Implementation Specialist – Referral Management
Carefeed · Remote
About The Role
<p><strong><span data-contrast="auto">About Us: </span></strong></p>
<p><span data-contrast="auto"><span class="TextRun SCXW172595237 BCX0" lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW172595237 BCX0">Carefeed helps senior living and long-term care organizations simplify operations, improve communication, and give staff more time to focus on care. We partner with clients to turn complex processes into practical, connected workflows that support their teams and the people they serve.</span></span></span><span data-contrast="auto"><span class="EOP Selected SCXW172595237 BCX0" data-ccp-props="{"134233117":false,"134233118":false,"335551550":0,"335551620":0,"335559738":300,"335559739":300}"> </span></span></p>
<p><strong><span data-contrast="auto">About the Opportunity: </span></strong></p>
<p><span data-contrast="auto">Carefeed is seeking a </span><strong><span data-contrast="auto">Clinical Implementation Specialist – Referral Management</span></strong><span data-contrast="auto"> with extensive experience in skilled nursing or short-term rehabilitation, particularly in </span><strong><span data-contrast="auto">central intake, prior authorization, and concurrent review</span></strong><span data-contrast="auto">.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335551550":0,"335551620":0,"335559738":300,"335559739":300}"> </span></p>
<p><span data-contrast="auto">This client-facing role bridges real-world clinical and operational expertise with technology implementation. You will help clients evaluate their existing processes, implement Carefeed’s Referral Management module, train their teams, and establish consistent workflows that support successful adoption.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335551550":0,"335551620":0,"335559738":300,"335559739":300}"> </span></p>
<p><span data-contrast="auto">The ideal candidate has personally managed referrals and payer coordination, understands the relationship between admissions, clinical documentation, MDS, and reimbursement, and can confidently teach others. You are comfortable leading conversations with both frontline staff and organizational leaders—and translating complex requirements into clear, actionable steps.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335551550":0,"335551620":0,"335559738":300,"335559739":300}"> </span></p>
<p><span data-contrast="auto">This position focuses on technology implementation, client education, and workflow improvement rather than direct patient care or payer coverage decisions.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335551550":0,"335551620":0,"335559738":300,"335559739":300}"> </span></p>
<p><strong><span data-contrast="auto">Key Responsibilities: </span></strong><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":0,"335559739":60,"335559740":288}"> </span></p>
<ul>
<li><strong><span data-contrast="auto">Lead client discovery and workflow planning.</span></strong><span data-contrast="auto"> Assess how clients manage central intake, referral review, insurance verification, prior authorization, admission coordination, and concurrent or continued-stay reviews. Identify gaps, clarify ownership, and establish an implementation plan aligned with their operational needs.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335551550":0,"335551620":0,"335559738":300,"335559739":300}"> </span></li>
<li><strong><span data-contrast="auto">Translate operational needs into effective module use.</span></strong><span data-contrast="auto"> Guide configuration and workflow development within Carefeed’s supported capabilities. Clearly define which activities occur in Carefeed, which remain in an electronic health record or payer portal, and how teams coordinate the handoffs.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335551550":0,"335551620":0,"335559738":300,"335559739":300}"> </span></li>
<li><strong><span data-contrast="auto">Deliver practical, role-based training.</span></strong><span data-contrast="auto"> Lead engaging sessions for central intake, admissions, nursing, MDS, therapy, business office, and corporate teams. Explain not only how to use the module, but how it fits into each team’s responsibilities and daily work.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335551550":0,"335551620":0,"335559738":300,"335559739":300}"> </span></li>
<li><strong><span data-contrast="auto">Manage implementation through go-live and transition.</span></strong><span data-contrast="auto"> Coordinate milestones, track outstanding decisions and action items, address barriers, and confirm client readiness. Support early adoption and provide a structured handoff to ongoing Client Experience and Support teams.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335551550":0,"335551620":0,"335559738":300,"335559739":300}"> </span></li>
<li><strong><span data-contrast="auto">Serve as an internal subject matter expert.</span></strong><span data-contrast="auto"> Help colleagues understand skilled nursing referral, authorization, clinical documentation, and managed care workflows. Share practical guidance that strengthens the team’s ability to support clients.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335551550":0,"335551620":0,"335559738":300,"335559739":300}"> </span></li>
<li><strong><span data-contrast="auto">Build repeatable implementation resources.</span></strong><span data-contrast="auto"> Develop training materials, workflow guides, readiness checklists, and standard operating procedures that support consistent delivery across single-community and multi-community organizations.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335551550":0,"335551620":0,"335559738":300,"335559739":300}"> </span></li>
<li><strong><span data-contrast="auto">Partner across teams to improve the client experience.</span></strong><span data-contrast="auto"> Collaborate with Product, Client Experience, and Support to troubleshoot workflow challenges, communicate client feedback, and identify opportunities for improvement. Set clear expectations about current functionality and escalate needs appropriately.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335551550":0,"335551620":0,"335559738":300,"335559739":300}"> </span></li>
</ul>
<p><strong><span data-contrast="auto">Required Qualifications: </span></strong><span data-contrast="auto"> </span><span data-ccp-props="{"201341983":0,"335559739":60,"335559740":288}"> </span></p>
<ul>
