Job Title: Remote LPN Admissions Coordinator – Long-Term Care & Rehabilitation
Company: Leading Managed Care Organization (serving Ohio Medicaid members)
Location: Remote
Job Type: Full-Time
Department: Care Management / Utilization Support
Salary: $65,000 – $70,000
Position Summary
A managed care organization serving Ohio Medicaid members is seeking a Licensed Practical Nurse (LPN) to join its Care Management team in a fully remote capacity. This position supports the coordination and facilitation of admissions to long-term care and rehabilitation facilities for members requiring skilled or extended care services. The ideal candidate will have a background in long-term care, senior living intake, or care coordination, along with familiarity with Medicaid eligibility, coverage, and placement processes.
Key Responsibilities
Support admissions and transitions of care for members entering long-term care, skilled nursing facilities (SNFs), or rehabilitation settings.
Collect and review clinical documentation, assessments, and eligibility information for RN or physician review.
Serve as a liaison between the health plan, facility admissions teams, discharge planners, and providers to ensure timely and efficient placements.
Assist with prior authorization requests, documentation preparation, and Medicaid eligibility verification.
Communicate with members and families to explain services, benefits, and what to expect during transitions into care.
Maintain accurate and timely documentation in electronic medical records (EMR) and care management platforms.
Escalate complex cases or clinical determinations to the RN or Utilization Management team as required.
Ensure compliance with HIPAA, state regulations, and internal protocols.
Qualifications
Active, unrestricted LPN license in the State of Ohio (required).
At least 2–3 years of nursing experience in long-term care, rehabilitation, or admissions/intake coordination.
Familiarity with Ohio Medicaid processes, coverage criteria, and facility admissions workflows.
Strong communication, documentation, and organizational skills.
Proficiency with EMR systems and care coordination tools.
Ability to work independently and remotely in a fast-paced environment.
Preferred Experience
Experience in managed care, health plan support roles, or insurance case management.
Background in discharge planning, transitional care, or post-acute intake coordination.
Bilingual English/Spanish is a plus but not required.
Benefits Include
Competitive compensation, comprehensive benefits package, 401(k) with match, generous paid time off, continuing education support, and fully remote work flexibility.