RN Admissions Coordinator – Long-Term Care & Rehabilitation (Remote)
Job Title: Remote RN Admissions Coordinator – Long-Term Care & Rehabilitation
Company: Leading Managed Care Organization (serving California Medicaid members)
Location: Remote – Must reside and be licensed in California
Job Type: Full-Time
Department: Care Management / Utilization Management
Salary: $90,000
Position Summary
A leading managed care organization serving California Medicaid (Medi-Cal) 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.
Key Responsibilities
• Coordinate admissions and transitions of care for members entering long-term care, skilled nursing facilities (SNFs), or subacute rehabilitation settings.
• Review clinical documentation and assessments to determine the most appropriate facility placement based on member needs and Medi-Cal guidelines.
• Serve as the main liaison between the health plan, facility admissions teams, discharge planners, and providers to ensure smooth and timely placements.
• Manage prior authorization processes and confirm Medicaid eligibility.
• Collaborate with Utilization Management and Case Management teams to ensure continuity of care and appropriate resource utilization.
• Maintain accurate, up-to-date documentation in electronic systems and care management platforms.
• Educate members and their families about services, benefits, and what to expect during transitions into long-term or rehabilitative care.
• Ensure compliance with all applicable regulations, HIPAA requirements, and internal clinical protocols.
Qualifications
• Active, unrestricted RN license in the State of California (required)
• At least 3 years of clinical experience in home health, senior living, long-term care, or admissions/intake coordination
• Strong working knowledge of California Medicaid (Medi-Cal) systems, authorizations, and coverage criteria
• Excellent communication, time management, and documentation skills
• Proficiency with electronic medical records (EMR) and care coordination tools
• Ability to work independently and remotely in a high-volume, fast-paced environment
• Bilingual Spanish/English preferred, but not required
Preferred Experience
• Background with managed care organizations, health plans, or insurance case management
• Familiarity with CMS and California Department of Health Care Services (DHCS) regulations
• Experience in discharge planning, transitional care, or post-acute care navigation
Benefits Include
Competitive compensation, full benefits package, 401(k) with match, generous paid time off, continuing education support, and remote work flexibility.
Apply Now
Apply Now
Company: Leading Managed Care Organization (serving California Medicaid members)
Location: Remote – Must reside and be licensed in California
Job Type: Full-Time
Department: Care Management / Utilization Management
Salary: $90,000
Position Summary
A leading managed care organization serving California Medicaid (Medi-Cal) 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.
Key Responsibilities
• Coordinate admissions and transitions of care for members entering long-term care, skilled nursing facilities (SNFs), or subacute rehabilitation settings.
• Review clinical documentation and assessments to determine the most appropriate facility placement based on member needs and Medi-Cal guidelines.
• Serve as the main liaison between the health plan, facility admissions teams, discharge planners, and providers to ensure smooth and timely placements.
• Manage prior authorization processes and confirm Medicaid eligibility.
• Collaborate with Utilization Management and Case Management teams to ensure continuity of care and appropriate resource utilization.
• Maintain accurate, up-to-date documentation in electronic systems and care management platforms.
• Educate members and their families about services, benefits, and what to expect during transitions into long-term or rehabilitative care.
• Ensure compliance with all applicable regulations, HIPAA requirements, and internal clinical protocols.
Qualifications
• Active, unrestricted RN license in the State of California (required)
• At least 3 years of clinical experience in home health, senior living, long-term care, or admissions/intake coordination
• Strong working knowledge of California Medicaid (Medi-Cal) systems, authorizations, and coverage criteria
• Excellent communication, time management, and documentation skills
• Proficiency with electronic medical records (EMR) and care coordination tools
• Ability to work independently and remotely in a high-volume, fast-paced environment
• Bilingual Spanish/English preferred, but not required
Preferred Experience
• Background with managed care organizations, health plans, or insurance case management
• Familiarity with CMS and California Department of Health Care Services (DHCS) regulations
• Experience in discharge planning, transitional care, or post-acute care navigation
Benefits Include
Competitive compensation, full benefits package, 401(k) with match, generous paid time off, continuing education support, and remote work flexibility.
Apply Now
Apply Now