Care Coordination Specialist

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