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Long Term Care Coordinator (Remote LTC Coordinator – Authorizations / Utilization Support)

Location: Remote (Alameda, CA / California preferred)
Schedule: Monday–Friday, 8:00am–5:00pm PT
Pay: $40.02/hour

Summary

Now hiring a Long Term Care Coordinator to support long-term care clinical teams by managing high-volume authorizations, documentation, and coordination workflows across the continuum of care. This Long Term Care Coordinator role is a great fit for candidates with managed care or healthcare operations experience who are detail-oriented, strong in follow-up, and comfortable communicating with SNFs, hospitals, delegated partners, vendors, and internal departments. If you’re searching for LTC Coordinator, utilization support, prior authorization, or managed care coordination jobs—apply today. 

• California Residents preferred, 100% remote role

Responsibilities

• Coordinate and process Long-Term Care admissions and transitions (SNF / facility coordination)
• Monitor the authorization and review workflow; ensure all supporting documentation is received timely
• Issue member/provider notifications (mail, fax, electronic, telephone)
• Coordinate supportive services (DME, transportation, therapies)
• Use established Title 22 guideline pathways for screening/authorizing LTC requests (bed holds, LOA)
• Run scheduled and ad hoc reporting on utilization/authorization data; identify trends
• Support inquiries related to claims, authorizations, appeals, and eligibility; assist with complaints/grievances intake
• Perform accurate data entry and documentation across multiple platforms and systems
• Maintain professional communication and service standards with network entities and stakeholders

Qualifications

• Bachelor’s degree in a healthcare-related field OR equivalent combination of education/experience
• 1+ year experience in managed care or healthcare setting (preferred)
• Experience with Medi-Cal and Medicare populations and related regulatory requirements
• Knowledge of DMHC regulations and DHCS contractual requirements (preferred)
• Strong written/verbal communication, organization, and multitasking skills
• Proficiency with Microsoft Office and Windows-based systems; comfort working in multiple applications
• Valid driver’s license and auto insurance (required)

Qualifications

• California Residents preferred, 100% remote role
• Bachelor’s degree in a healthcare-related field OR equivalent combination of education/experience
• 1+ year experience in managed care or healthcare setting (preferred)
• Experience with Medi-Cal and Medicare populations and related regulatory requirements
• Knowledge of DMHC regulations and DHCS contractual requirements (preferred)
• Strong written/verbal communication, organization, and multitasking skills
• Proficiency with Microsoft Office and Windows-based systems; comfort working in multiple applications
• Valid driver’s license and auto insurance (required)