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Implementation Specialist – Referral Management

Carefeed - Remote - Remote - posted 2026-09-29

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Carefeed is a healthcare operations software company serving senior living and long-term care organizations. This role is a client-facing implementation specialist focused on Carefeed's Referral Management module, which helps skilled nursing facilities and short-term rehabilitation centers streamline central intake, prior authorization, insurance verification, and concurrent review workflows. You will lead the full implementation lifecycle for clients, starting with discovery and workflow assessment. You'll evaluate how clients currently manage referrals, insurance verification, prior authorization, admission coordination, and continued-stay reviews. You'll identify operational gaps, clarify ownership of tasks, and develop an implementation plan aligned with their needs. You'll translate client operational requirements into effective use of Carefeed's module, guiding configuration and workflow development. A key responsibility is clearly defining which activities occur in Carefeed, which remain in their electronic health record or payer portal, and how teams coordinate handoffs between systems. Training is a core part of the role. You'll deliver role-based training sessions for central intake, admissions, nursing, MDS coordinators, therapy, business office, and corporate leadership teams. You'll explain not just how to use the module, but how it fits into each team's daily responsibilities and workflows. You'll manage implementations through go-live and transition, coordinating milestones, tracking decisions and action items, addressing barriers, and confirming client readiness. You'll support early adoption and provide a structured handoff to Client Experience and Support teams. Internally, you'll serve as a subject matter expert on skilled nursing referral, authorization, clinical documentation, and managed care workflows. You'll help colleagues understand these processes and provide practical guidance that strengthens the team's ability to support clients. You'll also develop repeatable implementation resources—training materials, workflow guides, readiness checklists, and standard operating procedures—that support consistent delivery across single-community and multi-community organizations. You'll collaborate with Product, Client Experience, and Support teams to troubleshoot workflow challenges, communicate client feedback, and identify improvement opportunities. REQUIREMENTS: - Five or more years of hands-on experience in skilled nursing, short-term rehabilitation, or closely related post-acute care operations, with substantial responsibility for central intake, prior authorization, and concurrent or continued-stay review. - Demonstrated 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, and the relationship between MDS assessments, the Patient-Driven Payment Model (PDPM), and clinical reimbursement. - Experience collaborating with hospital discharge planners, payer case managers, admissions staff, nursing, therapy, MDS, and business office teams.

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