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

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