Implementation Specialist – Referral Management

Job not on LinkedIn

🔥 2 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🛠️ Implementation Specialist

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Carefeed

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2020

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Carefeed is a comprehensive platform designed for post-acute and senior care communities, aimed at enhancing staff efficiency, resident journeys, and family satisfaction. By integrating e-signatures, online payments, and compliance management into a single solution, Carefeed streamlines operations and facilitates communication among staff, residents, and families. With features like centralized patient information, automated training, and satisfaction surveys, Carefeed transforms how care communities operate, ultimately driving efficiency and improving the overall care experience.

📋 Description

• Lead client discovery and workflow planning for central intake, referral review, insurance verification, prior authorization, admission coordination, and concurrent or continued-stay reviews • Identify workflow gaps, clarify ownership, and establish implementation plans • Guide configuration and workflow development within Carefeed’s Referral Management module • Define which activities occur in Carefeed, an electronic health record, or payer portal, and coordinate handoffs • Deliver role-based training for central intake, admissions, nursing, MDS, therapy, business office, and corporate teams • Manage implementation through go-live and transition, including milestones, action items, barriers, readiness, early adoption, and handoff to Client Experience and Support • Serve as an internal subject matter expert on skilled nursing referral, authorization, clinical documentation, and managed care workflows • Develop training materials, workflow guides, readiness checklists, and standard operating procedures • Collaborate with Product, Client Experience, and Support to troubleshoot workflow challenges, communicate client feedback, and identify improvements • Set expectations about current functionality and escalate needs appropriately

🎯 Requirements

• Five or more years of experience in skilled nursing, short-term rehabilitation, or closely related post-acute care operations • Substantial hands-on responsibility for central intake, prior authorization, and concurrent or continued-stay review • Experience coordinating referrals, reviewing documentation for completeness, verifying insurance and benefits, communicating with payers, tracking authorization requirements, and managing time-sensitive follow-up • Strong working knowledge of clinical documentation, medical necessity, managed care processes, MDS assessments, PDPM, and clinical reimbursement • Experience collaborating with hospital discharge planners, payer case managers, admissions staff, nursing, therapy, MDS, and business office teams • Strong communication, facilitation, and organizational skills • Ability to train others, document workflows, manage competing priorities, and guide teams through process changes • Comfort learning new technology and helping others use it effectively • Sound judgment when handling confidential resident and client information • Registered Nurse (RN) background and/or RAC-CT certification preferred • Experience with PointClickCare, MatrixCare, referral management platforms, and payer portals preferred • Experience leading staff education, process improvement, system implementation, or software adoption preferred

🏖️ Benefits

• Comprehensive medical, dental, and vision insurance • 401(k) plan • Paid vacation • Sick time • Company-paid holidays • Opportunities for career growth and development • Opportunity to join a fast-growing startup making an impact in senior care