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Carefeed is a software platform helping senior living and long-term care organizations streamline operations and improve communication. This role is a client-facing Implementation Specialist focused on the Referral Management module—a technology-driven position bridging clinical expertise with software implementation.
You will lead implementation engagements with skilled nursing facilities and post-acute care organizations. Key responsibilities include:
• Conduct client discovery and workflow assessment, evaluating how clients manage central intake, referral review, insurance verification, prior authorization, admission coordination, and concurrent/continued-stay reviews.
• Translate operational needs into effective module configuration and workflow design, clarifying which activities occur in Carefeed, which remain in the EHR or payer portal, and how teams coordinate handoffs.
• Deliver role-based training to central intake, admissions, nursing, MDS, therapy, business office, and corporate teams, explaining both system mechanics and how the module fits into daily responsibilities.
• Manage implementation milestones, track action items, address barriers, confirm client readiness, and coordinate transition to ongoing support teams.
• Serve as an internal subject matter expert on skilled nursing referral workflows, authorization processes, clinical documentation, and managed care.
• Develop repeatable implementation resources including training materials, workflow guides, readiness checklists, and standard operating procedures.
• Partner with Product, Client Experience, and Support teams to troubleshoot challenges, communicate client feedback, and identify improvement opportunities.
This is not a clinical care role; it focuses on technology implementation, client education, and workflow optimization.
REQUIREMENTS:
• Minimum 5+ years of hands-on experience in skilled nursing, short-term rehabilitation, or post-acute care operations with substantial responsibility for central intake, prior authorization, and concurrent/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, 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.
• Strong communication, facilitation, and organizational skills including 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, with sound judgment handling confidential resident and client information.
PREFERRED QUALIFICATIONS:
• Registered Nurse (RN) background and/or RAC-CT certification.
• Multi-community, regional, or centralized intake experience within a skilled nursing organization.
• Experience with PointClickCare, MatrixCare, referral management platforms, and payer portals.
• Experience leading staff education, process improvement, system implementation, or software adoption.
• Relevant backgrounds include: Central Intake Manager/Nurse, SNF Managed Care Coordinator, SNF Case Manager, Utilization Review Nurse, Clinical Reimbursement Specialist, or MDS Coordinator with direct intake and payer-review experience.
