Remote RN Admissions Coordinator Long-Term Care & Rehabilitation (Remote)

Job Title: Remote RN Admissions Coordinator Long-Term Care & Rehabilitation

Company: Leading Managed Care Organization (serving Ohio Medicaid members)

Location: Remote Must reside and be licensed in Ohio

Job Type: Full-Time

Department: Care Management / Utilization Management

Salary: $90,000

Position Summary:

A leading managed care organization serving Ohio Medicaid 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.

• 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 Ohio (required)

• At least 3 years of clinical experience in home health, senior living, long-term care, or admissions/intake coordination

• Strong working knowledge of Medicaid 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 in any language a plus but not required

Preferred Experience:

• Background with managed care organizations, health plans, or insurance case management

• 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.