Company: Leading Managed Care Organization (serving Kansas Medicaid members)
Location: Remote – Must reside in Kansas and hold an active Kansas RN or LPN license
Job Type: Full-Time
Department: Care Management / Utilization Management
Salary: $70,000–$85,000 (based on licensure and experience)
A managed care organization serving Kansas Medicaid members is seeking an experienced and compassionate nurse (RN or 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 who require post-acute or extended care services. Candidates should have experience in home health, senior living intake, long-term care admissions, or post-acute placement, along with a solid understanding of Kansas Medicaid (KanCare) processes and care transitions.
Coordinate and oversee admissions and transitions of care for members entering long-term care, skilled nursing facilities, or rehabilitation settings across Kansas.
Review clinical documentation and assessments to support appropriate placement based on member needs and Kansas Medicaid (KanCare) criteria.
Serve as the primary liaison between the health plan, SNF admission teams, hospital discharge planners, and providers to ensure timely, appropriate placements.
Manage prior authorization workflows, verify eligibility, and support care approval processes within RN/LPN scope.
Collaborate closely with Utilization Management, Case Management, and interdisciplinary teams to ensure safe, efficient transitions of care.
Provide education to members and caregivers regarding benefits, services, and expectations during transitions.
Maintain accurate documentation in EMR and care coordination systems.
Ensure compliance with Kansas regulations, KanCare standards, HIPAA requirements, and organizational quality benchmarks.
Active, unrestricted Kansas RN or LPN license (required).
Minimum of 2–3 years of experience in home health, long-term care, rehabilitation, hospital admissions, or intake/placement coordination.
Knowledge of Kansas Medicaid/KanCare systems, authorizations, and level-of-care guidelines.
Strong communication, problem-solving, and documentation skills.
Proficiency with EMRs and care coordination technology.
Ability to work independently in a remote, fast-paced environment.
Managed care, insurance, UM/CM, or health plan experience.
Background in discharge planning, post-acute transitions, or SNF-level placement.
Bilingual English/Spanish or English/Haitian Creole is helpful but not required.
Competitive salary based on licensure and experience
Full health, dental, and vision benefits
401(k) with employer match
Generous paid time off and holidays
Licensure reimbursement and CEU support
Remote work flexibility