Remote Admissions Coordinator – Long-Term Care & Rehabilitation (RN or LVN/LPN)

Remote Full-time
About the position A managed care organization serving California Medi-Cal members is seeking an experienced and compassionate nurse (RN or LVN/LPN) to join its Care Management team in a fully remote role. The Admissions Coordinator will manage and facilitate admissions into long-term care, skilled nursing facilities (SNFs), and rehabilitation programs for members requiring post-acute or extended care services. Ideal candidates have experience in home health, senior living intake, long-term care admissions, or post-acute placement, along with a strong understanding of California Medi-Cal processes, levels of care, and care transitions. Responsibilities β€’ Coordinate and oversee admissions and transitions of care for members entering long-term care, skilled nursing facilities, or rehabilitation settings across California. β€’ Review clinical documentation and assessments to support appropriate placement based on member needs and Medi-Cal level-of-care criteria. β€’ Serve as the primary liaison between the health plan, SNF admission teams, hospital discharge planners, and providers to ensure timely and appropriate placements. β€’ Manage prior authorization workflows, verify eligibility, and support care approval processes within RN or LVN/LPN scope of practice. β€’ Collaborate closely with Utilization Management, Case Management, and interdisciplinary teams to ensure safe, efficient transitions of care. β€’ Educate members and caregivers regarding benefits, covered services, and expectations during transitions. β€’ Maintain accurate, timely documentation in EMR and care coordination systems. β€’ Ensure compliance with California regulations, Medi-Cal requirements, HIPAA, and organizational quality standards. Requirements β€’ Active, unrestricted California RN or LVN/LPN license (required). β€’ Minimum of 2–3 years of experience in home health, long-term care, rehabilitation, hospital admissions, or intake/placement coordination. β€’ Working knowledge of California Medi-Cal, prior authorizations, and long-term care or SNF level-of-care guidelines. β€’ Strong communication, coordination, problem-solving, and documentation skills. β€’ Proficiency with EMRs and care coordination platforms. β€’ Ability to work independently in a fully remote, fast-paced environment. Nice-to-haves β€’ Managed care, health plan, utilization management, or case management experience. β€’ Background in hospital discharge planning, post-acute transitions, or SNF-level placement. β€’ Experience with Medi-Cal managed care plans (e.g., CalAIM, LTSS). β€’ Bilingual English/Spanish preferred but not required. Benefits β€’ Competitive salary based on licensure and experience β€’ Medical, dental, and vision coverage β€’ 401(k) with employer match β€’ Generous paid time off and paid holidays β€’ Licensure reimbursement and CEU support β€’ Fully remote work environment Apply tot his job
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