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Implementation Specialist – Referral Management
Carefeed. Lead client discovery and workflow planning for central intake, referral review, insurance verification, prior authorization, admission coordination, and concurrent or continued-stay reviews .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in skilled nursing referral processes, clinical documentation, and managed care workflows, with a strong ability to lead training and implementation efforts across multidisciplinary teams. Proficient in coordinating complex workflows and ensuring compliance with clinical reimbursement standards.
Highest-signal resume keywords
Skilled Nursing ExperiencePrior Authorization ManagementClinical Documentation KnowledgeTraining DevelopmentWorkflow Coordination
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Central Intake ManagementReferral CoordinationInsurance VerificationMDS AssessmentsPDPM KnowledgeClinical ReimbursementManaged Care Processes
Soft Skills
Strong CommunicationFacilitation SkillsOrganizational SkillsJudgment in Confidentiality
Tools & Technologies
PointClickCareMatrixCareReferral Management PlatformsPayer Portals
Certifications & Qualifications
Registered Nurse (RN)RAC-CT Certification
Industry Keywords
Post-Acute Care OperationsShort-Term RehabilitationClient ExperienceWorkflow Development
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- 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