Job Title: Remote Admissions Coordinator Long-Term Care & Rehabilitation (RN or LVN/LPN)
Company: Leading Managed Care Organization (serving California Medi-Cal members)
Location: Remote Must reside in California and hold an active California RN or LVN/LPN license
Job Type: Full-Time: This position is remote with some local field travel to SNFs
Department: Care Management / Utilization Management
Salary: $80000$95000 (based on licensure and experience)
Position Summary
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.
Key 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.
Qualifications
Active unrestricted California RN or LVN/LPN license (required).
Minimum of 23 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.
Preferred Experience
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 Include
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
Required Experience:
IC
Job Title: Remote Admissions Coordinator Long-Term Care & Rehabilitation (RN or LVN/LPN)Company: Leading Managed Care Organization (serving California Medi-Cal members)Location: Remote Must reside in California and hold an active California RN or LVN/LPN licenseJob Type: Full-Time: This position i...
Job Title: Remote Admissions Coordinator Long-Term Care & Rehabilitation (RN or LVN/LPN)
Company: Leading Managed Care Organization (serving California Medi-Cal members)
Location: Remote Must reside in California and hold an active California RN or LVN/LPN license
Job Type: Full-Time: This position is remote with some local field travel to SNFs
Department: Care Management / Utilization Management
Salary: $80000$95000 (based on licensure and experience)
Position Summary
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.
Key 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.
Qualifications
Active unrestricted California RN or LVN/LPN license (required).
Minimum of 23 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.
Preferred Experience
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 Include
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
Required Experience:
IC
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