Remote Admissions Specialist – Skilled Nursing

Confidential: Healthcare Facility; Augusta (GA); Remote; USD 80,000 - 85,000; Full time

Job summary

Confidential: Healthcare Facility is seeking a Central Admissions Reviewer to support skilled nursing facilities remotely, primarily serving South Carolina and Iowa. The role requires Eastern Time Zone residency and an active LPN license with 3+ years in post-acute care.

Responsibilities include reviewing referrals, verifying insurance, coordinating admissions, and maintaining CRM documentation with strong clinical judgment and communication skills.

Qualifications

• Active LPN license in good standing required.
• At least 3 years of experience in skilled nursing, rehabilitation, hospital, utilization review, or discharge planning.
• Strong knowledge of Medicare, Medicaid, and managed care requirements.
• Excellent written and verbal communication skills.
• Experience with PointClickCare or similar EMR systems preferred.
• Familiarity with referral platforms such as CarePort, naviHealth, or similar systems preferred.
• Knowledge of the South Carolina skilled nursing/post-acute market strongly preferred.
• Familiarity with the Iowa market is a plus.
• Comfortable working independently in a fast-paced, multi-facility environment.
• Strong organizational skills to manage multiple referrals and priorities throughout the day.

Responsibilities

• Review hospital records, clinical documentation, and referrals to determine whether a facility can safely and appropriately meet the patient's needs.
• Evaluate referrals for clinical appropriateness, level of care, and admission eligibility.
• Verify insurance benefits, eligibility, authorization requirements, and payer criteria.
• Collaborate with facility clinical teams, admissions coordinators, and leadership on admission decisions.
• Communicate acceptance, denial, or requests for additional information to hospitals, case managers, discharge planners, and other referral sources.
• Document referral decisions, clinical rationale, and follow-up activity accurately in the CRM or referral tracking system.
• Coordinate with facility admissions teams regarding bed availability, timing, and placement.
• Escalate urgent admissions, complex clinical cases, or issues requiring additional review.
• Participate in daily admissions meetings and census reviews, providing clinical insight and recommendations.
• Develop and maintain strong relationships with hospital case managers, discharge planners, physicians, and other referral partners.
• Ensure timely, professional communication throughout the referral and admissions process.

Skills

Clinical judgment

Communication skills

Organizational skills

Independent work

Time management

Multitasking

Education

LPN license

Tools

PointClickCare

CarePort

naviHealth

Job description

Confidential: Healthcare Facility is seeking a Central Admissions Reviewer to support skilled nursing facilities remotely, primarily serving South Carolina and Iowa. The role requires Eastern Time Zone residency and an active LPN license with 3+ years in post-acute care.

Responsibilities include reviewing referrals, verifying insurance, coordinating admissions, and maintaining CRM documentation with strong clinical judgment and communication skills.