Job Title: Remote RN Admissions Coordinator – Long-Term Care & Rehabilitation Company: Leading Managed Care Organization (serving California Medicaid members) Location: Remote – Must reside and be licensed in California Job Type: Full-Time Department: Care Management / Utilization Management Salary: $90,000 Position Summary A leading managed care organization serving California Medicaid (Medi-Cal) members is seeking an experienced and compassionate Registered Nurse (RN) to join its Care Management team in a fully remote capacity. 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, senior living intake, or long-term care admissions, along with a strong understanding of Medicaid eligibility, coverage, and placement protocols. Key Responsibilities • Coordinate 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 the most appropriate facility placement based on member needs and Medi-Cal guidelines. • Serve as the main liaison between the health plan, facility admissions teams, discharge planners, and providers to ensure smooth and timely placements. • Manage prior authorization processes and confirm Medicaid eligibility. • Collaborate with Utilization Management and Case Management teams to ensure continuity of care and appropriate resource utilization. • Maintain accurate, up-to-date documentation in electronic systems and care management platforms. • Educate members and their families about services, benefits, and what to expect during transitions into long-term or rehabilitative care. • Ensure compliance with all applicable regulations, HIPAA requirements, and internal clinical protocols. Qualifications • Active, unrestricted RN license in the State of California (required) • At least 3 years of clinical experience in home health, senior living, long-term care, or admissions/intake coordination • Strong working knowledge of California Medicaid (Medi-Cal) systems, authorizations, and coverage criteria • Excellent communication, time management, and documentation skills • Proficiency with electronic medical records (EMR) and care coordination tools • Ability to work independently and remotely in a high-volume, fast-paced environment • Bilingual Spanish/English preferred, but not required Preferred Experience • Background with managed care organizations, health plans, or insurance case management • Familiarity with CMS and California Department of Health Care Services (DHCS) regulations • Experience in discharge planning, transitional care, or post-acute care navigation Benefits Include Competitive compensation, full benefits package, 401(k) with match, generous paid time off, continuing education support, and remote work flexibility. Apply Job!