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

Job Title: RN Admissions Coordinator Long-Term Care & Rehabilitation
Location: Annapolis MD
Job Type: Full-Time
Department: Care Management / Utilization Management
Salary: $85000

Position Summary
A managed care organization serving Maryland Medicaid members is seeking an experienced and compassionate Registered Nurse (RN) to join its Care Management team. 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 skilled nursing or long-term care admissions along with a strong understanding of Maryland Medicaid eligibility coverage and placement processes.

Key Responsibilities

Coordinate and oversee 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 appropriate placement based on member needs and Maryland Medicaid guidelines

Serve as the primary liaison between the health plan facility admissions teams hospital 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 Maryland regulations HIPAA requirements and internal quality standards

Qualifications

Active unrestricted RN license in the State of Maryland (required)

Minimum of 3 years of clinical experience in home health long-term care rehabilitation or admissions/intake coordination

Strong knowledge of Maryland Medicaid including long-term services and supports (LTSS) and waiver programs

Excellent communication critical thinking and documentation skills

Proficiency with electronic medical records (EMR) and care coordination software

Ability to work independently in a remote or hybrid environment

Preferred Experience

Managed care health plan or insurance case management background

Experience with Maryland programs such as Community Options Waiver Medical Day Care or nursing facility placement processes

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 flexible work environment.