Care Coordination Specialist - Hybrid Remote Position

About the Role

We are seeking a dedicated Care Coordination Specialist to join our team at Alive Hospice. This hybrid remote position allows you to work from home 2-3 days a week while also requiring presence in our Nashville, TN office. As a Care Coordination Specialist, you will play a crucial role in supporting our providers and clinical staff by managing essential administrative and care coordination tasks. Your ability to prioritize and manage a diverse workload in a fast-paced healthcare environment will be key to your success in this role.

What You'll Do

• Process new referrals and field initial interest in services in a personable and professional manner.
• Handle prior authorizations for medications, diagnostics, and durable medical equipment accurately and promptly.
• Coordinate referrals to specialists, ensuring required documentation and insurance approvals are obtained.
• Manage laboratory and diagnostic results, ensuring they are reviewed, documented, and communicated according to provider instructions.
• Perform order follow-up, tracking outstanding labs, imaging, and referrals while closing loops with patients and providers.
• Maintain accurate updates in the electronic medical record (EMR) system.
• Prioritize daily workload to address urgent authorizations, time-sensitive results, and referral deadlines effectively.

Requirements

• High school diploma or equivalent required.
• A minimum of 2 years of experience in healthcare administrative roles.
• Familiarity with EMR systems and medical terminology.
• Experience working with Medicare and commercial insurance plans.
• Preferred: Experience in hospice and/or palliative care settings.

Nice to Have

• Experience in outpatient healthcare settings.

What We Offer

• Comprehensive medical, dental, vision, and supplemental insurance options.
• Generous paid time off (PTO).
• 403(b) retirement plan with employer match.
• Strong work-life balance.