California Licensed Discharge Planner

Job Summary

A company is looking for a Care Review Clinician II.

Key Responsibilities

• Collaborate with healthcare facilities to ensure safe and appropriate discharges for members
• Utilize MCG criteria to support medical necessity and discharge decisions
• Coordinate discharge planning in alignment with Medi-Cal benefits and facility requirements

Required Qualifications

• Minimum 5 years of clinical experience in acute care (Med-Surg, Telemetry, ICU, or ER)
• At least 2 years of experience as a hospital-based discharge planner
• Strong knowledge of Medi-Cal post-acute care benefits
• Proficiency in MCG inpatient criteria review and interpretation
• Must be currently licensed as a Registered Nurse in California and reside in California