Care Coordination Specialist at Alive

Nashville, Tennessee, United States -

Full Time

Start Date

Immediate

Expiry Date

26 May, 26

Salary

0.0

Posted On

25 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Prior Authorizations, Care Coordination, Administrative Tasks, Referrals Management, Order Follow-up, Electronic Medical Record (EMR), Workload Prioritization, Communication Skills, Detail-Oriented, Patient-Centered Approach, Healthcare Operations, Medical Terminology

Industry

Hospitals and Health Care

Description

Description Location: Hybrid position - Required to be in our Nashville, TN office & the ability to work remote (2-3 days per week) Status: Full-Time | Monday–Friday | 40 hours/week Reports to: Vice President, Clinical Operations & Palliative Care About This Role The Care Coordination Specialist plays an important role in supporting providers and clinical staff by managing office-based administrative and care coordination tasks. This position assists with processing prior authorizations, diagnostic results, referrals, and maintaining order follow-up. The ideal candidate is organized, detail-oriented, and comfortable working in a healthcare office setting. This role requires the ability to independently prioritize and manage a workload with competing deadlines in a fast-paced environment. Experience with back-office healthcare operations is highly valued, along with strong communication skills, reliability, and a patient-centered approach. The Care Coordination Specialist will be accountable for meeting Alive Care Standards and collaborating effectively with Alive team members as needed. Alive Core Standard – Creating an extraordinary experience CLINICAL AND ADMINISTRATIVE SUPPORT Process new referrals and field initial interest in services in a personable and professional manner Process prior authorizations for medications, diagnostics, and durable medical equipment in a timely and accurate manner. Coordinate referrals to specialists, including obtaining required documentation and insurance approvals. Manage laboratory and diagnostic results, ensuring results are reviewed, documented, and communicated per provider instructions. Perform order follow-up, including tracking outstanding labs, imaging, and referrals and closing loops with patients and providers. Enter, update, and maintain accurate updates in the electronic medical record (EMR). Prioritize daily workload to address urgent authorizations, time-sensitive results, and referral deadlines appropriately. Benefits Comprehensive medical, dental, vision and supplemental insurance options Generous PTO 403(b) retirement plan with employer match Strong work life balance Requirements EDUCATION and/or EXPERIENCE High school diploma or equivalent required. Healthcare administrative professional with a minimum of 2 years of healthcare Experience with EMR systems Knowledge of medical terminology Experience working with Medicare and commercial insurance plans Preferred: Experience in hospice and/or palliative care is strongly preferred. Experience preferably in outpatient healthcare settings

Responsibilities

The Care Coordination Specialist supports providers and clinical staff by managing office-based administrative tasks, including processing prior authorizations, managing referrals, and maintaining order follow-up for diagnostic results. This role involves entering and updating accurate information in the EMR while prioritizing urgent tasks to meet deadlines and adhere to Alive Care Standards.