hours. The ability to lift 50 pounds frequently for 3-6 hours. The ability to lift greater than 50 pounds occasionally for 1-3 hours. The ability to carry up to 50 pounds frequently for 3-6 hours. The ability to carry greater than 50 pounds occasionally for 1-3 hours. The ability to push up to 50 pounds frequently for 3-6 hours. The ability to push greater than 50 pounds occasionally for 1-3 hours. The ability to pull up to 50 pounds frequently for 3-6 hours. The ability to pull greater than 50 pounds occasionally for 1-3 hours.

On-Call Afterhours Hospice LVN/RN

Anchor Health CA

Full job description The after hours nurse supports our patients and families needs after hours. After hours is qualified as 5 p.m. to 8 a.m. and weekends. If you would prefer to work with an agency that honors and cares for its clinicians, with the strong communications and teamwork this is your place . Anchor Health is seeking a Registered Nurse and Licensed Vocational Nurse to serve in the San Mateo County . The Registered Nurse will plan, organize and direct hospice care. They will also build from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities. Position Responsibilities: - Coordinating the care of the patients assigned to you. - Making regular visits to patients' homes to assess patients' physical, emotional, spiritual, and social needs. - Working collaboratively with the hospice physician and your supporting LVNs to carry out appropriate interventions. - Helping the agency to continuously increase the quality of care. Position Requirements: - Licensed as a Registered Nurse/RN - Valid Driver's License and reliable vehicle with current insurance. - Minimum of two years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. - CPR Certified. Hospice LVN Duties Include: -Service a range of patients and family during transition of life -Ensure quality and safe delivery of Hospice services -Implements current nursing practices and provide direct hands-on care within scope of practice -Obtains orders as needed to promote comfort and quality of life -Keep Case Manager informed of all changes in condition and orders obtained PLEASE VISITE TO OUR WEBSITE FOR MORE INFORMATION www.anchorhpc.com Job Types: PRN, Per diem Medical Specialty: Hospice & Palliative Medicine Physical Setting: Inpatient Outpatient

LVN

Part-time

3 weeks ago

On-Call Afterhours Hospice LVN/RN

PRN LVN ALL SHIFTS AVAILABLE

Vineyards at Fowler Fowler, CA

We are looking for a Licensed Vocational Nurses (LVN) to join our team!! A newly aquired, Family owned and operated facility in the beatiful small town of Fowler, Ca. With an experienced Administrator and Director of Nursing. Our 49 bed facility is looking for your help to provide the best care in Fowler. PRN Shifts. Competive Salary Principal Responsibilities Demonstrates knowledge and appropriate use of the Company Infection Control Manual. Understands, participates and assists in implementing the Quality Improvement Program. Utilizes the Quality Life Manual for identification, placement, and monitoring of patients in the appropriate programs. Notifies other Departments of patient changes, i.e., room changes, LOA, new admits, discharge, etc. Conducts family and patient education. Demonstrates the ability to administer medications timely and according to facility policy. Demonstrates the ability to administer treatments timely and according to facility policy. Demonstrates ability to receive, transcribe, and carry out physician orders, if allowed by Nurse Practice Act Makes rounds with physicians when necessary. Qualifications Currently licensed as LPN in state One-year prior nursing management experience preferred.