RN Admissions Coordinator – Long-Term Care & Rehabilitation (Remote)
About the position A managed care organization serving California Medicaid members is seeking an experienced and compassionate Registered Nurse (RN) to join its Care Management team in a fully remote capacity. This position is responsible for coordinating and facilitating admissions to long-term care and rehabilitation facilities for members requiring skilled or extended care services. The ideal candidate will have a background in home health, senior living intake, or long-term care admissions, along with a strong understanding of Medicaid eligibility, coverage, and placement protocols.
Responsibilities
- Coordinate and oversee admissions and transitions of care for members entering long-term care, skilled nursing facilities (SNFs), or subacute rehabilitation settings.
- Independently review clinical documentation and assessments to determine appropriate placement based on member needs and California Medicaid guidelines.
- Serve as the primary liaison between the health plan, facility admissions teams, discharge planners, and providers to ensure smooth and timely placements.
- Manage prior authorization processes, approve services within scope, and confirm Medicaid eligibility.
- Collaborate with Utilization Management and Case Management teams to support continuity of care and efficient resource utilization.
- Provide education to members and families regarding benefits, services, and expectations during care transitions.
- Maintain accurate, detailed documentation in EMR and care management systems.
- Ensure compliance with all state regulations, HIPAA requirements, and internal quality standards.
Requirements
- Active, unrestricted RN license in the State of CA (required).
- Minimum of 3 years of clinical experience in home health, long-term care, rehabilitation, or admissions/intake coordination.
- Strong knowledge of California Medicaid systems, authorizations, and coverage criteria.
- Excellent communication, critical thinking, and documentation skills.
- Proficiency with electronic medical records (EMR) and care coordination software.
- Ability to work independently and remotely in a fast-paced environment.
Nice-to-haves
- Managed care, health plan, or insurance case management background.
- Experience in discharge planning, transitional care, or post-acute navigation.
- Bilingual English/Spanish is a plus but not required.
Benefits
- Competitive compensation
- full benefits package
- 401(k) with match
- generous paid time off
- continuing education support
- remote work flexibility