Job Description
Job Title: Remote RN/LPN Admissions Coordinator – Long-Term Care & Rehabilitation Company: Leading Managed Care Organization
Location: Remote
Job Type: Full-Time
Department: Care Management / Utilization Management
Salary: $90,000
Position Summary: Responsibilities A leading managed care organization serving Medicaid members is seeking an experienced and compassionate Registered Nurse (RN) or Licensed Practical Nurse (LPN) 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.
- 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/LPN license (required)
- At least 3 years of clinical experience in home health, senior living, long-term care, or admissions/intake coordination
- Strong working knowledge of Medicaid 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 in any language a plus but not required
Preferred Experience: - Background with managed care organizations, health plans, or insurance case management
- 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.
Job Tags
Full time,