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

Morgan Stephens•Annapolis, MD

1d•Hybrid

About The Position

A managed care organization serving Maryland Medicaid members is seeking an experienced and compassionate Registered Nurse (RN) to join its Care Management team. 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, skilled nursing, or long-term care admissions, along with a strong understanding of Maryland Medicaid eligibility, coverage, and placement processes.

Requirements

Active, unrestricted RN license in the State of Maryland (required)
Minimum of 3 years of clinical experience in home health, long-term care, rehabilitation, or admissions/intake coordination
Strong knowledge of Maryland Medicaid, including long-term services and supports (LTSS) and waiver programs
Excellent communication, critical thinking, and documentation skills
Proficiency with electronic medical records (EMR) and care coordination software
Ability to work independently in a remote or hybrid environment

Nice To Haves

Managed care, health plan, or insurance case management background
Experience with Maryland programs such as Community Options Waiver, Medical Day Care, or nursing facility placement processes
Experience in discharge planning, transitional care, or post-acute navigation
Bilingual English/Spanish is a plus but not required

Responsibilities

Coordinate and oversee 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 appropriate placement based on member needs and Maryland Medicaid guidelines
Serve as the primary liaison between the health plan, facility admissions teams, hospital discharge planners, and providers to ensure smooth and timely placements
Manage prior authorization processes, approve services within scope, and confirm Medicaid eligibility
Collaborate with Utilization Management and Case Management teams to support continuity of care and efficient resource utilization
Provide education to members and families regarding benefits, services, and expectations during care transitions
Maintain accurate, detailed documentation in EMR and care management systems
Ensure compliance with Maryland regulations, HIPAA requirements, and internal quality standards