RN Admissions Coordinator - Long-Term Care & Rehabilitation (Remote)

Job Title: Remote RN Admissions Coordinator - Long-Term Care & Rehabilitation Company: Leading Managed Care Organization (serving CA Medicaid members) Location: Remote - Must reside and be licensed in California Job Type: Full-Time Department: Care Management / Utilization Management Salary: $85,000 Position Summary 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. Key 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 CaliforniaMedicaid 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. Qualifications • 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 CaliforniaMedicaid 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. Preferred Experience • 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 Include Competitive compensation, full benefits package, 401(k) with match, generous paid time off, continuing education support, and remote work flexibility. Apply tot his job