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
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