<li><strong><span data-contrast="auto">Five or more years of experience in skilled nursing, short-term rehabilitation, or closely related post-acute care operations</span></strong><span data-contrast="auto">, with substantial hands-on responsibility for central intake, prior authorization, and concurrent or continued-stay review.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335551550":0,"335551620":0,"335559738":300,"335559739":300}"> </span></li>
<li><span data-contrast="auto">Demonstrated experience coordinating referrals, reviewing documentation for completeness, verifying insurance and benefits, communicating with payers, tracking authorization requirements, and managing time-sensitive follow-up.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335551550":0,"335551620":0,"335559738":300,"335559739":300}"> </span></li>
<li><span data-contrast="auto">Strong working knowledge of clinical documentation, medical necessity, managed care processes, and the relationship between MDS assessments, the Patient-Driven Payment Model (PDPM), and clinical reimbursement.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335551550":0,"335551620":0,"335559738":300,"335559739":300}"> </span></li>
<li><span data-contrast="auto">Experience collaborating with hospital discharge planners, payer case managers, admissions staff, nursing, therapy, MDS, and business office teams.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335551550":0,"335551620":0,"335559738":300,"335559739":300}"> </span></li>
<li><span data-contrast="auto">Strong communication, facilitation, and organizational skills, including the ability to train others, document workflows, manage competing priorities, and guide teams through process changes.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335551550":0,"335551620":0,"335559738":300,"335559739":300}"> </span></li>
<li><span data-contrast="auto">Comfort learning new technology and helping others use it effectively, with sound judgment when handling confidential resident and client information.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335551550":0,"335551620":0,"335559738":300,"335559739":300}"> </span></li>
</ul>
<p><strong><span data-contrast="auto">Preferred Qualifications:</span></strong><span data-ccp-props="{"201341983":0,"335559685":0,"335559739":60,"335559740":288}"> </span></p>
<ul>
<li><span data-contrast="auto">Registered Nurse (RN) background and/or RAC-CT certification.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335551550":0,"335551620":0,"335559738":0,"335559739":0}"> </span></li>
<li><span data-contrast="auto">Multi-community, regional, or centralized intake experience within a skilled nursing organization.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335551550":0,"335551620":0,"335559738":0,"335559739":0}"> </span></li>
<li><span data-contrast="auto">Experience with PointClickCare, MatrixCare, referral management platforms, and payer portals.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335551550":0,"335551620":0,"335559738":0,"335559739":0}"> </span></li>
<li><span data-contrast="auto">Experience leading staff education, process improvement, system implementation, or software adoption.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335551550":0,"335551620":0,"335559738":0,"335559739":0}"> </span></li>
</ul>
<p><span data-ccp-props="{"134233117":false,"134233118":false,"335551550":0,"335551620":0,"335559738":0,"335559739":0}"><strong><span class="TextRun MacChromeBold SCXW19420854 BCX0" lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW19420854 BCX0">Relevant Backgrounds May I</span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW19420854 BCX0">nclude:</span></span></strong><span class="TextRun SCXW19420854 BCX0" lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW19420854 BCX0"><strong> </strong>Central Intake Manager or Nurse, SNF Managed Care Coordinator, SNF Case Manager, </span><span class="NormalTextRun SCXW19420854 BCX0">Utilization</span><span class="NormalTextRun SCXW19420854 BCX0"> Review Nurse, Clinical Reimbursement Specialist, or MDS Coordinator with direct intake and payer-review experience. MDS experience is valuable but does not replace the need for hands-on authorization and concurrent-review </span><span class="NormalTextRun SCXW19420854 BCX0">expertise</span><span class="NormalTextRun SCXW19420854 BCX0">.</span></span><span class="EOP Selected SCXW19420854 BCX0" data-ccp-props="{"134233117":false,"134233118":false,"335551550":0,"335551620":0,"335559738":300,"335559739":300}"> </span></span></p>
<p><strong><span data-contrast="none"><span data-ccp-parastyle="heading 2">What Success Looks Like:</span></span></strong><span data-ccp-props="{"134245418":true,"134245529":true,"335559738":160,"335559739":80}"> </span></p>
<p><span data-contrast="auto">Clients launch with clearly defined workflows, trained staff, and confidence in how to use Carefeed. Implementation milestones are met, barriers are surfaced early, and handoffs are well coordinated. Your expertise contributes to stronger module adoption, a more consistent client experience, and practical feedback that helps shape future improvements.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335551550":0,"335551620":0,"335559738":300,"335559739":300}"> </span></p>
<p><strong><span data-contrast="auto">What You’ll Love:</span></strong><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":0,"335559739":60,"335559740":288}"> </span></p>
<ul>
<li><span data-contrast="auto">Join a fast-growing startup making a real impact in the lives of senior care providers and their communities </span><span data-ccp-props="{"134233117":false,"134233118":false,"335559738":0,"335559739":0}"> </span></li>
<li><span data-contrast="auto">Comprehensive medical, dental, and vision insurance to support your health and well-being </span><span data-ccp-props="{"134233117":false,"134233118":false,"335559738":240,"335559739":240}"> </span></li>
<li><span data-contrast="auto">401(k) plan to help you plan for the future </span><span data-ccp-props="{"134233117":false,"134233118":false,"335559738":240,"335559739":240}"> </span></li>
<li><span data-contrast="auto">Paid vacation, sick time, and company-paid holidays to support work-life balance </span><span data-ccp-props="{"134233117":false,"134233118":false,"335559738":240,"335559739":240}"> </span></li>
<li><span data-contrast="auto">A culture that values growth and development, with opportunities to grow your career as we scale</span><span data-ccp-props="{}"> </span></li>
</ul>
<p><strong><span data-contrast="auto">Work Location: </span></strong><span data-contrast="auto">Full Remote based in the USA</span></p>
<p><em><span data-contrast="auto">Carefeed provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.</span></em><span data-ccp-props="{}"> </span></p>
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