Job Description

Job Title: RN Admissions Coordinator – Long-Term Care & Rehabilitation
Location: Annapolis, MD
Job Type: Full-Time
Department: Care Management / Utilization Management
Salary: $85,000

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.

Key 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

Qualifications

• 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

Preferred Experience

• 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

Benefits Include

Competitive compensation, full benefits package, 401(k) with match, generous paid time off, continuing education support, and flexible work environment.