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: $80,000–$95,000 (based on licensure and experience)
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.
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.
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.
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.
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